Individual provider Active NPI

Patrick Donald Thurber, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Sierra Vista, AZ
National Provider Identifier
1265114037
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2022139997 Issued in AZ
Practice address
77 Calle Portal Ste C240
Sierra Vista, AZ 85635-2986
Phone
(520) 354-1429
NPI assigned
Aug 2, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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 2022139997 AZ Primary

Addresses

Primary practice location

77 Calle Portal Ste C240
Sierra Vista, AZ 85635-2986

Mailing address

1100 N F Ave
Douglas, AZ 85607-1919
Phone (520) 364-3285

Other practice location 1

108 Arizona St
Bisbee, AZ 85603-1804
Phone (520) 432-3309

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
I20231016001792 AZ Practitioner - Nurse Practitioner 7113372855 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022139997AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chiricahua Community Health Centers, Inc. CurrentSince Sep 29, 2023 Accepting new patients
Chiricahua Community Health Centers, Inc CurrentSince Sep 29, 2023 Accepting new patients
Chiricahua Community Health Centers, Inc Current Accepting new patients

Locations

335 S Ocotillo St
Benson, AZ 85602
Phone (520) 326-4811

108 Arizona St
Bisbee, AZ 85603
Phone (520) 432-3309

1100 N F Ave
Douglas, AZ 85607
Phone (520) 364-3285

815 E 15th St
Douglas, AZ 85607
Phone (520) 364-5437

1111 N F Ave
Douglas, AZ 85607
Phone (520) 364-6860

1151 E 16th St
Douglas, AZ 85607
Phone (520) 364-5437

10566 N Highway 191
Elfrida, AZ 85610
Phone (520) 642-2222

77 Calle Portal
Ste A140
Sierra Vista, AZ 85635
Phone (520) 515-8669

155 Calle Portal
Ste 700
Sierra Vista, AZ 85635
Phone (520) 459-0203

77 Calle Portal
Ste C240
Sierra Vista, AZ 85635
Phone (520) 335-6271

155 Calle Portal
Ste 300
Sierra Vista, AZ 85635
Phone (520) 458-6331

251 W Rex Allen Dr
Willcox, AZ 85643

Interoperability endpoints

  • Direct secure messaging: patrick.thurber.p1@direct.cchci.nextgenshare.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1265114037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N F AVE",
            "city": "DOUGLAS",
            "state": "AZ",
            "postal_code": "856071919",
            "telephone_number": "520-364-3285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 CALLE PORTAL STE C240",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352986",
            "telephone_number": "520-354-1429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Arizona St",
            "address_purpose": "LOCATION",
            "city": "Bisbee",
            "state": "AZ",
            "postal_code": "856031804",
            "country_code": "US",
            "telephone_number": "520-432-3309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THURBER",
        "first_name": "PATRICK",
        "middle_name": "DONALD",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "2022139997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

Verify at the official NPI Registry.