Individual provider Active NPI

Richie Nez Sr.

  • Home Health Aide
  • Ganado, AZ
National Provider Identifier
1740113190
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
L15252856 Issued in AZ
Practice address
20 Cedar Hills Rd
20 Cedar Hills Rd
Ganado, AZ 86505-0305
Phone
(928) 755-4431
Fax
(928) 755-4430
NPI assigned
Jun 5, 2026
Last updated
Jul 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X L15252856 AZ Primary

Addresses

Primary practice location

20 Cedar Hills Rd
20 Cedar Hills Rd
Ganado, AZ 86505-0305

Mailing address

PO Box 305
20 Cedar Hills Rd
Ganado, AZ 86505-0305
Phone (928) 755-4431

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
L15252856AZMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1780617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1740113190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 305",
            "address_2": "20 CEDAR HILLS RD",
            "city": "GANADO",
            "state": "AZ",
            "postal_code": "865050305",
            "telephone_number": "928-755-4431",
            "fax_number": "928-755-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CEDAR HILLS RD",
            "address_2": "20 CEDAR HILLS RD",
            "city": "GANADO",
            "state": "AZ",
            "postal_code": "865050305",
            "telephone_number": "928-755-4431",
            "fax_number": "928-755-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEZ",
        "first_name": "RICHIE",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-06-05",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "AZ",
            "license": "L15252856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ganado, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.