Organization Active NPI

Supreme Nursing & Allied Professionals LLC

  • Family Nurse Practitioner
  • Vail, AZ
National Provider Identifier
1760195580
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
SUPREME NURSING & ALLIED PROFESSIONALS LLC
Practice address
10867 S Distillery Canyon Spring Dr
Vail, AZ 85641-2558
Phone
(520) 234-7776
NPI assigned
Dec 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Authorized official

Name
Mary Ann Jones, FNP-BC
Title
Owner
Phone
(520) 234-7776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

10867 S Distillery Canyon Spring Dr
Vail, AZ 85641-2558

Mailing address

10867 S Distillery Canyon Spring Dr
Vail, AZ 85641-2558

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1760195580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10867 S DISTILLERY CANYON SPRING DR",
            "city": "VAIL",
            "state": "AZ",
            "postal_code": "856412558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10867 S DISTILLERY CANYON SPRING DR",
            "city": "VAIL",
            "state": "AZ",
            "postal_code": "856412558",
            "telephone_number": "520-234-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME NURSING & ALLIED PROFESSIONALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-27",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-234-7776",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vail, AZ

Sources for this page

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