Active NPI
Roseline Pierre
- Community/Behavioral Health Agency
- Peoria, AZ
National Provider Identifier
1710782578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Practice address
- 7972 W. Thunderbird Rd
Suite 105
Peoria, AZ 85381 - Phone
- (602) 800-3992
- NPI assigned
- Feb 17, 2025
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Case Management Registered Nurse | 163WC0400X | RN136295 | AZ | |
| Health & Wellness Coach | 171400000X | |||
| Case Management Agency | 251B00000X | AZ | ||
| Substance Abuse Rehabilitation Facility | 324500000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
7972 W. Thunderbird Rd
Suite 105
Peoria, AZ 85381
Mailing address
15411 W. Waddell Rd
Ste.102/ #1263
Surprise, AZ 85379
Phone (602) 800-3992
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 |
|---|---|---|---|
| RN136295 | AZ | MD | Case Management Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unique Travel Accommodation & Housing LLC | Community/Behavioral Health | Current | Accepting new patients |
Locations
15411 W Waddell Rd
Ste 102
Surprise, AZ 85379
Phone (325) 433-8485
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Substance Abuse Rehabilitation Facility
- Goodyear, AZ
- NPI 1174328934
Community/Behavioral Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739750400000",
"number": "1710782578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15411 W. WADDELL RD",
"address_2": "STE.102/ #1263",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "85379",
"telephone_number": "602-800-3992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7972 W. THUNDERBIRD RD",
"address_2": "SUITE 105",
"city": "PEORIA",
"state": "AZ",
"postal_code": "85381",
"telephone_number": "602-800-3992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERRE",
"first_name": "ROSELINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-17",
"last_updated": "2025-02-17",
"certification_date": "2025-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "AZ",
"license": "RN136295",
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.