Organization Active NPI

Superstition Mountain Elementary School

  • Student in an Organized Health Care Education/Training Program
  • Apache Junction, AZ
National Provider Identifier
1770638538
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
896821 Issued in AZ
Legal business name
SUPERSTITION MOUNTAIN ELEMENTARY SCHOOL
Practice address
550 S Ironwood Dr
Apache Junction, AZ 85220-5002
Phone
(480) 982-1110
Fax
(480) 982-4978
NPI assigned
Jan 24, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Tami Sue Tomasetti, RN
Title
School Nurse
Phone
(482) 982-1110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training ProgramGroup: 193200000X MULTI-SPECIALTY GROUP 390200000X 896821 AZ Primary

Addresses

Primary practice location

550 S Ironwood Dr
Apache Junction, AZ 85220-5002

Mailing address

550 S Ironwood Dr
Apache Junction, AZ 85220-5002
Phone (480) 982-1110

National Provider Directory

National Provider Directory

Locations

550 S Ironwood Dr
Apache Junction, AZ 85120
Phone (480) 677-7520

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770638538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S IRONWOOD DR",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "852205002",
            "telephone_number": "480-982-1110",
            "fax_number": "480-982-4978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S IRONWOOD DR",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "852205002",
            "telephone_number": "480-982-1110",
            "fax_number": "480-982-4978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERSTITION MOUNTAIN ELEMENTARY SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOMASETTI",
        "authorized_official_first_name": "TAMI",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "SCHOOL NURSE",
        "authorized_official_telephone_number": "482-982-1110",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AZ",
            "license": "896821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apache Junction, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.