Active NPI
Christy Lougheed, MD
- Cardiovascular Disease Physician
- Tucson, AZ
National Provider Identifier
1336767714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- R78111
- Practice address
- 1625 N Campbell Ave
Tucson, AZ 85719-4330 - Phone
- (520) 626-1232
- NPI assigned
- Jul 11, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | R78111 | AZ | |
| Cardiovascular Disease Physician | 207RC0000X | R78111 | AZ | Primary |
Addresses
Primary practice location
1625 N Campbell Ave
Tucson, AZ 85719-4330
Mailing address
1501 N Campbell Ave RM 6336
Tucson, AZ 85724-0001
Phone (520) 626-8818
Other names 1
- Christy Marie Vander Griendt
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200717001699 | AZ | Order and Referring Only - Internal Medicine | 3870917263 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686873600000",
"number": "1336767714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 N CAMPBELL AVE RM 6336",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857240001",
"telephone_number": "520-626-8818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 N CAMPBELL AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857194330",
"telephone_number": "520-626-1232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOUGHEED",
"first_name": "CHRISTY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-11",
"last_updated": "2023-06-16",
"certification_date": "2023-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "R78111",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AZ",
"license": "R78111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTY",
"last_name": "VANDER GRIENDT",
"middle_name": "MARIE",
"credential": "BSCN",
"code": "1",
"type": "Former Name"
}
]
}
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 Jun 16, 2023; 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.