Active NPI
Cecilia Cruz
- Peer Specialist
- Tucson, AZ
National Provider Identifier
1497482863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 6942 S 12TH Ave
Tucson, AZ 85756-6502 - Phone
- (520) 256-8971
- NPI assigned
- Aug 4, 2022
- 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 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Home Health Agency | 251E00000X | |||
| Community Health Worker | 172V00000X | |||
| Exclusive Provider Organization | 302F00000X | |||
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Homemaker | 376J00000X | |||
| Respite Care | 385H00000X | |||
| Peer Specialist | 175T00000X | AZ | Primary | |
| Day Training/Habilitation Specialist | 373H00000X | |||
| Day Training/Habilitation Specialist | 373H00000X | AZ |
Addresses
Primary practice location
6942 S 12TH Ave
Tucson, AZ 85756-6502
Mailing address
6942 S 12TH Ave
Tucson, AZ 85756-6502
Phone (520) 256-8971
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 156308 | Other | AZ | AHCCCS ID |
| 156308 | Other | AZ | ADVOCATE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711238400000",
"number": "1497482863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6942 S 12TH AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857566502",
"telephone_number": "520-256-8971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6942 S 12TH AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857566502",
"telephone_number": "520-256-8971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "CECILIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-04",
"last_updated": "2024-03-24",
"certification_date": "2024-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": null,
"license": null,
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "AZ",
"license": null,
"primary": true
},
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": "AZ",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS ID",
"identifier": "156308",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVOCATE",
"identifier": "156308",
"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 Mar 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.