Individual provider Active NPI

Adrienne Suzanne Tirre

  • Administrator Registered Nurse
  • Palm Springs, CA
National Provider Identifier
1548835788
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
703397 Issued in CA
Practice address
2333 E Tahquitz Canyon Way
Palm Springs, CA 92262-7009
Phone
(760) 407-5943
NPI assigned
May 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 703397 CA
Administrator Registered Nurse 163WA2000X 703397 CA Primary

Addresses

Primary practice location

2333 E Tahquitz Canyon Way
Palm Springs, CA 92262-7009

Mailing address

2333 E Tahquitz Canyon Way
Palm Springs, CA 92262-7009
Phone (760) 407-5943

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

LicenseStateTypeSpecialty
703397CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1548835788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 E TAHQUITZ CANYON WAY",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627009",
            "telephone_number": "760-407-5943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 E TAHQUITZ CANYON WAY",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627009",
            "telephone_number": "760-407-5943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIRRE",
        "first_name": "ADRIENNE",
        "middle_name": "SUZANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "703397",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "CA",
            "license": "703397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.