Jennifer Rae Pietrowski, CST

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

License

192616 Issued in AZ

Practice address

10230 W Happy Valley Pkwy Ste 200
Peoria, AZ 85383-4255

Phone

(623) 683-7189

Fax

(623) 265-6349

NPI assigned

Mar 1, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1770239568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22372 N 180TH DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853871562",
            "telephone_number": "520-419-9148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10230 W HAPPY VALLEY PKWY STE 200",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853834255",
            "telephone_number": "623-683-7189",
            "fax_number": "623-265-6349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETROWSKI",
        "first_name": "JENNIFER",
        "middle_name": "RAE",
        "credential": "CST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-01",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "AZ",
            "license": "192616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Technologist in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Surgical Technologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.