Individual provider Active NPI

Sarah Gibson, FNP-C

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1356012116
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
PENDING Issued in AZ
Practice address
535 N Wilmot Rd Ste 101
Tucson, AZ 85711-2683
Phone
(520) 694-5437
Fax
(520) 694-0487
NPI assigned
Sep 22, 2021
Last updated
Sep 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X PENDING AZ Primary

Addresses

Primary practice location

535 N Wilmot Rd Ste 101
Tucson, AZ 85711-2683

Mailing address

535 N Wilmot Rd Ste 101
Tucson, AZ 85711-2683
Phone (520) 694-5437

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
I20211102000011 AZ Practitioner - Nurse Practitioner 9032507637 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PENDINGAZMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Arizona Urgent Care LLC Current Accepting new patients
Southern Arizona Urgent Care, LLC CurrentSince Nov 1, 2023 Accepting new patients
Banner-University Medical Group Current Accepting new patients
Banner-University Medical Group CurrentSince Nov 29, 2021 Accepting new patients
Banner-University Medical Group CurrentSince Nov 29, 2021 Accepting new patients

Locations

1040 S Harrison Rd
Ste 120
Tucson, AZ 85748
Phone (520) 777-7025

1218 W Irvington Rd
Ste 150
Tucson, AZ 85714
Phone (520) 829-6442

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

3662 W Ina Rd
Ste 150
Tucson, AZ 85741
Phone (520) 900-7020

535 N Wilmot Rd
Fl 2
Tucson, AZ 85711
Phone (520) 694-1234

535 N Wilmot Rd
Ste 101
Tucson, AZ 85711
Phone (520) 694-9988

7725 N Oracle Rd
Ste 131
Tucson, AZ 85704
Phone (520) 544-2273

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1356012116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 N WILMOT RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112683",
            "telephone_number": "520-694-5437",
            "fax_number": "520-694-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 N WILMOT RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112683",
            "telephone_number": "520-694-5437",
            "fax_number": "520-694-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "SARAH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.