Individual provider Active NPI

Jonathan Harris, FNP

  • Acute Care Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1407381189
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP10081 Issued in AZ
Practice address
4729 E Camp Lowell Dr
Tucson, AZ 85712-1256
Phone
(520) 838-3540
Fax
(520) 325-3526
NPI assigned
May 1, 2017
Last updated
Apr 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP10081 AZ Primary
Family Nurse Practitioner 363LF0000X AP10081 AZ

Addresses

Primary practice location

4729 E Camp Lowell Dr
Tucson, AZ 85712-1256

Mailing address

3709 N Campbell Ave
Ste 201
Tucson, AZ 85719-1563
Phone (520) 622-1912

Other practice location 1

395 N Silverbell Rd Ste 355
Tucson, AZ 85745-2981
Phone (520) 622-5912

Other identifiers 1

IdentifierTypeStateIssuer
310981MedicaidAZ

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
I20170825001772 AZ Practitioner - Nurse Practitioner 8527330596 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pima Heart Physicians PCGroup PAC ID 6507751294, 65 clinicians
TMC Medical NetworkGroup PAC ID 9638457013, 276 clinicians

Practice addresses (Care Compare)

4729 E Camp Lowell Dr
Tucson, AZ 85712-1256
Phone (520) 838-3540

5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (520) 324-4230

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP10081AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pima Heart Physicians, PC CurrentSince Mar 1, 2021 Accepting new patients
Pima Heart Physicians, PC Current Accepting new patients
TMC Medical Network CurrentSince Jan 22, 2018 Accepting new patients
Pima Heart Physicians, PC CurrentSince Mar 1, 2021 Accepting new patients

Locations

480 N Morley Ave
Nogales, AZ 85621
Phone (520) 287-2726

1100 N El Dorado Pl
Tucson, AZ 85715
Phone (520) 296-7169

2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010

2404 E River Rd
Ste 100
Tucson, AZ 85718
Phone (520) 585-5796

3709 N Campbell Ave
Ste 201
Tucson, AZ 85719

4729 E Camp Lowell Dr
Tucson, AZ 85712

5140 E Glenn St
Tucson, AZ 85712
Phone (520) 326-4811

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

341 Cool Springs Blvd
Ste 305
Franklin, TN 37067
Phone (972) 391-1915

Interoperability endpoints

  • Direct secure messaging: jonathan.harris@ushv.eclinicaldirectplus.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1407381189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 N CAMPBELL AVE",
            "address_2": "STE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857191563",
            "telephone_number": "520-622-1912",
            "fax_number": "520-791-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4729 E CAMP LOWELL DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121256",
            "telephone_number": "520-838-3540",
            "fax_number": "520-325-3526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "395 N Silverbell Rd Ste 355",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857452981",
            "country_code": "US",
            "telephone_number": "520-622-5912",
            "fax_number": "520-791-2246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JONATHAN",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-01",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "AP10081",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10081",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310981",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.