Active NPI
Anna Ganago
- Registered Nurse
- Tucson, AZ
National Provider Identifier
1295021194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN189398
- Practice address
- 6625 S Lantana Vista Dr
Tucson, AZ 85756-8675 - Phone
- (520) 721-1887
- Fax
- (520) 344-8892
- NPI assigned
- Jun 20, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LP046337 | AZ | |
| Contractor | 171W00000X | BH5661 | AZ | |
| Registered Nurse | 163W00000X | RN189398 | AZ | Primary |
Addresses
Primary practice location
6625 S Lantana Vista Dr
Tucson, AZ 85756-8675
Mailing address
PO Box 86537
Tucson, AZ 85754-6537
Phone (520) 721-1887
Other practice location 1
504 W 29th St
Tucson, AZ 85713-3353
Phone (520) 838-5600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 635634 | Medicaid | AZ | |
| BH5661 | Other | AZ | BRFL LICENSE (BEHAVIORAL HEALTH THERAPEUTIC HOME) |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN189398 | AZ | MD | Registered Nurse |
| LP046337 | AZ | MD | Licensed Practical Nurse |
| BH5661 | AZ | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610064000000",
"number": "1295021194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 86537",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857546537",
"telephone_number": "520-721-1887",
"fax_number": "520-344-8892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6625 S LANTANA VISTA DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857568675",
"telephone_number": "520-721-1887",
"fax_number": "520-344-8892"
}
],
"practiceLocations": [
{
"address_1": "504 W 29th St",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857133353",
"country_code": "US",
"telephone_number": "520-838-5600",
"fax_number": "520-792-0654",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GANAGO",
"first_name": "ANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-20",
"last_updated": "2021-01-08",
"certification_date": "2021-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "AZ",
"license": "LP046337",
"primary": false
},
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "AZ",
"license": "BH5661",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "RN189398",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "635634",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRFL LICENSE (BEHAVIORAL HEALTH THERAPEUTIC HOME)",
"identifier": "BH5661",
"state": "AZ"
}
],
"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 Jan 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.