Active NPI
Brenda Rock
- Nurse's Aide
- Teec Nos Pos, AZ
National Provider Identifier
1386944080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- CNA1000024480
- Practice address
- Junction U.S. Highway 160 & Navajo Route 35
Teec Nos Pos, AZ 86514 - Phone
- (928) 656-5000
- NPI assigned
- Oct 27, 2010
- Last updated
- Jul 16, 2012
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | CNA1000024480 | AZ | Primary |
Addresses
Primary practice location
Junction U.S. Highway 160 & Navajo Route 35
Teec Nos Pos, AZ 86514
Mailing address
HC 61 Box 30
Teec Nos Pos, AZ 86514-9600
Phone (928) 656-5443
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 |
|---|---|---|---|
| CNA1000024480 | AZ | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS PHS Naihs Shiprock Hospital | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Four Corners Regional Health Center
- Durable Medical Equipment & Medical Supplies
- Teec Nos Pos, AZ
- NPI 1215083951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342396800000",
"number": "1386944080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 61 BOX 30",
"city": "TEEC NOS POS",
"state": "AZ",
"postal_code": "865149600",
"telephone_number": "928-656-5443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "JUNCTION U.S. HIGHWAY 160 & NAVAJO ROUTE 35",
"city": "TEEC NOS POS",
"state": "AZ",
"postal_code": "86514",
"telephone_number": "928-656-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCK",
"first_name": "BRENDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-27",
"last_updated": "2012-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "AZ",
"license": "CNA1000024480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Teec Nos Pos, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.