Active NPI
Jeneva Thaxton
- Licensed Practical Nurse
- Tucson, AZ
National Provider Identifier
1790693067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 315939
- Practice address
- 6011 E Canyon Vista Rd
Tucson, AZ 85739-8700 - Phone
- (858) 752-7327
- NPI assigned
- Aug 28, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Licensed Practical Nurse | 164W00000X | 315939 | AZ | Primary |
Addresses
Primary practice location
6011 E Canyon Vista Rd
Tucson, AZ 85739-8700
Mailing address
6011 E Canyon Vista Rd
Tucson, AZ 85739-8700
Other names 1
- Jeneva Anderson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787875200000",
"number": "1790693067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6011 E CANYON VISTA RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857398700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6011 E CANYON VISTA RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857398700",
"telephone_number": "858-752-7327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAXTON",
"first_name": "JENEVA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-28",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "AZ",
"license": "315939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENEVA",
"last_name": "ANDERSON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.