Individual provider Active NPI

Mary Beth Lochner, NP

  • Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1063592509
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP0852 Issued in AZ
Practice address
8701 S Kolb Rd
Tucson, AZ 85706-9607
Phone
(520) 574-6046
Fax
(520) 574-6048
NPI assigned
Oct 17, 2006
Last updated
May 1, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN058536 AZ
Nurse Practitioner 363L00000X AP0852 AZ Primary

Addresses

Primary practice location

8701 S Kolb Rd
Tucson, AZ 85706-9607

Mailing address

PO Box 43130
Tucson, AZ 85733-3130
Phone (520) 722-3777

Other identifiers 1

IdentifierTypeStateIssuer
738682MedicaidAZ

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
I20080506000672 AZ Practitioner - Nurse Practitioner 2062595036

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP0852AZMDNurse Practitioner
RN058536AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pima Heart Physicians, PC Past Accepting new patients
Pima Heart Physicians, PC Past Accepting new patients
Voyager Wellness Clinic, Inc PastSince Apr 1, 2008 Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367366400000",
    "number": "1063592509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43130",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857333130",
            "telephone_number": "520-722-3777",
            "fax_number": "520-296-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 S KOLB RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857069607",
            "telephone_number": "520-574-6046",
            "fax_number": "520-574-6048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCHNER",
        "first_name": "MARY",
        "middle_name": "BETH",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2013-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "RN058536",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP0852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "738682",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.