Active NPI
Nathan Nitzky, RNFA
- Registered Nurse First Assistant
- Tempe, AZ
National Provider Identifier
1356633770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- RN111312
- Practice address
- 1012 E Vinedo LN
Tempe, AZ 85284-1529 - Phone
- (602) 696-8664
- NPI assigned
- May 3, 2011
- Sex
- Male
- 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 First Assistant | 163WR0006X | RN111312 | AZ | Primary |
Addresses
Primary practice location
1012 E Vinedo LN
Tempe, AZ 85284-1529
Mailing address
PO Box 12401
Tempe, AZ 85284-0041
Phone (602) 696-8664
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 |
|---|---|---|---|
| RN111312 | AZ | MD | Registered Nurse First Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304380800000",
"number": "1356633770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12401",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852840041",
"telephone_number": "602-696-8664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1012 E VINEDO LN",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852841529",
"telephone_number": "602-696-8664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NITZKY",
"first_name": "NATHAN",
"name_prefix": "Mr.",
"credential": "RNFA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-03",
"last_updated": "2011-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "AZ",
"license": "RN111312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.