Active NPI
Carmen Panizo
- Family Nurse Practitioner
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP9683
- Practice address
- 839 W Congress St
Tucson, AZ 85745-2819 - Phone
- (520) 670-3909
- NPI assigned
- Dec 7, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP9683 | AZ | Primary |
Addresses
Primary practice location
839 W Congress St
Tucson, AZ 85745-2819
Mailing address
839 W Congress St
Tucson, AZ 85745-2819
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP9683 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner-University Medical Group | Current | Accepting new patients | |
| Banner-University Medical Group | Current | Accepting new patients | |
| Nextcare Arizona LLC | Current | Accepting new patients | |
| Nextcare Arizona I JV LLC | Current | Accepting new patients | |
| Urosouth PLLC | Current | Accepting new patients |
Locations
2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172
450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574
1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844
914 N Scottsdale Rd
Ste 104
Tempe, AZ 85288
Phone (480) 776-1620
2800 E Ajo Way
Bldg 100
Tucson, AZ 85713
Phone (520) 419-5820
2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471
9525 E Old Spanish Trl
Ste 101
Tucson, AZ 85748
Phone (520) 731-3666
2460 N Swan Rd
Ste 140
Tucson, AZ 85712
Phone (520) 441-5405
6226 E Pima St
Ste 100
Tucson, AZ 85712
Phone (520) 298-7200
3838 N Campbell Ave
Bldg 2
Tucson, AZ 85719
6369 E Tanque Verde Rd
Ste 160
Tucson, AZ 85715
Phone (520) 333-4468
3838 N Campbell Ave
Bldg 1
Tucson, AZ 85719
Phone (520) 694-2873
535 N Wilmot Rd
Ste 101
Tucson, AZ 85711
Phone (520) 694-9988
1394 W 16th St
Yuma, AZ 85364
Phone (928) 539-0055
Interoperability endpoints
- https://api.platform.athenahealth.com/22665/brand/1/csg/1/fhir/r4
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.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1508809427
-
- Urgent Care Clinic/Center
- Tempe, AZ
- NPI 1043371826
-
- Urology Physician
- Tucson, AZ
- NPI 1386250835
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1922820935
-
- Urgent Care Clinic/Center
- Tempe, AZ
- NPI 1114798071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481068800000",
"number": "1255875449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "839 W CONGRESS ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857452819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "839 W CONGRESS ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857452819",
"telephone_number": "520-670-3909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANIZO",
"first_name": "CARMEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-07",
"last_updated": "2016-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP9683",
"primary": true
}
],
"identifiers": [],
"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 Dec 7, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.