Individual provider Active NPI

Benita Joyce Loy, REGISTERED NURSE

  • Registered Nurse
  • Phoenix, AZ
National Provider Identifier
1821485194
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN057114 Issued in AZ
Practice address
1502 W Mountain View Rd
Phoenix, AZ 85021-2158
Phone
(602) 347-4873
Fax
(602) 347-4821
NPI assigned
Apr 23, 2015
Last updated
Apr 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN057114 AZ Primary

Addresses

Primary practice location

1502 W Mountain View Rd
Phoenix, AZ 85021-2158

Mailing address

229 E Desert Park LN
Phoenix, AZ 85020-4075
Phone (602) 274-2951

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

State licenses

LicenseStateTypeSpecialty
RN057114AZMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429747200000",
    "number": "1821485194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 E DESERT PARK LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204075",
            "telephone_number": "602-274-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 W MOUNTAIN VIEW RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850212158",
            "telephone_number": "602-347-4873",
            "fax_number": "602-347-4821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOY",
        "first_name": "BENITA",
        "middle_name": "JOYCE",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-23",
        "last_updated": "2015-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN057114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; 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.