Individual provider Active NPI

Joy Kwakuyi, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1215303946
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP8098 Issued in AZ
Practice address
4400 E Broadway Blvd Ste 411
Tucson, AZ 85711-3554
Phone
(520) 505-7184
Fax
(520) 595-5016
NPI assigned
Aug 17, 2015
Last updated
Mar 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP8098 AZ Primary

Addresses

Primary practice location

4400 E Broadway Blvd Ste 411
Tucson, AZ 85711-3554

Mailing address

4400 E Broadway Blvd Ste 411
Tucson, AZ 85711-3554
Phone (520) 505-7184

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
I20151214000279 AZ Practitioner - Nurse Practitioner 6305147521 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Connections Southernaz, LLC CurrentSince Jun 22, 2022 Accepting new patients
Connections Southernaz, LLC CurrentSince Jun 22, 2022 Accepting new patients

Locations

1205 S 7th Ave
Ste 105
Phoenix, AZ 85007
Phone (602) 416-7647

2390 E Camelback Rd
Ste 400
Phoenix, AZ 85016
Phone (703) 543-9948

2802 E District St
Tucson, AZ 85714
Phone (520) 622-6000

2802 E District St
Fl 2
Tucson, AZ 85714
Phone (602) 253-5100

Interoperability endpoints

  • Direct secure messaging: joy.kwakuyi@mmconnections.contexture.medalliesmail.com

Organizations & group practices 3

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": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1215303946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 E BROADWAY BLVD STE 411",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113554",
            "telephone_number": "520-505-7184",
            "fax_number": "520-595-5016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 E BROADWAY BLVD STE 411",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113554",
            "telephone_number": "520-505-7184",
            "fax_number": "520-595-5016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAKUYI",
        "first_name": "JOY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-17",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP8098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.