Active NPI
Brenda Palomino, RN
- School Registered Nurse
- Goodyear, AZ
National Provider Identifier
1326825993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 902761
- Practice address
- 540 E la Pasada Blvd
Goodyear, AZ 85338-1368 - Phone
- (632) 772-4300
- Fax
- (623) 772-4320
- NPI assigned
- Sep 8, 2023
- 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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 902761 | TX | Primary |
Addresses
Primary practice location
540 E la Pasada Blvd
Goodyear, AZ 85338-1368
Mailing address
540 E la Pasada Blvd
Goodyear, AZ 85338-1368
Phone (632) 772-4300
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
| License | State | Type | Specialty |
|---|---|---|---|
| 902761 | TX | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694131200000",
"number": "1326825993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 E LA PASADA BLVD",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853381368",
"telephone_number": "632-772-4300",
"fax_number": "623-772-4320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 E LA PASADA BLVD",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853381368",
"telephone_number": "632-772-4300",
"fax_number": "623-772-4320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALOMINO",
"first_name": "BRENDA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-08",
"last_updated": "2023-09-08",
"certification_date": "2023-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "TX",
"license": "902761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.