Organization Active NPI

Phoenix VA Healthcare Systems

  • Military Hospital
  • Tucson, AZ
National Provider Identifier
1417250671
Registry record updated Dec 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military HospitalTaxonomy code 286500000X
License
1035321 Issued in AZ
Legal business name
PHOENIX VA HEALTHCARE SYSTEMS
Practice address
9258 E 27TH St
Tucson, AZ 85710-7405
Phone
(520) 403-2757
NPI assigned
Dec 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2010

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

Authorized official

Name
Ms. Nicole Leschak
Title
Registered Dietitan
Phone
(602) 277-5551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military Hospital 286500000X 1035321 AZ Primary

Addresses

Primary practice location

9258 E 27TH St
Tucson, AZ 85710-7405

Mailing address

9258 E 27TH St
Tucson, AZ 85710-7405

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291852800000",
    "number": "1417250671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9258 E 27TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857107405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9258 E 27TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857107405",
            "telephone_number": "520-403-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX VA HEALTHCARE SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-09",
        "last_updated": "2010-12-09",
        "status": "A",
        "authorized_official_last_name": "LESCHAK",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "REGISTERED DIETITAN",
        "authorized_official_telephone_number": "602-277-5551",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "AZ",
            "license": "1035321",
            "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 Dec 9, 2010; 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.