Active NPI
Azucena Puerto Steele, BSN, RN, CRNI
- Registered Nurse
- Clinton, MO
National Provider Identifier
1932450046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 111973
- Practice address
- 1600 N 2ND St
Clinton, MO 64735-1192 - Phone
- (660) 890-7269
- Fax
- (660) 885-5420
- NPI assigned
- Sep 28, 2012
- Last updated
- Sep 28, 2012
- 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 | 111973 | NY | Primary |
Addresses
Primary practice location
1600 N 2ND St
Clinton, MO 64735-1192
Mailing address
1600 N Second St
Clinton, MO 64735
Phone (660) 890-7269
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43359 | Other | MA | INFUSION NURSES SOCIETY |
| 111973 | Other | MO | STATEBOARD OF NURSING |
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
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111973 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348790400000",
"number": "1932450046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 N SECOND ST",
"city": "CLINTON",
"state": "MO",
"postal_code": "64735",
"telephone_number": "660-890-7269",
"fax_number": "660-885-5420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 N 2ND ST",
"city": "CLINTON",
"state": "MO",
"postal_code": "647351192",
"telephone_number": "660-890-7269",
"fax_number": "660-885-5420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEELE",
"first_name": "AZUCENA",
"middle_name": "PUERTO",
"credential": "BSN, RN, CRNI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-28",
"last_updated": "2012-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "111973",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INFUSION NURSES SOCIETY",
"identifier": "43359",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATEBOARD OF NURSING",
"identifier": "111973",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clinton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.