Individual provider Active NPI

Irene R Kitzman, MD

  • Psychiatry Physician
  • Tucson, AZ
National Provider Identifier
1396874368
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
41879 Issued in AZ
Practice address
801 E Camino de Fray Marcos
Tucson, AZ 85718-1913
Phone
(520) 203-8500
Fax
(631) 628-1116
NPI assigned
Mar 5, 2007
Last updated
Jul 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 41879 AZ Primary

Addresses

Primary practice location

801 E Camino de Fray Marcos
Tucson, AZ 85718-1913

Mailing address

801 E Camino de Fray Marcos
Tucson, AZ 85718-1913
Phone (520) 203-8500

Other practice location 1

2230 E Speedway Blvd
Suite 100
Tucson, AZ 85719-4761
Phone (520) 203-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1396874368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E CAMINO DE FRAY MARCOS",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857181913",
            "telephone_number": "520-203-8500",
            "fax_number": "631-628-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E CAMINO DE FRAY MARCOS",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857181913",
            "telephone_number": "520-203-8500",
            "fax_number": "631-628-1116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2230 E Speedway Blvd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857194761",
            "country_code": "US",
            "telephone_number": "520-203-8500",
            "fax_number": "631-628-1116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KITZMAN",
        "first_name": "IRENE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "41879",
            "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 Jul 19, 2019; 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.