Individual provider Active NPI

Catherine M Gioannetti, MD

  • Pediatrics Physician
  • Tucson, AZ
National Provider Identifier
1396703013
Registry record updated May 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
24498 Issued in AZ
Practice address
7340 E Speedway Blvd
Clara Vista Pediatrics Ste 104
Tucson, AZ 85710-1352
Phone
(520) 547-7045
Fax
(520) 547-7060
NPI assigned
May 2, 2006
Last updated
May 8, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 24498 AZ Primary

Addresses

Primary practice location

7340 E Speedway Blvd
Clara Vista Pediatrics Ste 104
Tucson, AZ 85710-1352

Mailing address

5055 E Broadway Blvd
Suite a-100
Tucson, AZ 85711-3640
Phone (520) 327-0460

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100407000475 AZ Practitioner - Pediatric MedicinePractitioner - Podiatry 9133255789 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Community Physicians PC Pediatrics CurrentSince Dec 14, 2015 Accepting new patients
Arizona Community Physician PC CurrentSince Dec 14, 2015 Accepting new patients
Mesquite Pediatrics, PC Pediatrics Past Accepting new patients

Locations

1500 N Wilmot Rd
Ste B250
Tucson, AZ 85712
Phone (520) 324-7840

2055 W Hospital Dr
Tucson, AZ 85704
Phone (520) 547-5725

5055 E Broadway Blvd
Ste A100
Tucson, AZ 85711
Phone (520) 327-0460

5700 E Pima St
Ste B
Tucson, AZ 85712

7340 E Speedway Blvd
Ste 104
Tucson, AZ 85710
Phone (520) 547-7045

Organizations & group practices 3

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241740800000",
    "number": "1396703013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5055 E BROADWAY BLVD",
            "address_2": "SUITE A-100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113640",
            "telephone_number": "520-327-0460",
            "fax_number": "520-795-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7340 E SPEEDWAY BLVD",
            "address_2": "CLARA VISTA PEDIATRICS STE 104",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101352",
            "telephone_number": "520-547-7045",
            "fax_number": "520-547-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIOANNETTI",
        "first_name": "CATHERINE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2009-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "24498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.