Individual provider Active NPI

Jennifer Mfuranzima, R.N., B.S.N.

  • Adult Psychiatric/Mental Health Registered Nurse
  • Tucson, AZ
National Provider Identifier
1457004954
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
296082 Issued in AZ
Practice address
2122 N Craycroft Rd Ste 120
Tucson, AZ 85712-2829
Phone
(520) 989-8482
Fax
(520) 258-5498
NPI assigned
Feb 3, 2022
Last updated
Oct 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 296082 AZ
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X 296082 AZ
Case Management Registered Nurse 163WC0400X 296082 AZ
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 296082 AZ Primary

Addresses

Primary practice location

2122 N Craycroft Rd Ste 120
Tucson, AZ 85712-2829

Mailing address

2122 N Craycroft Rd Ste 120
Tucson, AZ 85712-2829
Phone (520) 989-8482

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
296082AZMDCase Management Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Novis Vita LLC Registered Nurse CurrentSince Oct 22, 2023 Accepting new patients
Novis Vita LLC Current Accepting new patients
Mfuranzima Learning Institute LLC PastSince Feb 1, 2022 Accepting new patients

Locations

2122 N Craycroft Rd
Ste 120
Tucson, AZ 85712
Phone (520) 502-6362

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1457004954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 N CRAYCROFT RD STE 120",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122829",
            "telephone_number": "520-989-8482",
            "fax_number": "520-258-5498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 N CRAYCROFT RD STE 120",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122829",
            "telephone_number": "520-989-8482",
            "fax_number": "520-258-5498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MFURANZIMA",
        "first_name": "JENNIFER",
        "credential": "R.N., B.S.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-03",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "296082",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "296082",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "AZ",
            "license": "296082",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "AZ",
            "license": "296082",
            "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 Oct 18, 2023; 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.