NPIMap

Organization Active NPI

Sierra Vista Public Schools

  • Student Health Clinic/Center
  • Sierra Vista, AZ
National Provider Identifier
1902139884
Registry record updated Sep 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
RN111990 Issued in AZ
Legal business name
SIERRA VISTA PUBLIC SCHOOLS
Practice address
1313 S. Lenzner
Sierra Vista, AZ 85635
Phone
(520) 515-2980
Fax
(520) 515-2985
NPI assigned
Sep 10, 2009
Last updated
Sep 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2009

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

Authorized official

Name
Mrs. Loretta Jane Xenos
Title
RN
Phone
(520) 515-2986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X RN111990 AZ Primary

Addresses

Primary practice location

1313 S. Lenzner
Sierra Vista, AZ 85635

Mailing address

1313 S Lenzner Ave
Sierra Vista, AZ 85635-4878
Phone (520) 515-2980

Other identifiers 1

IdentifierTypeStateIssuer
579633MedicaidAZ

National Provider Directory

National Provider Directory
Tax ID family
Bernalillo Public Schools7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1313 S Lenzner Ave
Sierra Vista, AZ 85635
Phone (520) 515-2980

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252540800000",
    "number": "1902139884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 S LENZNER AVE",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856354878",
            "telephone_number": "520-515-2980",
            "fax_number": "520-515-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 S. LENZNER",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "85635",
            "telephone_number": "520-515-2980",
            "fax_number": "520-515-2985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA VISTA PUBLIC SCHOOLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A",
        "authorized_official_last_name": "XENOS",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "520-515-2986",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "AZ",
            "license": "RN111990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "579633",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; 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.