Individual provider Active NPI

Theresa Joan Sparich, RN

  • School Registered Nurse
  • Tucson, AZ
National Provider Identifier
1972726818
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
RN082670 Issued in AZ
Practice address
1573 W Ajo Way
Tucson, AZ 85713-5738
Phone
(520) 908-4047
Fax
(520) 908-4001
NPI assigned
Apr 10, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN082670 AZ Primary

Addresses

Primary practice location

1573 W Ajo Way
Tucson, AZ 85713-5738

Mailing address

8332 E Desert Steppes Dr
Tucson, AZ 85710-4206
Phone (520) 721-1501

Other identifiers 1

IdentifierTypeStateIssuer
834293MedicaidAZ

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN082670AZMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1972726818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8332 E DESERT STEPPES DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857104206",
            "telephone_number": "520-721-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1573 W AJO WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857135738",
            "telephone_number": "520-908-4047",
            "fax_number": "520-908-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARICH",
        "first_name": "THERESA",
        "middle_name": "JOAN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN082670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "834293",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.