Individual provider Active NPI

Adelaine Lemay Pearson, RN

  • School Registered Nurse
  • Yuma, AZ
National Provider Identifier
1629221171
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
RN103679 Issued in AZ
Practice address
2782 S Marion Ave
Yuma, AZ 85365-3268
Phone
(928) 502-7974
Fax
(928) 314-0685
NPI assigned
Oct 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN103679 AZ Primary

Addresses

Primary practice location

2782 S Marion Ave
Yuma, AZ 85365-3268

Mailing address

2782 S Marion Ave
Yuma, AZ 85365
Phone (928) 502-7974

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
RN103679AZMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1629221171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2782 S MARION AVE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "85365",
            "telephone_number": "928-502-7974",
            "fax_number": "928-314-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2782 S MARION AVE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853653268",
            "telephone_number": "928-502-7974",
            "fax_number": "928-314-0685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMAY PEARSON",
        "first_name": "ADELAINE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN103679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.