Organization Active NPI

Marigold Enterprise

  • Point of Service
  • Sierra Vista, AZ
National Provider Identifier
1326310442
Registry record updated Feb 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
0651 Issued in AZ
Legal business name
MARIGOLD ENTERPRISE
Practice address
500 N Lenzner Ave
B-9
Sierra Vista, AZ 85635-2167
Phone
(520) 236-7692
NPI assigned
Feb 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2012

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

Authorized official

Name
Ms. Victoria L Harris, OTR
Title
Occupational Therapist
Phone
(520) 236-7692

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 0651 AZ Primary

Addresses

Primary practice location

500 N Lenzner Ave
B-9
Sierra Vista, AZ 85635-2167

Mailing address

PO Box 910
Hereford, AZ 85615-0910
Phone (520) 236-7692

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1328400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328400000000",
    "number": "1326310442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910",
            "city": "HEREFORD",
            "state": "AZ",
            "postal_code": "856150910",
            "telephone_number": "520-236-7692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N LENZNER AVE",
            "address_2": "B-9",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352167",
            "telephone_number": "520-236-7692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIGOLD ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-05",
        "last_updated": "2012-02-05",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "520-236-7692",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "AZ",
            "license": "0651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.