NPIMap

Organization Active NPI

Northern Arizona University

  • Clinical Social Worker
  • Flagstaff, AZ
National Provider Identifier
1477028314
Registry record updated Oct 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
NORTHERN ARIZONA UNIVERSITY
Practice address
Building 47 a South San Francisco St
Flagstaff, AZ 86011-0001
Phone
(928) 523-2119
Fax
(928) 523-2210
NPI assigned
Oct 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2018

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

Authorized official

Name
Jill Sherman Pleasant
Title
Assistant Director
Phone
(602) 728-9532

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

Building 47 a South San Francisco St
Flagstaff, AZ 86011-0001

Mailing address

PO Box 15026
Flagstaff, AZ 86011-0541
Phone (928) 523-2119

National Provider Directory

National Provider Directory
Tax ID family
Az BD of Regents for on Behalf of Northern Az University4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538956800000",
    "number": "1477028314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15026",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860110541",
            "telephone_number": "928-523-2119",
            "fax_number": "928-523-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BUILDING 47 A SOUTH SAN FRANCISCO ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860110001",
            "telephone_number": "928-523-2119",
            "fax_number": "928-523-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN ARIZONA UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-08",
        "last_updated": "2018-10-08",
        "status": "A",
        "authorized_official_last_name": "PLEASANT",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "SHERMAN",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "602-728-9532"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; 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.