Crystal Anne Coughlin, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

315675 Issued in AZ

Practice address

6567 E Carondelet Dr Ste 215
Tucson, AZ 85710-6154

Phone

(520) 886-3432

NPI assigned

Nov 9, 2024

Last updated

Nov 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tucson Physician Group Holdings LLCGroup PAC ID 0547560070, 200 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Joseph's Hospital Hospital, Tucson, AZ, CCN 030011

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: crystal.coughlin.1@600.direct.athenahealth.com
• FHIR API: https://fhir-myrecord.cerner.com/r4/MmWbh382tKlbvAIA1_DeLlIjYVSwroch/

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.

• Tucson Physician Group Holdings, LLC

  dba Carondelet Medical Group

  • Interventional Cardiology Physician
  • Tucson, AZ
  • NPI 1356726939
  Medicare reassignment Care Compare group NPD
• Carondelet Medical Group, Inc

  • Family Medicine Physician
  • Tucson, AZ
  • NPI 1659326585
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• SMSJ Tucson Holdings LLC

  dba St. Josephs Hospital

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1538535158
  Care Compare affiliation

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

{
    "created_epoch": "1731110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731110400000",
    "number": "1225852932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6567 E CARONDELET DR STE 215",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857106154",
            "telephone_number": "520-886-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6567 E CARONDELET DR STE 215",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857106154",
            "telephone_number": "520-886-3432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUGHLIN",
        "first_name": "CRYSTAL",
        "middle_name": "ANNE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-09",
        "last_updated": "2024-11-09",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "315675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael W Couch, MD
• Weldon David Couch, MD
• Jeffrey M Couchman, MD
• Miki Couchoud, FNP-C
• Jordan Alan Coughlen, LCSW
• Rita Nadine Couillard, NP
• Mohamed Coulibaly Dit Fall
• Bruce Coull, MD
• Ashley Coulter
• Joshua Andrew Coulter

• Family Nurse Practitioner in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.