Individual provider Active NPI

Jennifer Helene Labarr Maze

  • School Registered Nurse
  • Peoria, AZ
National Provider Identifier
1407671530
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
RN115909 Issued in AZ
Practice address
9621 W Speckled Gecko Dr
Peoria, AZ 85383-1705
Phone
(623) 773-6556
NPI assigned
Nov 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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 RN115909 AZ Primary

Addresses

Primary practice location

9621 W Speckled Gecko Dr
Peoria, AZ 85383-1705

Mailing address

9675 W Villa Hermosa
Peoria, AZ 85383-4331
Phone (233) 332-0563

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
RN115909AZMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1732233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1407671530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9675 W VILLA HERMOSA",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853834331",
            "telephone_number": "233-332-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9621 W SPECKLED GECKO DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831705",
            "telephone_number": "623-773-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABARR MAZE",
        "first_name": "JENNIFER",
        "middle_name": "HELENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-22",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN115909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.