Calvin J Nez Sr., LISAC, ICADC, SCB

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LISAC-11030 Issued in AZ

Practice address

Building No 25
Tuba City, AZ 86045

Phone

(928) 283-3031

Fax

(928) 283-3039

NPI assigned

May 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659581353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3685",
            "city": "TUBA CITY",
            "state": "AZ",
            "postal_code": "860453685",
            "telephone_number": "928-283-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BUILDING NO 25",
            "city": "TUBA CITY",
            "state": "AZ",
            "postal_code": "86045",
            "telephone_number": "928-283-3031",
            "fax_number": "928-283-3039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEZ",
        "first_name": "CALVIN",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "LISAC, ICADC, SCB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC-11030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "329492",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virginia Ann Nelson
• Shannon Carole Newland, RN
• Timothy Paul Newland, RN
• Kathi Annette Newton, RN
• Alberta Nez, RN
• Calvina Nez, RN
• Cherylita Dee Nez, CNA
• Irene Mae Nez, RN
• Kathy Lynn Nez, CNA
• Kyla Kodee Nez

• Addiction (Substance Use Disorder) Counselor in Tuba City, AZ
• Providers in Tuba City, AZ by specialty
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.