Active NPI
Iris H Surette, PHD
- School Psychologist
- Tombstone, AZ
National Provider Identifier
1346349149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 805 E Fremont
Tombstone Unified School Dist
Tombstone, AZ 85638 - Phone
- (520) 456-9842
- Fax
- (520) 457-3720
- NPI assigned
- Sep 21, 2006
- Last updated
- Jul 26, 2007
- 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 Psychologist | 103TS0200X | AZ | Primary |
Addresses
Primary practice location
805 E Fremont
Tombstone Unified School Dist
Tombstone, AZ 85638
Mailing address
HC 1 Box 655
Elgin, AZ 85611
Phone (520) 456-9799
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
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185408000000",
"number": "1346349149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 1 BOX 655",
"city": "ELGIN",
"state": "AZ",
"postal_code": "85611",
"telephone_number": "520-456-9799",
"fax_number": "520-456-1703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 E FREMONT",
"address_2": "TOMBSTONE UNIFIED SCHOOL DIST",
"city": "TOMBSTONE",
"state": "AZ",
"postal_code": "85638",
"telephone_number": "520-456-9842",
"fax_number": "520-457-3720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURETTE",
"first_name": "IRIS",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tombstone, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.