Individual provider Active NPI

Glynda Kevin Schmelzla, RN, RNFA

  • Registered Nurse First Assistant
  • Tucson, AZ
National Provider Identifier
1609961036
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
RN041640 Issued in AZ
Practice address
6917 E Calle Centuri
Tucson, AZ 85710-5424
Phone
(520) 392-8474
Fax
(520) 392-8474
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X RN041640 AZ Primary

Addresses

Primary practice location

6917 E Calle Centuri
Tucson, AZ 85710-5424

Mailing address

1901 Miller Rd
Rowlett, TX 75088-5604
Phone (214) 227-2457

Other identifiers 5

IdentifierTypeStateIssuer
AW6720OtherHEALTH NET
6030178OtherCIGNA
AZ0162980OtherBLUECROSS/BLUESHIELD
3959246OtherAETNA
X03135OtherAZ PHYSICIANS IPA

Other names 1

  • Kevin Schmelzla Professional name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN041640AZMDRegistered Nurse First Assistant

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1609961036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 MILLER RD",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750885604",
            "telephone_number": "214-227-2457",
            "fax_number": "214-764-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6917 E CALLE CENTURI",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857105424",
            "telephone_number": "520-392-8474",
            "fax_number": "520-392-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMELZLA",
        "first_name": "GLYNDA",
        "middle_name": "KEVIN",
        "name_prefix": "Ms.",
        "credential": "RN, RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "AZ",
            "license": "RN041640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "AW6720",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6030178",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD",
            "identifier": "AZ0162980",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3959246",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ PHYSICIANS IPA",
            "identifier": "X03135",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEVIN",
            "last_name": "SCHMELZLA",
            "credential": "RNFA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 18, 2019; 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.