Active NPI
Brenda Tafoya
- Personal Care Attendant
- Peoria, AZ
National Provider Identifier
1316324353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- 5296315
- Practice address
- 9130 N 94TH Ave
Peoria, AZ 85345-6341 - Phone
- (623) 251-6590
- NPI assigned
- Apr 28, 2015
- Last updated
- Apr 28, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | 5296315 | AZ | Primary |
Addresses
Primary practice location
9130 N 94TH Ave
Peoria, AZ 85345-6341
Mailing address
711 E Missouri Ave
Ste 300
Phoenix, AZ 85014-2841
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5296315 | AZ | MD | Personal Care Attendant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430179200000",
"number": "1316324353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 E MISSOURI AVE",
"address_2": "STE 300",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850142841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9130 N 94TH AVE",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853456341",
"telephone_number": "623-251-6590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAFOYA",
"first_name": "BRENDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-28",
"last_updated": "2015-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "AZ",
"license": "5296315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.