Active NPI
Stefany Cimino
- Family Nurse Practitioner
- Tucson, AZ
National Provider Identifier
1063173367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95018168
- Practice address
- 1305 N Martin Ave
Tucson, AZ 85721-0001 - Phone
- (631) 487-4959
- NPI assigned
- Jan 7, 2022
- 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 | 95018168 | CA | Primary |
Addresses
Primary practice location
1305 N Martin Ave
Tucson, AZ 85721-0001
Mailing address
PO Box 235566
Encinitas, CA 92023-5566
Other practice location 1
1780 S El Camino Real
Encinitas, CA 92024-4954
Phone (631) 487-4959
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95018168 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641513600000",
"number": "1063173367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 235566",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920235566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 N MARTIN AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857210001",
"telephone_number": "631-487-4959"
}
],
"practiceLocations": [
{
"address_1": "1780 S El Camino Real",
"address_purpose": "LOCATION",
"city": "Encinitas",
"state": "CA",
"postal_code": "920244954",
"country_code": "US",
"telephone_number": "631-487-4959",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CIMINO",
"first_name": "STEFANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-07",
"last_updated": "2022-01-07",
"certification_date": "2022-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95018168",
"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 Jan 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.