Individual provider Active NPI

David L Stevens, PA-C

  • Physician Assistant
  • Tucson, AZ
National Provider Identifier
1386618965
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2048 Issued in AZ
Practice address
6390 E Broadway Blvd
Tucson, AZ 85710-3517
Phone
(520) 733-2250
Fax
(520) 733-2270
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2048 AZ Primary

Addresses

Primary practice location

6390 E Broadway Blvd
Tucson, AZ 85710-3517

Mailing address

8245 E Crooked Tree TRL
Tucson, AZ 85715-5253
Phone (928) 343-1832

Other identifiers 1

IdentifierTypeStateIssuer
461559MedicaidAZ

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
I20040318001378 AZ Practitioner - Physician Assistant 0547150880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Quality of Life Medical Centers LLCGroup PAC ID 8820988348, 12 clinicians

Practice addresses (Care Compare)

6390 E Broadway Blvd
Tucson, AZ 85710-3517
Phone (520) 733-2250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2048AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Quality of Life Medical Centers, LLC CurrentSince Dec 28, 2015 Accepting new patients
Lee D. Hieb, M.D., P.C. Past Accepting new patients
Solace Behavioral Health LLC PastSince Dec 1, 2020 Accepting new patients
Colleen J. Speidell NP PLC Past Accepting new patients

Locations

6390 E Broadway Blvd
Tucson, AZ 85710
Phone (520) 284-7949

5390 E Erickson Dr
Tucson, AZ 85712
Phone (520) 314-1545

6390 E Broadway Blvd
Ste 100
Tucson, AZ 85710
Phone (520) 284-7949

5350 E Erickson Dr
Tucson, AZ 85712
Phone (520) 624-8935

Interoperability endpoints

  • Direct secure messaging: david.stevens.1@32508.direct.athenahealth.com

Organizations & group practices 4

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1386618965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8245 E CROOKED TREE TRL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857155253",
            "telephone_number": "928-343-1832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6390 E BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857103517",
            "telephone_number": "520-733-2250",
            "fax_number": "520-733-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "DAVID",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "2048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "461559",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.