Active NPI
Theresa George
- School Registered Nurse
- Glendale, AZ
National Provider Identifier
1427428267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- RN073387
- Practice address
- 7301 N 58TH Ave
Glendale, AZ 85301-1893 - Phone
- (623) 237-4210
- NPI assigned
- Oct 6, 2015
- Sex
- Female
- 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 | RN073387 | AZ | Primary |
Addresses
Primary practice location
7301 N 58TH Ave
Glendale, AZ 85301-1893
Mailing address
PO Box 930
Black Canyon City, AZ 85324-0930
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN073387 | AZ | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444089600000",
"number": "1427428267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 930",
"city": "BLACK CANYON CITY",
"state": "AZ",
"postal_code": "853240930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7301 N 58TH AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853011893",
"telephone_number": "623-237-4210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "THERESA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-06",
"last_updated": "2015-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "AZ",
"license": "RN073387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.