Individual provider Active NPI

Angela Joy Siatta, RN

  • Registered Nurse
  • Cottonwood, AZ
National Provider Identifier
1700553591
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
231209 Issued in AZ
Practice address
4307 E Wild Stallion TRL
Cottonwood, AZ 86326-5779
Phone
(801) 652-9631
NPI assigned
Aug 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 231209 AZ Primary

Addresses

Primary practice location

4307 E Wild Stallion TRL
Cottonwood, AZ 86326-5779

Mailing address

4307 E Wild Stallion TRL
Cottonwood, AZ 86326-5779
Phone (801) 652-9631

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
231209AZMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1700553591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4307 E WILD STALLION TRL",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863265779",
            "telephone_number": "801-652-9631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4307 E WILD STALLION TRL",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863265779",
            "telephone_number": "801-652-9631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIATTA",
        "first_name": "ANGELA",
        "middle_name": "JOY",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-27",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "231209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.