Active NPI
Steven Boschetto
- Registered Nurse
- San Tan Valley, AZ
National Provider Identifier
1841611191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 92747
- Practice address
- 3244 E Morenci Rd
San Tan Valley, AZ 85143-4552 - Phone
- (785) 383-3976
- NPI assigned
- Jan 3, 2014
- Last updated
- Mar 17, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 92747 | KS | Primary |
Addresses
Primary practice location
3244 E Morenci Rd
San Tan Valley, AZ 85143-4552
Mailing address
3244 E. Morenci Road
San Tan Valley, AZ 85143
Other practice location 1
4212 N 16th St
Phoenix, AZ 85016-5319
Phone (602) 263-1200 ext. 1302
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
| License | State | Type | Specialty |
|---|---|---|---|
| 92747 | KS | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 2 Hearts Home Health Care LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Gilbert, AZ
- NPI 1427665389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1841611191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3244 E. MORENCI ROAD",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "85143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3244 E MORENCI RD",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851434552",
"telephone_number": "785-383-3976"
}
],
"practiceLocations": [
{
"address_1": "4212 N 16th St",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850165319",
"country_code": "US",
"telephone_number": "602-263-1200 x1302",
"fax_number": "602-200-5383",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOSCHETTO",
"first_name": "STEVEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-03",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KS",
"license": "92747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Tan Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.