NPIMap

Organization Active NPI

Arizona State University Employee Health Services

  • Occupational Health Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1366038929
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health Nurse PractitionerTaxonomy code 363LX0106X
Legal business name
ARIZONA STATE UNIVERSITY EMPLOYEE HEALTH SERVICES
Practice address
1492 S. Mill Avenue, Suite 105
Tempe, AZ 85281
Phone
(480) 985-1823
Fax
(480) 965-0736
NPI assigned
Dec 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Authorized official

Name
Nichol Luoma
Title
VP
Phone
(480) 965-7955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LX0106X Primary

Addresses

Primary practice location

1492 S. Mill Avenue, Suite 105
Tempe, AZ 85281

Mailing address

1492 S. Mill Avenue, Suite 105
Tempe, AZ 85281
Phone (480) 985-1823

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2200030Arizona State University Employee1492 S Mill Ave Ste 105, Tempe, AZ 85281Certificate of waiverNov 11, 2026

National Provider Directory

National Provider Directory
Tax ID family
Infant Child Research Program13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1492 S Mill Ave
Ste 105
Tempe, AZ 85281
Phone (480) 557-5710

NPI Registry JSON

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1366038929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1492 S. MILL AVENUE, SUITE 105",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "85281",
            "telephone_number": "480-985-1823",
            "fax_number": "480-965-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 S. MILL AVENUE, SUITE 105",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "85281",
            "telephone_number": "480-985-1823",
            "fax_number": "480-965-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA STATE UNIVERSITY EMPLOYEE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-17",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "LUOMA",
        "authorized_official_first_name": "NICHOL",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "480-965-7955"
    },
    "taxonomies": [
        {
            "code": "363LX0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": null,
            "license": null,
            "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 Dec 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.