Organization Active NPI

Larisa Biznichuk MSN Pmhnp-BC PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1396283933
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP3414 Issued in AZ
Legal business name
LARISA BIZNICHUK MSN PMHNP-BC PLLC
Practice address
6700 N Oracle Rd Ste 121
Tucson, AZ 85704-7733
Phone
(520) 638-5997
Fax
(520) 638-6948
NPI assigned
Feb 2, 2017
Last updated
Feb 2, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Authorized official

Name
Larisa D Bisnichuk, PMHNP-BC
Title
President
Phone
(520) 638-5997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP3414 AZ Primary

Addresses

Primary practice location

6700 N Oracle Rd Ste 121
Tucson, AZ 85704-7733

Mailing address

6700 N Oracle Rd Ste 121
Tucson, AZ 85704-7733
Phone (520) 638-5997

National Provider Directory

National Provider Directory

Locations

2550 E Fort Lowell Rd
Tucson, AZ 85716
Phone (520) 319-0015

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485993600000",
    "number": "1396283933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 N ORACLE RD STE 121",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047733",
            "telephone_number": "520-638-5997",
            "fax_number": "520-638-6948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 N ORACLE RD STE 121",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047733",
            "telephone_number": "520-638-5997",
            "fax_number": "520-638-6948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARISA BIZNICHUK MSN PMHNP-BC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-02",
        "last_updated": "2017-02-02",
        "status": "A",
        "authorized_official_last_name": "BISNICHUK",
        "authorized_official_first_name": "LARISA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-638-5997",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP3414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 2, 2017; 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.