NPIMap

Organization Active NPI

Sierra Vista Public Schools

  • Genetic Counselor (M.S.)
  • Sierra Vista, AZ
National Provider Identifier
1558407429
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
Legal business name
SIERRA VISTA PUBLIC SCHOOLS
Practice address
Sierra Vista Middle School
1045 S Lenzner
Sierra Vista, AZ 85635
Phone
(520) 515-2930
Fax
(520) 515-2941
NPI assigned
Jan 29, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Jose L. BaezaNPI 1972786135
Title
Counselor
Phone
(520) 515-2930

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.) 170300000X AZ Primary

Addresses

Primary practice location

Sierra Vista Middle School
1045 S Lenzner
Sierra Vista, AZ 85635

Mailing address

5766 S Red Tail LN
Hereford, AZ 85615-9224
Phone (520) 559-1326

National Provider Directory

National Provider Directory

Locations

1045 S Lenzner Ave
Sierra Vista, AZ 85635
Phone (520) 515-2930

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558407429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5766 S RED TAIL LN",
            "city": "HEREFORD",
            "state": "AZ",
            "postal_code": "856159224",
            "telephone_number": "520-559-1326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SIERRA VISTA MIDDLE SCHOOL",
            "address_2": "1045 S LENZNER",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "85635",
            "telephone_number": "520-515-2930",
            "fax_number": "520-515-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA VISTA PUBLIC SCHOOLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAEZA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "520-515-2930"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, 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.