NPIMap

Organization Active NPI

Pima County Health Dept

  • Community Health Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1073376281
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Nurse PractitionerTaxonomy code 363LC1500X
Legal business name
PIMA COUNTY HEALTH DEPT
Practice address
6920 E Broadway Blvd
Tucson, AZ 85710-2839
Phone
(520) 724-9650
NPI assigned
Jan 31, 2024
Organization subpart
Yes
Parent organization
PIMA COUNTY HEALTH DEPTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Authorized official

Name
Nikki L Cocroft
Title
Clinical Services Coordinator
Phone
(520) 724-7742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LC1500X Primary

Addresses

Primary practice location

6920 E Broadway Blvd
Tucson, AZ 85710-2839

Mailing address

3950 S Country Club Rd
Tucson, AZ 85714-2099
Phone (207) 247-7425

Other names 1

  • East Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pima Health System9 organizations share this tax ID, including this one
Part of
Pima Health System

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1073376281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 S COUNTRY CLUB RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857142099",
            "telephone_number": "207-247-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 E BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102839",
            "telephone_number": "520-724-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIMA COUNTY HEALTH DEPT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PIMA COUNTY HEALTH DEPT",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "COCROFT",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINICAL SERVICES COORDINATOR",
        "authorized_official_telephone_number": "520-724-7742"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.