Individual provider Active NPI

Janell Lee Mousseau, RN

  • Registered Nurse
  • Sells, AZ
National Provider Identifier
1396144994
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN165619 Issued in AZ
Practice address
Highway 86 and Topawa Rd.
Sells, AZ 85634-0548
Phone
(520) 383-7418
Fax
(520) 383-7255
NPI assigned
Aug 19, 2014
Last updated
Aug 19, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN165619 AZ Primary

Addresses

Primary practice location

Highway 86 and Topawa Rd.
Sells, AZ 85634-0548

Mailing address

Highway 86 and Topawa Rd.
Sells, AZ 85634-0548
Phone (520) 383-7418

Other identifiers 1

IdentifierTypeStateIssuer
RN165619OtherAZARIZONA STATE BOARD OF NURSING

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
RN165619AZMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1396144994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HIGHWAY 86 AND TOPAWA RD.",
            "city": "SELLS",
            "state": "AZ",
            "postal_code": "856340548",
            "telephone_number": "520-383-7418",
            "fax_number": "520-383-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIGHWAY 86 AND TOPAWA RD.",
            "city": "SELLS",
            "state": "AZ",
            "postal_code": "856340548",
            "telephone_number": "520-383-7418",
            "fax_number": "520-383-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSSEAU",
        "first_name": "JANELL",
        "middle_name": "LEE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN165619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA STATE BOARD OF NURSING",
            "identifier": "RN165619",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sells, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; 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.