Active NPI
Kelly L Cruz, CAREGIVER
- Attendant Care Provider
- Tucson, AZ
National Provider Identifier
1649826231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- Practice address
- 7480 E Mountain Quail Cir
Tucson, AZ 85750-6215 - Phone
- (520) 577-0343
- NPI assigned
- Aug 10, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | Primary |
Addresses
Primary practice location
7480 E Mountain Quail Cir
Tucson, AZ 85750-6215
Mailing address
PO Box 57038
Tucson, AZ 85732-7038
Phone (520) 850-0055
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": "1565395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565395200000",
"number": "1649826231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 57038",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857327038",
"telephone_number": "520-850-0055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7480 E MOUNTAIN QUAIL CIR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857506215",
"telephone_number": "520-577-0343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "KELLY",
"middle_name": "L",
"credential": "CAREGIVER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-10",
"last_updated": "2019-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Aug 10, 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.