Active NPI
Louisa Michelle Udall
- Social Worker
- Tempe, AZ
National Provider Identifier
1306667985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1010 South Ve Ella Circle
BLD 10 Apartment 211 Mailbox 22
Tempe, AZ 85281 - Phone
- (480) 772-2003
- NPI assigned
- Oct 17, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
1010 South Ve Ella Circle
BLD 10 Apartment 211 Mailbox 22
Tempe, AZ 85281
Mailing address
1010 South Ve Ella Circle
BLD 10 Apartment 211 Mailbox 22
Tempe, AZ 85281
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729123200000",
"number": "1306667985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 SOUTH VE ELLA CIRCLE",
"address_2": "BLD 10 APARTMENT 211 MAILBOX 22",
"city": "TEMPE",
"state": "AZ",
"postal_code": "85281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 SOUTH VE ELLA CIRCLE",
"address_2": "BLD 10 APARTMENT 211 MAILBOX 22",
"city": "TEMPE",
"state": "AZ",
"postal_code": "85281",
"telephone_number": "480-772-2003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UDALL",
"first_name": "LOUISA",
"middle_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-17",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.