Theresia Fomeche

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN176402 Issued in AZ

Practice address

11003 N 59TH Dr
Glendale, AZ 85304-3744

Phone

(520) 991-6380

NPI assigned

Feb 7, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1750145199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11003 N 59TH DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853043744",
            "telephone_number": "520-991-6380",
            "fax_number": "602-584-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11003 N 59TH DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853043744",
            "telephone_number": "520-991-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOMECHE",
        "first_name": "THERESIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-07",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN176402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget Fogle
• Shayna Foglesong
• Julia Lyn Prather Folden, L.A.C.
• Bradley John Folkestad, MD
• Erin Folsom, D.O.
• Dianna Fontana, FNPC
• Foot & Ankle Specialists of Arizona PLLC
• Foot & Ankle Specialists of Arizona PLLC
• Foot & Ankle Specialists of Arizona PLLC
• Footcare Center - Dr. Mark Gorman, PC

• Registered Nurse in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.

Verify at the official NPI Registry.