Active NPI
Celyste Cachola
- Registered Nurse
- Phoenix, AZ
National Provider Identifier
1912603176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 286039
- Practice address
- 2806 W Cactus Rd
Phoenix, AZ 85029-3364 - Phone
- (602) 607-4700
- NPI assigned
- Jan 31, 2023
- Last updated
- Jan 31, 2023
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 286039 | AZ | Primary |
Addresses
Primary practice location
2806 W Cactus Rd
Phoenix, AZ 85029-3364
Mailing address
2806 W Cactus Rd
Phoenix, AZ 85029-3364
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 |
|---|---|---|---|
| 286039 | AZ | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675123200000",
"number": "1912603176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2806 W CACTUS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850293364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2806 W CACTUS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850293364",
"telephone_number": "602-607-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CACHOLA",
"first_name": "CELYSTE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-31",
"last_updated": "2023-01-31",
"certification_date": "2023-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "286039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.