Individual provider Active NPI

Judith Ochieng, FNP-PMHNP

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1063841666
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
TAP5284 Issued in AZ
Practice address
177 N Church Ave
Tucson, AZ 85701-1121
Phone
(520) 210-7008
Fax
(520) 210-7398
NPI assigned
Nov 4, 2013
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X TAP5284 AZ Primary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X AP5284 AZ

Addresses

Primary practice location

177 N Church Ave
Tucson, AZ 85701-1121

Mailing address

177 N Church Ave
Tucson, AZ 85701-1121
Phone (520) 210-7008

Other practice location 1

1925 W Orange Grove Rd Ste 103
Tucson, AZ 85704-1150
Phone (520) 297-1803

Other practice location 2

1401 W Las Lomitas Rd
Tucson, AZ 85704-1705
Phone (520) 210-7007

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
I20140204001867 AZ Practitioner - Nurse Practitioner 1456580810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Arizona College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Bridges IncGroup PAC ID 2062699721, 106 clinicians

Practice addresses (Care Compare)

250 S Toole Ave
Suite a
Tucson, AZ 85701-1814
Phone (520) 323-1312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
TAP5284AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Bridges, Inc. Multi-Specialty Current Accepting new patients
Community Bridges, Inc. Multi-Specialty Current Accepting new patients
Community Bridges, Inc. CurrentSince Mar 17, 2018 Accepting new patients
Community Bridges, Inc Multi-Specialty Current Accepting new patients
Community Bridges, Inc. Past Accepting new patients
Sun Life Family Health Center, Inc. Multi-Specialty Past Accepting new patients

Locations

1855 W Baseline Rd
Ste 101
Mesa, AZ 85202

2770 E Van Buren St
Rm Abd
Phoenix, AZ 85008
Phone (602) 273-9999

250 S Toole Ave
Tucson, AZ 85701
Phone (520) 323-1312

250 S Toole Ave
Ste A
Tucson, AZ 85701
Phone (520) 323-1312

250 S Toole Ave
Ste B
Tucson, AZ 85701
Phone (520) 323-1312

250 S Toole Ave
Ste C
Tucson, AZ 85701
Phone (520) 323-1312

3180 E 40th St
Yuma, AZ 85365
Phone (928) 341-0335

3250 E 40th St
Bldg B
Yuma, AZ 85365
Phone (928) 341-4220

Interoperability endpoints

  • Direct secure messaging: judith.ochiengfnp.p1@direct.cbridges.nextgenshare.com

Organizations & group practices 6

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": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1063841666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 N CHURCH AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857011121",
            "telephone_number": "520-210-7008",
            "fax_number": "520-210-7398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 N CHURCH AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857011121",
            "telephone_number": "520-210-7008",
            "fax_number": "520-210-7398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1925 W Orange Grove Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857041150",
            "country_code": "US",
            "telephone_number": "520-297-1803",
            "fax_number": "520-297-2913",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 W Las Lomitas Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857041705",
            "country_code": "US",
            "telephone_number": "520-210-7007",
            "fax_number": "520-210-7398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OCHIENG",
        "first_name": "JUDITH",
        "credential": "FNP-PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "TAP5284",
            "primary": true
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "AZ",
            "license": "AP5284",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.