Individual provider Active NPI

Aimee Vanden-Heuvel

  • Psychiatric/Mental Health Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1053905711
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
254589 Issued in AZ
Practice address
8050 E Lakeside Pkwy
Tucson, AZ 85730-1254
Phone
(520) 584-5820
Fax
(520) 584-5825
NPI assigned
Feb 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 254589 AZ Primary

Addresses

Primary practice location

8050 E Lakeside Pkwy
Tucson, AZ 85730-1254

Mailing address

8050 E Lakeside Pkwy
Tucson, AZ 85730-1254
Phone (520) 584-5820

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210309003184 AZ Practitioner - Nurse Practitioner 3375959752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cope Community Services IncGroup PAC ID 9537131198, 25 clinicians

Practice addresses (Care Compare)

8050 E Lakeside Pkwy
Tucson, AZ 85730-1254
Phone 52079232931308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
254589AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cope Community Services, Inc. CurrentSince Apr 5, 2021 Accepting new patients
Cope Community Services, Inc. Current Accepting new patients
Cope Community Services, Inc. CurrentSince Apr 5, 2021 Accepting new patients

Locations

1477 W Commerce Ct
Tucson, AZ 85746
Phone 52079232931308

620 N Craycroft Rd
Tucson, AZ 85711
Phone (520) 747-6694

5401 E 5th St
Tucson, AZ 85711
Phone (520) 879-6680

924 N Alvernon Way
Ste 110
Tucson, AZ 85711
Phone (520) 207-9348

8050 E Lakeside Pkwy
Tucson, AZ 85730
Phone (520) 584-5820

7020 N Antonietta Dr
Tucson, AZ 85704
Phone (520) 219-8747

2435 N Castro Ave
Tucson, AZ 85705
Phone (520) 622-8030

1501 W Commerce Ct
Tucson, AZ 85746
Phone (520) 741-3180

5840 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 498-3900

Organizations & group practices 3

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": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1053905711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8050 E LAKESIDE PKWY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857301254",
            "telephone_number": "520-584-5820",
            "fax_number": "520-584-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 E LAKESIDE PKWY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857301254",
            "telephone_number": "520-584-5820",
            "fax_number": "520-584-5825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDEN-HEUVEL",
        "first_name": "AIMEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "254589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.