Individual provider Active NPI

Joan Marie Eustace, BSN, RN

  • School Registered Nurse
  • Tucson, AZ
National Provider Identifier
1740904937
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
191096 Issued in AZ
Practice address
102 N Plumer Ave
Tucson, AZ 85719-5906
Phone
(520) 225-3284
NPI assigned
Sep 30, 2022
Last updated
Sep 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 191096 AZ Primary

Addresses

Primary practice location

102 N Plumer Ave
Tucson, AZ 85719-5906

Mailing address

6271 S Crane Dr
Tucson, AZ 85757-7940
Phone (520) 486-1400

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
191096AZMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1664496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1740904937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6271 S CRANE DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857577940",
            "telephone_number": "520-486-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N PLUMER AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857195906",
            "telephone_number": "520-225-3284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUSTACE",
        "first_name": "JOAN",
        "middle_name": "MARIE",
        "credential": "BSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-30",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "191096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.