Nermina Rustempasic

Primary specialty

Respite CareTaxonomy code 385H00000X

License

BH4720 Issued in AZ

Practice address

1301 E Deer Canyon Rd
Tucson, AZ 85718-1094

Phone

(520) 307-9841

NPI assigned

Dec 14, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Minka Rustempasic Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Devereux Foundation

  • Adolescent and Children Mental Health Clinic/Center
  • Phoenix, AZ
  • NPI 1306939368
  NPD (past)

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

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1356716583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 E DEER CANYON RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857181094",
            "telephone_number": "520-307-9841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E DEER CANYON RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857181094",
            "telephone_number": "520-307-9841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSTEMPASIC",
        "first_name": "NERMINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-14",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "AZ",
            "license": "BH4720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ DEPT OF HEALTH SVCS",
            "identifier": "BH4720",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MINKA",
            "last_name": "RUSTEMPASIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Robert Mark Russell, MD, MPH
• Samantha Jane Russell, MD
• Tyler William Russell, CRNA
• Maria E Russomanno, PT, DPT
• Amelia Keiana Rustaey
• Andrea Ruth
• Brooke L Ruth, NP
• Eileen Ruth
• John T Ruth, MD
• Laura J Ruth, MD

• Respite Care in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Respite Care in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.