Active NPI
Hazel Echavez Mercado, FNP-BC
- Family Nurse Practitioner
- Tucson, AZ
National Provider Identifier
1003135898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP3506
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52739 | Medicaid | AZ | |
| 2009004073 | Other | AZ | AMERICAN NURSES CREDENTIALING CENTER (ANCC) |
| AP3506 | Other | AZ | CERTIFICATE OF ADVANCE NURSE PRACTICE AS FAMILY NURSE PRACTITIONER |
| 1003135898 | Other | AZ | NPI |
Other names 1
- Miss Hazel Asutilla Echavez
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Partners | Past | 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.
-
- Primary Care Nurse Practitioner
- Tucson, AZ
- NPI 1912132457
-
- Multi-Specialty Clinic/Center
- Fresno, CA
- NPI 1952912420
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.