Active NPI
Kelly Renfro Slife, RN
- Registered Nurse
- Tucson, AZ
National Provider Identifier
1356547871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN087196
- Practice address
- 1010 10TH Street
Tucson, AZ 85719 - Phone
- (520) 731-5000
- Fax
- (520) 731-5001
- NPI assigned
- Jun 22, 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN087196 | AZ | Primary |
Addresses
Primary practice location
1010 10TH Street
Tucson, AZ 85719
Mailing address
10629 E Avalon Park St
Tucson, AZ 85747
Phone (520) 885-1518
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 913245 | Medicaid | AZ |
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 |
|---|---|---|---|
| RN087196 | AZ | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356547871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10629 E AVALON PARK ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85747",
"telephone_number": "520-885-1518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 10TH STREET",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85719",
"telephone_number": "520-731-5000",
"fax_number": "520-731-5001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLIFE",
"first_name": "KELLY",
"middle_name": "RENFRO",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "RN087196",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "913245",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.