Individual provider Active NPI

Florence Suzanne Kacprzynski, MA,RN,EMDR,CLINICIAN

  • Addiction (Substance Use Disorder) Counselor
  • Casa Grande, AZ
National Provider Identifier
1760579486
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
10234 Issued in AZ
Practice address
222 E. Cottonwood Lane
Casa Grande, AZ 85222
Phone
(520) 421-9910
Fax
(520) 421-0078
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 10234 AZ Primary

Addresses

Primary practice location

222 E. Cottonwood Lane
Casa Grande, AZ 85222

Mailing address

14720 No. Desert Sage Lane
Tucson, AZ 88739
Phone (520) 360-2945

Other identifiers 3

IdentifierTypeStateIssuer
970675MedicaidAZ
10234OtherAZLISAC
RN087987OtherAZRN

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
Master of Arts, Registered Nurse

State licenses

LicenseStateTypeSpecialty
10234AZMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1760579486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14720 NO. DESERT SAGE LANE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "88739",
            "telephone_number": "520-360-2945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E. COTTONWOOD LANE",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "85222",
            "telephone_number": "520-421-9910",
            "fax_number": "520-421-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACPRZYNSKI",
        "first_name": "FLORENCE",
        "middle_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "MA,RN,EMDR,CLINICIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "10234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "970675",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISAC",
            "identifier": "10234",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "RN087987",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.