Patresha Pamella Pearson, MSN BSN RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

127955 Issued in AZ

Practice address

200 E Knox Rd Lot 44
Chandler, AZ 85225-3325

Phone

(760) 402-6788

NPI assigned

Jun 17, 2016

Last updated

Jun 17, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Patresha Lavorgna Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466121600000",
    "number": "1669822847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E KNOX RD LOT 44",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852253325",
            "telephone_number": "760-402-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E KNOX RD LOT 44",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852253325",
            "telephone_number": "760-402-6788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "PATRESHA",
        "middle_name": "PAMELLA",
        "name_prefix": "Prof.",
        "credential": "MSN BSN RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-17",
        "last_updated": "2016-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "AZ",
            "license": "RN 127955",
            "primary": false
        },
        {
            "code": "374T00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Nursing Personnel",
            "state": "CA",
            "license": "631334",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "127955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRESHA",
            "last_name": "LAVORGNA",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alaina Nichole Pearl
• Henna K Pearl, M.D.
• Monica Lynn Pearl
• Kelly Pearson
• Lisa Pearson, PHD
• Sara Marie Pechotta, PHARM.D.
• Miriam Peck
• Pecos Health Care Limited Ptrshp (Archstone Care Center)
• Pedersen Primary Care, LLC
• Caron Constance Pedersen, NP-C

• Registered Nurse in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; 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.