Individual provider Active NPI

Hazel Echavez Mercado, FNP-BC

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1003135898
Registry record updated Apr 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP3506 Issued in AZ
Practice address
10975 E White Sage Dr
Tucson, AZ 85747-9664
Phone
(520) 203-7531
Fax
(520) 437-0390
NPI assigned
May 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP3506 AZ Primary

Addresses

Primary practice location

10975 E White Sage Dr
Tucson, AZ 85747-9664

Mailing address

10975 E White Sage Dr
Tucson, AZ 85747-9664
Phone (520) 203-7531

Other identifiers 4

IdentifierTypeStateIssuer
52739MedicaidAZ
2009004073OtherAZAMERICAN NURSES CREDENTIALING CENTER (ANCC)
AP3506OtherAZCERTIFICATE OF ADVANCE NURSE PRACTICE AS FAMILY NURSE PRACTITIONER
1003135898OtherAZNPI

Other names 1

  • Miss Hazel Asutilla Echavez Former name

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)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Partners PastSince Jun 29, 2010 Accepting new patients
Ascension Senior Care Services, Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429228800000",
    "number": "1003135898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10975 E WHITE SAGE DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857479664",
            "telephone_number": "520-203-7531",
            "fax_number": "520-437-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10975 E WHITE SAGE DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857479664",
            "telephone_number": "520-203-7531",
            "fax_number": "520-437-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "HAZEL",
        "middle_name": "ECHAVEZ",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-19",
        "last_updated": "2015-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP3506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52739",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN NURSES CREDENTIALING CENTER (ANCC)",
            "identifier": "2009004073",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATE OF ADVANCE NURSE PRACTICE AS FAMILY NURSE PRACTITIONER",
            "identifier": "AP3506",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1003135898",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAZEL",
            "last_name": "ECHAVEZ",
            "middle_name": "ASUTILLA",
            "prefix": "MISS",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Apr 17, 2015; 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.