Organization Active NPI

Providers Direct, PLLC

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1073795852
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
PROVIDERS DIRECT, PLLC
Practice address
5546 E 4TH St
Suite 102
Tucson, AZ 85711-1452
Phone
(520) 722-2400
Fax
(520) 323-7531
NPI assigned
Dec 3, 2007
Last updated
Feb 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Authorized official

Name
Dr. John Schmaling, ANP
Title
Member
Phone
(520) 722-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

5546 E 4TH St
Suite 102
Tucson, AZ 85711-1452

Mailing address

5546 E 4TH St
Suite 102
Tucson, AZ 85711-1452
Phone (520) 722-2400

Other identifiers 1

IdentifierTypeStateIssuer
439013MedicaidAZ

National Provider Directory

National Provider Directory

Locations

2122 N Craycroft Rd
Ste 10
Tucson, AZ 85712

2122 N Craycroft Rd
Ste 110
Tucson, AZ 85712
Phone (520) 795-5820

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10556/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454457600000",
    "number": "1073795852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5546 E 4TH ST",
            "address_2": "SUITE 102",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111452",
            "telephone_number": "520-722-2400",
            "fax_number": "520-323-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5546 E 4TH ST",
            "address_2": "SUITE 102",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111452",
            "telephone_number": "520-722-2400",
            "fax_number": "520-323-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDERS DIRECT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2016-02-03",
        "status": "A",
        "authorized_official_last_name": "SCHMALING",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "520-722-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ANP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "439013",
            "state": "AZ"
        }
    ],
    "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 Feb 3, 2016; 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.