Individual provider Active NPI

Deidre E Schodroski, FNP

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1417345547
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP7527 Issued in AZ
Practice address
5155 E Farness Dr Ste 111a
Tucson, AZ 85712-2158
Phone
(520) 298-3300
Fax
(520) 800-1055
NPI assigned
Dec 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP7527 AZ Primary
Registered Nurse First Assistant 163WR0006X RN147594 AZ

Addresses

Primary practice location

5155 E Farness Dr Ste 111a
Tucson, AZ 85712-2158

Mailing address

5155 E Farness Dr Ste 111a
Tucson, AZ 85712-2158
Phone (520) 298-3300

Other practice location 1

1712 W Anklam Rd Ste 101
Tucson, AZ 85745-2660
Phone (520) 298-3300

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
I20150303002496 AZ Practitioner - Nurse Practitioner 7315263688 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pound of Cure LLCGroup PAC ID 0840739041, 3 clinicians

Practice addresses (Care Compare)

5155 E Farness Dr
Suite 111a
Tucson, AZ 85712-2158
Phone (520) 298-3300

Hospital & facility affiliations

  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN147594AZMDRegistered Nurse First Assistant
AP7527AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Weight Loss Surgery Family CurrentSince Jun 28, 2023 Accepting new patients
Pound of Cure LLC Family CurrentSince Jul 6, 2024 Accepting new patients
CH Specialty Services Az LLC Internal Medicine Past Accepting new patients
Valley ENT, PC Past Accepting new patients

Locations

1712 W Anklam Rd
Ste 101
Tucson, AZ 85745
Phone (520) 207-2384

5155 E Farness Dr
Ste 111A
Tucson, AZ 85712
Phone (520) 298-3300

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.

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": "1419292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1417345547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5155 E FARNESS DR STE 111A",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122158",
            "telephone_number": "520-298-3300",
            "fax_number": "520-800-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5155 E FARNESS DR STE 111A",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122158",
            "telephone_number": "520-298-3300",
            "fax_number": "520-800-1055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1712 W Anklam Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857452660",
            "country_code": "US",
            "telephone_number": "520-298-3300",
            "fax_number": "520-800-1055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHODROSKI",
        "first_name": "DEIDRE",
        "middle_name": "E",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-23",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP7527",
            "primary": true
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "AZ",
            "license": "RN147594",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.