Individual provider Active NPI

Carol Lynn Dunaway, APRN-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1154300390
Registry record updated Dec 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP5414 Issued in AZ
Practice address
3601 S 6TH Ave
Tucson, AZ 85723
Phone
(520) 792-1450
Fax
(520) 629-1864
NPI assigned
Jan 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP 1230 AZ
Family Nurse Practitioner 363LF0000X RN110558 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP5414 AZ Primary

Addresses

Primary practice location

3601 S 6TH Ave
Tucson, AZ 85723

Mailing address

10792 S Sandy Lake Dr
Vail, AZ 85641-6469
Phone (520) 979-2554

Other practice location 1

8900 SE 165th Mulberry Ln
The Villages, FL 32162-5884
Phone (352) 674-5000 ext. 1314

Other practice location 2

3601 S 6th Ave
Tucson, AZ 85723
Phone (520) 792-1450 ext. 5370

Other names 1

  • Carol Lynn Gilchrist Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP 1230AZMDFamily Nurse Practitioner
RN110558AZMDFamily Nurse Practitioner
AP5414AZMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545955200000",
    "number": "1154300390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10792 S SANDY LAKE DR",
            "city": "VAIL",
            "state": "AZ",
            "postal_code": "856416469",
            "telephone_number": "520-979-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 S 6TH AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85723",
            "telephone_number": "520-792-1450",
            "fax_number": "520-629-1864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8900 SE 165th Mulberry Ln",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321625884",
            "country_code": "US",
            "telephone_number": "352-674-5000 x1314",
            "fax_number": "352-674-5017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3601 S 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "85723",
            "country_code": "US",
            "telephone_number": "520-792-1450 x5370",
            "fax_number": "520-629-1864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNAWAY",
        "first_name": "CAROL",
        "middle_name": "LYNN",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-16",
        "last_updated": "2018-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP 1230",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN110558",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP5414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "GILCHRIST",
            "middle_name": "LYNN",
            "credential": "APRN-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Dec 28, 2018; 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.