Active NPI
Jennifer R Center, LPN
- Licensed Practical Nurse
- Phoenix, AZ
National Provider Identifier
1669721809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LPO48544
- Practice address
- 6218 S 7TH St
Phoenix, AZ 85042-4211 - Phone
- (602) 243-4866
- Fax
- (602) 304-3132
- NPI assigned
- Sep 4, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPO48544 | AZ | Primary |
Addresses
Primary practice location
6218 S 7TH St
Phoenix, AZ 85042-4211
Mailing address
4615 S 22ND St
Phoenix, AZ 85040-2528
Phone (602) 232-4910
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPO48544 | Other | AZ | AZ NURSING LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPO48544 | AZ | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346716800000",
"number": "1669721809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4615 S 22ND ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850402528",
"telephone_number": "602-232-4910",
"fax_number": "602-232-4917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6218 S 7TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850424211",
"telephone_number": "602-243-4866",
"fax_number": "602-304-3132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CENTER",
"first_name": "JENNIFER",
"middle_name": "R",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-04",
"last_updated": "2012-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "AZ",
"license": "LPO48544",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZ NURSING LICENSE",
"identifier": "LPO48544",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.