Organization Active NPI

Nerve 20 PLLC

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1932782653
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
NERVE 20 PLLC
Practice address
455 N Mesa Dr Ste 12
Mesa, AZ 85201-5936
Phone
(480) 556-9789
NPI assigned
Apr 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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

Authorized official

Name
Ms. Julie Taylor Zafuto, DNP, FNPNPI 1598016982
Title
Owner
Phone
(480) 567-9789

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

455 N Mesa Dr Ste 12
Mesa, AZ 85201-5936

Mailing address

455 N Mesa Dr Ste 12
Mesa, AZ 85201-5936
Phone (480) 567-9789

National Provider Directory

National Provider Directory

Locations

455 N Mesa Dr
Ste 12
Mesa, AZ 85201
Phone (480) 556-9789

Practitioners & affiliated clinicians

Practitioners 1

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": "1619740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627603200000",
    "number": "1932782653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 N MESA DR STE 12",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852015936",
            "telephone_number": "480-567-9789",
            "fax_number": "877-540-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 N MESA DR STE 12",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852015936",
            "telephone_number": "480-556-9789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NERVE 20 PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A",
        "authorized_official_last_name": "ZAFUTO",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-567-9789",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DNP, FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "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 Jul 30, 2021; 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.