Individual provider Active NPI

Jonathan Resille, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1326667270
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RNP240268 Issued in AZ
Practice address
5425 N Oracle Rd Ste 115
Tucson, AZ 85704-3898
Phone
(520) 355-1122
Fax
(520) 280-0537
NPI assigned
Apr 10, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 240268 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RNP240268 AZ Primary

Addresses

Primary practice location

5425 N Oracle Rd Ste 115
Tucson, AZ 85704-3898

Mailing address

7014 E Golf Links Rd PMB 15
Tucson, AZ 85730-1064
Phone (520) 833-7252

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
I20220715000955 AZ Practitioner - Nurse Practitioner 3678903192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pima Behavioral Health PLLCGroup PAC ID 6608257167, 4 clinicians

Practice addresses (Care Compare)

5425 N Oracle Rd
Suite 115
Tucson, AZ 85704-3898
Phone (520) 355-1122

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RNP240268AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pima Behavioral Health PLLC Psychiatric/Mental Health CurrentSince Jun 8, 2022 Accepting new patients

Locations

7014 E Golf Links Rd
Tucson, AZ 85730
Phone (520) 222-7345

5425 N Oracle Rd
Ste 115
Tucson, AZ 85704
Phone (520) 355-1122

Organizations & group practices 1

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": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1326667270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7014 E GOLF LINKS RD PMB 15",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857301064",
            "telephone_number": "520-833-7252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 N ORACLE RD STE 115",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857043898",
            "telephone_number": "520-355-1122",
            "fax_number": "520-280-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESILLE",
        "first_name": "JONATHAN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-10",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "240268",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "RNP240268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.