Individual provider Active NPI

Nicholas Frank Tufo, RN

  • General Practice Registered Nurse
  • Sierra Vista, AZ
National Provider Identifier
1336894484
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
205610 Issued in AZ
Practice address
3305 E Fry Blvd
Sierra Vista, AZ 85635-2990
Phone
(520) 515-2754
NPI assigned
Feb 17, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 205610 AZ Primary

Addresses

Primary practice location

3305 E Fry Blvd
Sierra Vista, AZ 85635-2990

Mailing address

637 S 48TH St Ste 201
Tempe, AZ 85281-2355
Phone (480) 240-9786

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
205610AZMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
NP-MD Practice PC PastSince Feb 24, 2022 Accepting new patients
Everest Solutions, Inc. PastSince Feb 24, 2022 Accepting new patients

Organizations & group practices 2

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": "1645056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1336894484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 S 48TH ST STE 201",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852812355",
            "telephone_number": "480-240-9786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 E FRY BLVD",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352990",
            "telephone_number": "520-515-2754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUFO",
        "first_name": "NICHOLAS",
        "middle_name": "FRANK",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "AZ",
            "license": "205610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.