Individual provider Active NPI

Theresa Irene Aldama, RNFA

  • Registered Nurse First Assistant
  • Glendale, AZ
National Provider Identifier
1699858456
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
RN029258 Issued in AZ
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, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
163WR0006XOtherAZREGISTERED 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

LicenseStateTypeSpecialty
RN029258AZMDRegistered 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.

Verify at the official NPI Registry.