Individual provider Active NPI

Joseph Demichele, RN

  • School Registered Nurse
  • Prescott Valley, AZ
National Provider Identifier
1669711271
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
RN169380 Issued in AZ
Practice address
6411 N Robert Rd
Room 416
Prescott Valley, AZ 86314-9146
Phone
(928) 759-4042
Fax
(928) 759-4030
NPI assigned
Feb 4, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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 RN169380 AZ Primary

Addresses

Primary practice location

6411 N Robert Rd
Room 416
Prescott Valley, AZ 86314-9146

Mailing address

6411 N Robert Rd
Room 416
Prescott Valley, AZ 86314-9146
Phone (928) 853-0155

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
RN169380AZMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359936000000",
    "number": "1669711271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6411 N ROBERT RD",
            "address_2": "ROOM 416",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863149146",
            "telephone_number": "928-853-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6411 N ROBERT RD",
            "address_2": "ROOM 416",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863149146",
            "telephone_number": "928-759-4042",
            "fax_number": "928-759-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMICHELE",
        "first_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN169380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; 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.