Individual provider Active NPI

Krista N. Altermatt

  • Social Worker
  • Tucson, AZ
National Provider Identifier
1417214024
Registry record updated Jul 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LMSW-15208 Issued in AZ
Practice address
3295 W Ina Rd Ste 150
Tucson, AZ 85741-2192
Phone
(520) 744-4376
Fax
(520) 579-1138
NPI assigned
Apr 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LMSW-15208 AZ Primary

Addresses

Primary practice location

3295 W Ina Rd Ste 150
Tucson, AZ 85741-2192

Mailing address

3295 W Ina Rd Ste 150
Tucson, AZ 85741-2192
Phone (520) 744-4376

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
LMSW-15208AZMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437436800000",
    "number": "1417214024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3295 W INA RD STE 150",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412192",
            "telephone_number": "520-744-4376",
            "fax_number": "520-579-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3295 W INA RD STE 150",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412192",
            "telephone_number": "520-744-4376",
            "fax_number": "520-579-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTERMATT",
        "first_name": "KRISTA",
        "middle_name": "N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-19",
        "last_updated": "2015-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "LMSW-15208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; 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.