Individual provider Active NPI

Esat Kucuksadic, R.N.

  • Emergency Registered Nurse
  • Mesa, AZ
National Provider Identifier
1831510312
Registry record updated Dec 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Registered NurseTaxonomy code 163WE0003X
License
RN171487 Issued in AZ
Practice address
461 W Holmes Ave Unit 341
Mesa, AZ 85210-5179
Phone
(602) 561-5312
NPI assigned
Dec 30, 2013
Last updated
Dec 30, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X RN171487 AZ Primary

Addresses

Primary practice location

461 W Holmes Ave Unit 341
Mesa, AZ 85210-5179

Mailing address

461 W Holmes Ave Unit 341
Mesa, AZ 85210-5179
Phone (602) 561-5312

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN171487AZMDEmergency Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1388361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388361600000",
    "number": "1831510312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 W HOLMES AVE UNIT 341",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852105179",
            "telephone_number": "602-561-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 W HOLMES AVE UNIT 341",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852105179",
            "telephone_number": "602-561-5312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCUKSADIC",
        "first_name": "ESAT",
        "name_prefix": "Mr.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-30",
        "last_updated": "2013-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "AZ",
            "license": "RN171487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2013; 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.