Active NPI
Virginia Ilaine Hale, R.N.
- Registered Nurse
- Cibecue, AZ
National Provider Identifier
1972775401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN023551
- Practice address
- 2 W. 3Rd St
Cibecue, AZ 85911 - Phone
- (928) 332-2560
- Fax
- (928) 332-2418
- NPI assigned
- Mar 25, 2008
- Last updated
- Mar 25, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | RN023551 | AZ | Primary |
Addresses
Primary practice location
2 W. 3Rd St
Cibecue, AZ 85911
Mailing address
961 S 8TH Dr
Show Low, AZ 85901-6751
Phone (928) 532-0452
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN023551 | AZ | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS IHS Phoenix Area | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cibecue IHS Pharmacy
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Cibecue, AZ
- NPI 1467587030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206403200000",
"number": "1972775401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "961 S 8TH DR",
"city": "SHOW LOW",
"state": "AZ",
"postal_code": "859016751",
"telephone_number": "928-532-0452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 W. 3RD ST",
"city": "CIBECUE",
"state": "AZ",
"postal_code": "85911",
"telephone_number": "928-332-2560",
"fax_number": "928-332-2418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALE",
"first_name": "VIRGINIA",
"middle_name": "ILAINE",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-25",
"last_updated": "2008-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "RN023551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cibecue, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.