Individual provider Active NPI

Jennifer Pizzi

  • Specialist
  • Flagstaff, AZ
National Provider Identifier
1407379720
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
8189787 Issued in AZ
Practice address
2323 E Greenlaw LN Ste 10B
Flagstaff, AZ 86004-1849
Phone
(928) 226-1097
NPI assigned
Jul 18, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 8189787 AZ Primary

Addresses

Primary practice location

2323 E Greenlaw LN Ste 10B
Flagstaff, AZ 86004-1849

Mailing address

2323 E Greenlaw LN Ste 10B
Flagstaff, AZ 86004-1849
Phone (928) 226-1097

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

LicenseStateTypeSpecialty
8189787AZMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1407379720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 E GREENLAW LN STE 10B",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041849",
            "telephone_number": "928-226-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 E GREENLAW LN STE 10B",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041849",
            "telephone_number": "928-226-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIZZI",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "8189787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.