Individual provider Active NPI

Traci Anne Zieper, REGISTERED NURSE

  • Registered Nurse
  • Mesa, AZ
National Provider Identifier
1841826625
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R164855-5 Issued in MN
Practice address
9852 E Tupelo Ave
Mesa, AZ 85212-9163
Phone
(612) 239-4060
NPI assigned
Mar 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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 R164855-5 MN Primary

Addresses

Primary practice location

9852 E Tupelo Ave
Mesa, AZ 85212-9163

Mailing address

9852 E Tupelo Ave
Mesa, AZ 85212-9163
Phone (612) 239-4060

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
R164855-5MNMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1841826625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9852 E TUPELO AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852129163",
            "telephone_number": "612-239-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9852 E TUPELO AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852129163",
            "telephone_number": "612-239-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIEPER",
        "first_name": "TRACI",
        "middle_name": "ANNE",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-12",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R164855-5",
            "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 Mar 12, 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.