Organization Active NPI

Rincon High School

  • Registered Nurse
  • Tucson, AZ
National Provider Identifier
1477675924
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN040642 Issued in AZ
Legal business name
RINCON HIGH SCHOOL
Practice address
421 N Arcadia Ave
Tucson, AZ 85711-3032
Phone
(520) 232-5617
Fax
(520) 232-5901
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Marie Williams, RN
Title
School Nurse
Phone
(520) 232-5617

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X RN040642 AZ Primary

Addresses

Primary practice location

421 N Arcadia Ave
Tucson, AZ 85711-3032

Mailing address

4451 N Placita Gacela
Tucson, AZ 85718-6826
Phone (520) 232-5617

Other identifiers 1

IdentifierTypeStateIssuer
163W00000XOtherAZTAXONOMY RN

National Provider Directory

National Provider Directory

Locations

421 N Arcadia Ave
Tucson, AZ 85711
Phone (520) 232-5617

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477675924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4451 N PLACITA GACELA",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857186826",
            "telephone_number": "520-232-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 N ARCADIA AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113032",
            "telephone_number": "520-232-5617",
            "fax_number": "520-232-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RINCON HIGH SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "SCHOOL NURSE",
        "authorized_official_telephone_number": "520-232-5617",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN040642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY RN",
            "identifier": "163W00000X",
            "state": "AZ"
        }
    ],
    "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 Aug 22, 2020; 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.