Individual provider Active NPI

Lourdes Araceli Maytorena, R.N.

  • School Registered Nurse
  • Phoenix, AZ
National Provider Identifier
1295008191
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
RN166841 Issued in AZ
Practice address
1155 E Rose LN
Phoenix, AZ 85014-1600
Phone
(602) 664-7400
Fax
(602) 664-7499
NPI assigned
Feb 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN166841 AZ Primary

Addresses

Primary practice location

1155 E Rose LN
Phoenix, AZ 85014-1600

Mailing address

1155 E Rose LN
Phoenix, AZ 85014-1600
Phone (602) 664-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN166841AZMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Madison School District #38 Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329955200000",
    "number": "1295008191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 E ROSE LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850141600",
            "telephone_number": "602-664-7400",
            "fax_number": "602-664-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 E ROSE LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850141600",
            "telephone_number": "602-664-7400",
            "fax_number": "602-664-7499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYTORENA",
        "first_name": "LOURDES",
        "middle_name": "ARACELI",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-23",
        "last_updated": "2012-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN166841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.