Active NPI
Kathleen A Andrea, FNP
- Family Nurse Practitioner
- Tucson, AZ
National Provider Identifier
1295701043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN103711
- Practice address
- 2435 N Castro Ave
Tucson, AZ 85705-5060 - Phone
- (520) 622-8030
- Fax
- (520) 622-8012
- NPI assigned
- Feb 23, 2006
- 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 | RN103711 | AZ | Primary |
Addresses
Primary practice location
2435 N Castro Ave
Tucson, AZ 85705-5060
Mailing address
82 S Stone Ave
Tucson, AZ 85701-1713
Phone (520) 792-3293
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 619497 | Medicaid | AZ |
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cope Community Services, Inc. | Past | Accepting new patients | |
| Agape Hospice & Palliative Care, LLC | Past | Accepting new patients | |
| Providers Direct, PLLC | Family | Past | Accepting new patients |
| Hospitalists of Arizona, Inc | Past | Accepting new patients | |
| Rehab Solutions, LLC | Past | Accepting new patients | |
| Evercare Collaborative Solutions Inc | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/10556/brand/1/csg/1/fhir/r4
Organizations & group practices 6
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.
-
- Community Based Hospice Care Agency
- Tucson, AZ
- NPI 1679826549
-
- Professional Counselor
- Tucson, AZ
- NPI 1336863695
-
- Hospitalist Physician
- Phoenix, AZ
- NPI 1508194036
-
- Geriatric Medicine (Internal Medicine) Physician
- Tucson, AZ
- NPI 1679593131
-
- Registered Nurse
- Minnetonka, MN
- NPI 1285686378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346025600000",
"number": "1295701043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 S STONE AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857011713",
"telephone_number": "520-792-3293",
"fax_number": "520-792-4336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2435 N CASTRO AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857055060",
"telephone_number": "520-622-8030",
"fax_number": "520-622-8012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREA",
"first_name": "KATHLEEN",
"middle_name": "A",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-23",
"last_updated": "2012-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "RN103711",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "619497",
"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 Aug 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.