Active NPI
Diana Verdugo, FNP
- Family Nurse Practitioner
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP8143
- Practice address
- 620 N Craycroft Rd
Tucson, AZ 85711-1448 - Phone
- (520) 519-8550
- Fax
- (520) 747-3269
- NPI assigned
- Oct 29, 2015
- 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 | AP8143 | AZ | Primary |
Addresses
Primary practice location
620 N Craycroft Rd
Tucson, AZ 85711-1448
Mailing address
82 S Stone Ave
Tucson, AZ 85701-1713
Phone (520) 792-3293
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13395 N Marana Main St
Marana, AZ 85653-7008
Phone (520) 682-4111
Hospital & facility affiliations
- Northwest Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP8143 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marana Health Center Inc | Current | Accepting new patients | |
| Marana Health Center, Inc | Family | Current | Accepting new patients |
| Alsbiei Medical Services PLLC | Current | Accepting new patients | |
| Arizona Rehab Campus, LLC | Past | Accepting new patients | |
| Arc Medical Clinic | Past | Accepting new patients |
Locations
13395 N Marana Main St
Marana, AZ 85653
Phone (520) 616-6200
13395 N Marana Main St
Bldg B
Marana, AZ 85653
Phone (520) 682-1091
5224 W Dove Centre Rd
Marana, AZ 85658
Phone (520) 616-1445
1919 W Medical St
Tucson, AZ 85704
Phone (520) 297-7311
5232 E Pima St
Ste 120
Tucson, AZ 85712
5232 E Pima St
Ste 201
Tucson, AZ 85712
3690 S Park Ave
Ste 805
Tucson, AZ 85713
Phone (520) 616-1560
12635 W Rudasill Rd
Tucson, AZ 85743
Phone (520) 682-3777
5232 E Pima St
Tucson, AZ 85712
Phone (480) 685-1147
Interoperability endpoints
- diana.verdugo.1@32652.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Tucson, AZ
- NPI 1952737231
-
- Federally Qualified Health Center (FQHC)
- Tucson, AZ
- NPI 1396512034
-
- Community/Behavioral Health Agency
- Tucson, AZ
- NPI 1629798376
-
- Special Hospital
- Tucson, AZ
- NPI 1104373364
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1487607784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446076800000",
"number": "1003288945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 S STONE AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857011713",
"telephone_number": "520-792-3293",
"fax_number": "520-792-4336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 N CRAYCROFT RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857111448",
"telephone_number": "520-519-8550",
"fax_number": "520-747-3269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERDUGO",
"first_name": "DIANA",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-29",
"last_updated": "2015-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP8143",
"primary": true
}
],
"identifiers": [],
"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 Oct 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.