Mildred D Behel, RN

Key facts

NPI

1689248239

Entity type

Individual (NPI type 1)

Primary specialty

Emergency Registered Nurse 163WE0003X

License

1-126542 (AL)

Practice address

Kayenta Health Center
Hwy 160 M. P. 394.3
Kayenta, AZ 86033

Phone

(928) 697-4100

NPI assigned

May 18, 2021

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Registered Nurse

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 18, 2021.

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1689248239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4884",
            "city": "KAYENTA",
            "state": "AZ",
            "postal_code": "860334884",
            "telephone_number": "256-856-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KAYENTA HEALTH CENTER",
            "address_2": "HWY 160 M. P. 394.3",
            "city": "KAYENTA",
            "state": "AZ",
            "postal_code": "86033",
            "telephone_number": "928-697-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHEL",
        "first_name": "MILDRED",
        "middle_name": "D",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Emergency",
            "state": "AL",
            "license": "1-126542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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