Individual provider Active NPI

Elizabeth Ann Johnson

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1346975463
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
280876 Issued in AZ
Practice address
1501 W Commerce CT
Tucson, AZ 85746-6016
Phone
(520) 741-3180
Fax
(520) 881-1347
NPI assigned
Jul 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 280876 AZ Primary
Registered Nurse 163W00000X RN103683 AZ

Addresses

Primary practice location

1501 W Commerce CT
Tucson, AZ 85746-6016

Mailing address

1477 W Commerce CT
Tucson, AZ 85746-6016
Phone (520) 751-3180

Other practice location 1

2435 N Castro Ave
Tucson, AZ 85705-5060
Phone (520) 622-8030

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
I20221011000176 AZ Practitioner - Nurse Practitioner 4284010547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cope Community Services IncGroup PAC ID 9537131198, 25 clinicians

Practice addresses (Care Compare)

2435 N Castro Ave
Tucson, AZ 85705-5060
Phone 52079232931308

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN103683AZMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Cope Community Services, Inc. CurrentSince Oct 1, 2022 Accepting new patients
Cope Community Services, Inc. CurrentSince Oct 1, 2022 Accepting new patients
Cope Community Services, Inc. Current Accepting new patients
Cope Community Services, Inc. Past Accepting new patients
Cope Community Services, Inc. Past Accepting new patients

Locations

1501 W Commerce Ct
Tucson, AZ 85746
Phone (520) 741-3180

1477 W Commerce Ct
Tucson, AZ 85746
Phone 52079232931308

1477 W Commerce Ct
#C
Tucson, AZ 85746

2435 N Castro Ave
Tucson, AZ 85705
Phone (520) 622-8030

7020 N Antonietta Dr
Tucson, AZ 85704
Phone (520) 219-8747

Organizations & group practices 5

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": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1346975463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1477 W COMMERCE CT",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857466016",
            "telephone_number": "520-751-3180",
            "fax_number": "520-881-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W COMMERCE CT",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857466016",
            "telephone_number": "520-741-3180",
            "fax_number": "520-881-1347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2435 N Castro Ave",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857055060",
            "country_code": "US",
            "telephone_number": "520-622-8030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-21",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "280876",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN103683",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.