Active NPI
Doyle Stanley II, RN
- School Registered Nurse
- San Luis, AZ
National Provider Identifier
1407307036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- RN191523
- Practice address
- 1250 N. 8TH Ave
San Luis, AZ 85359-0000 - Phone
- (928) 502-6138
- Fax
- (928) 502-6223
- NPI assigned
- Oct 19, 2016
- Last updated
- Oct 19, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | RN191523 | AZ | Primary |
Addresses
Primary practice location
1250 N. 8TH Ave
San Luis, AZ 85359-0000
Mailing address
1250 N 8TH Ave
San Luis, AZ 85349
Phone (928) 502-6138
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN191523 | AZ | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476835200000",
"number": "1407307036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 N 8TH AVE",
"city": "SAN LUIS",
"state": "AZ",
"postal_code": "85349",
"telephone_number": "928-502-6138",
"fax_number": "928-502-6223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 N. 8TH AVE",
"city": "SAN LUIS",
"state": "AZ",
"postal_code": "853590000",
"telephone_number": "928-502-6138",
"fax_number": "928-502-6223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANLEY",
"first_name": "DOYLE",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-10-19",
"last_updated": "2016-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "AZ",
"license": "RN191523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Luis, AZ
- Sonortica Dent All Group, LLC
- Marisol Soto Jimenez, DDS
- South County Diagnostic Services, LLC
- South County Diagnostic Services, LLC
- South County Diagnostic Services, LLC
- Sunset Community Health Center
- Sunset Community Health Center
- Sunset Community Health Center Inc
- Sunset Community Health Center Inc (Sunset San Luis Pharmacy)
- Anakany Tavizon Beltran, SA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.