Individual provider Active NPI

Andra Sue McConnell, RN

  • School Registered Nurse
  • San Tan Valley, AZ
National Provider Identifier
1992079677
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
RN117745 Issued in AZ
Practice address
866 E Sun Valley Farms LN
San Tan Valley, AZ 85140-4262
Phone
(480) 888-1278
NPI assigned
Feb 28, 2012
Sex
Female
Sole proprietor
Yes

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
RN117745AZMDSchool Registered Nurse

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN117745 AZ Primary

Addresses

NPPES NPI Registry

Primary practice location

866 E Sun Valley Farms LN
San Tan Valley, AZ 85140-4262

Mailing address

866 E Sun Valley Farms LN
San Tan Valley, AZ 85140-4262

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 28, 2012.

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330387200000",
    "number": "1992079677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "866 E SUN VALLEY FARMS LN",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851404262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "866 E SUN VALLEY FARMS LN",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851404262",
            "telephone_number": "480-888-1278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "ANDRA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-28",
        "last_updated": "2012-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN117745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Tan Valley, AZ

Sources for this page

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

Verify at the official NPI Registry.