Individual provider Active NPI

Kathleen G Motush, R.N.

  • School Registered Nurse
  • Queen Creek, AZ
National Provider Identifier
1366731895
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
RN152033 Issued in AZ
Practice address
19680 S 188TH St
Queen Creek, AZ 85142-7067
Phone
(480) 279-7815
Fax
(480) 279-7805
NPI assigned
Apr 5, 2011
Last updated
Apr 5, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN152033 AZ Primary

Addresses

Primary practice location

19680 S 188TH St
Queen Creek, AZ 85142-7067

Mailing address

19680 S 188TH St
Queen Creek, AZ 85142-7067
Phone (480) 279-7815

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

LicenseStateTypeSpecialty
RN152033AZMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301961600000",
    "number": "1366731895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19680 S 188TH ST",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851427067",
            "telephone_number": "480-279-7815",
            "fax_number": "480-279-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19680 S 188TH ST",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851427067",
            "telephone_number": "480-279-7815",
            "fax_number": "480-279-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTUSH",
        "first_name": "KATHLEEN",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-05",
        "last_updated": "2011-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN152033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.

Verify at the official NPI Registry.