Active NPI
Theresa Irene Aldama, RNFA
- Registered Nurse First Assistant
- Glendale, AZ
National Provider Identifier
1699858456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- RN029258
- Practice address
- 5127 W Cholla St
Glendale, AZ 85304-3410 - Phone
- (623) 412-3425
- Fax
- (623) 776-9954
- NPI assigned
- Oct 23, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | RN029258 | AZ | Primary |
Addresses
Primary practice location
5127 W Cholla St
Glendale, AZ 85304-3410
Mailing address
PO Box 6565
Glendale, AZ 85312-6565
Phone (623) 412-3425
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 163WR0006X | Other | AZ | REGISTERED NURSE FIRST AS |
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 |
|---|---|---|---|
| RN029258 | AZ | MD | Registered Nurse First Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699858456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6565",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853126565",
"telephone_number": "623-412-3425",
"fax_number": "623-776-9954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5127 W CHOLLA ST",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853043410",
"telephone_number": "623-412-3425",
"fax_number": "623-776-9954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALDAMA",
"first_name": "THERESA",
"middle_name": "IRENE",
"name_prefix": "Mrs.",
"credential": "RNFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "AZ",
"license": "RN029258",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE FIRST AS",
"identifier": "163WR0006X",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- 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.