Active NPI
Patricia Jean Pinckard, NP
- Nurse Practitioner
- Mesa, AZ
National Provider Identifier
1902857121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN00012
- Practice address
- 1400 S Dobson Rd
Mesa, AZ 85202-4707 - Phone
- (480) 412-3808
- NPI assigned
- May 12, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN00012 | AZ | Primary |
Addresses
Primary practice location
1400 S Dobson Rd
Mesa, AZ 85202-4707
Mailing address
1400 S. Dobson Road
Department of Radiation Oncology
Mesa, AZ 85202
Phone (480) 412-3808
Other names 1
- Miss Patricia Jean Taege
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN00012 | AZ | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290556800000",
"number": "1902857121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 S. DOBSON ROAD",
"address_2": "DEPARTMENT OF RADIATION ONCOLOGY",
"city": "MESA",
"state": "AZ",
"postal_code": "85202",
"telephone_number": "480-412-3808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 S DOBSON RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852024707",
"telephone_number": "480-412-3808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINCKARD",
"first_name": "PATRICIA",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2010-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "RN00012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PATRICIA",
"last_name": "TAEGE",
"middle_name": "JEAN",
"prefix": "MISS",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Mesa, AZ
- Mellany Pilorin
- Pilu Dali PLLC
- Arianne Pimentel Silva
- Marie Theresa P Pimentel, M.D
- Pimri, LLC (Pimri Pediatrics)
- James Pinder
- Pine Monitoring LLC
- Alejandro Pineda, MD
- Pinnacle Health Facilities Xxvi LP (Mission Palms of Mesa Health and Rehabilitation Center)
- Pinnacle Health Facilities Xxvi LP (Mesa Christian Residential Care Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.