Individual provider Active NPI

Dawn Shoemaker, FNP-BC

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1124554688
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP10058 Issued in AZ
Practice address
10350 E Drexel Rd Unit 110
Tucson, AZ 85747-9409
Phone
(520) 324-1727
Fax
(520) 324-1700
NPI assigned
May 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP10058 AZ Primary

Addresses

Primary practice location

10350 E Drexel Rd Unit 110
Tucson, AZ 85747-9409

Mailing address

PO Box 31235
Tucson, AZ 85751-1235
Phone (520) 324-4100

Other practice location 1

10350 E Drexel Rd Unit 170
Tucson, AZ 85747-9411
Phone (520) 324-8070

Other practice location 2

2424 N Wyatt Dr Ste 140
Tucson, AZ 85712-6119
Phone (520) 324-4690

Other practice location 3

70 N Harrison Rd
Tucson, AZ 85748-3260
Phone (520) 324-4403

Other practice location 4

9356 E Rita Rd Ste 180
Tucson, AZ 85747-6318
Phone (520) 324-4499

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
I20170606003115 AZ Practitioner - Nurse Practitioner 4284901653 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP10058AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Urgent Care CurrentSince Jun 15, 2020 Accepting new patients
Southern Arizona Urgent Care LLC Current Accepting new patients
Southern Arizona Urgent Care, LLC CurrentSince Oct 1, 2022 Accepting new patients
TMC Urgent Care CurrentSince Aug 4, 2024 Accepting new patients
Marana Health Center, Inc Past Accepting new patients

Locations

1040 S Harrison Rd
Ste 120
Tucson, AZ 85748
Phone (520) 777-7025

10350 E Drexel Rd
Unit 170
Tucson, AZ 85747
Phone (520) 324-8070

3662 W Ina Rd
Ste 150
Tucson, AZ 85741
Phone (520) 900-7020

7725 N Oracle Rd
Ste 131
Tucson, AZ 85704
Phone (520) 544-2273

90 W River Rd
Tucson, AZ 85704
Phone (520) 912-4200

2424 N Wyatt Dr
Ste 140
Tucson, AZ 85712
Phone (520) 324-4690

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1124554688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31235",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857511235",
            "telephone_number": "520-324-4100",
            "fax_number": "520-324-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10350 E DREXEL RD UNIT 110",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857479409",
            "telephone_number": "520-324-1727",
            "fax_number": "520-324-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10350 E Drexel Rd Unit 170",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857479411",
            "country_code": "US",
            "telephone_number": "520-324-8070",
            "fax_number": "520-324-8071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2424 N Wyatt Dr Ste 140",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857126119",
            "country_code": "US",
            "telephone_number": "520-324-4690",
            "fax_number": "520-324-4691",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 N Harrison Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857483260",
            "country_code": "US",
            "telephone_number": "520-324-4403",
            "fax_number": "520-324-1409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9356 E Rita Rd Ste 180",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857476318",
            "country_code": "US",
            "telephone_number": "520-324-4499",
            "fax_number": "520-324-4492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOEMAKER",
        "first_name": "DAWN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-03",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.