Individual provider Active NPI

Saori Nakagawa, NP

  • Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1063817690
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP7412 Issued in AZ
Practice address
4735 E 3Rd St
Tucson, AZ 85711-1240
Phone
(214) 227-2457
Fax
(214) 764-0880
NPI assigned
Oct 24, 2014
Last updated
Aug 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP7412 AZ Primary

Addresses

Primary practice location

4735 E 3Rd St
Tucson, AZ 85711-1240

Mailing address

PO Box 2550
Rowlett, TX 75030-2550
Phone (214) 227-2457

Other identifiers 1

IdentifierTypeStateIssuer
959737MedicaidAZ

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
I20141223000551 AZ Practitioner - Nurse Practitioner 3173846128 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11275 E Placita Molino
Tucson, AZ 85749-9215
Phone (520) 873-3000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP7412AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Acute Care Surgical Specialists, LLC CurrentSince Nov 1, 2021 Accepting new patients
Metro Infectious Disease Consultants, LLC Nurse Practitioner CurrentSince Jan 1, 2019 Accepting new patients
Northwest HBP Medical Services LLC Nurse Practitioner CurrentSince Dec 15, 2019 Accepting new patients
Metro Infectious Disease Consultants LLC CurrentSince Jan 1, 2019 Accepting new patients
Sonoran Surgical First Assist LLC Nurse Practitioner CurrentSince Aug 19, 2023 Accepting new patients

Locations

13657 W McDowell Rd
Ste 118
Goodyear, AZ 85395
Phone (623) 328-7794

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

16601 N 40th St
Ste 104
Phoenix, AZ 85032
Phone (602) 633-3721

16601 N 40th St
Ste 204
Phoenix, AZ 85032
Phone (602) 633-3721

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

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, 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": "1414108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1063817690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2550",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750302550",
            "telephone_number": "214-227-2457",
            "fax_number": "214-764-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4735 E 3RD ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111240",
            "telephone_number": "214-227-2457",
            "fax_number": "214-764-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKAGAWA",
        "first_name": "SAORI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-24",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP7412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "959737",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.