Individual provider Active NPI

Deborah Marie Winn

  • Contractor
  • Tucson, AZ
National Provider Identifier
1427672799
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
3005326 Issued in AZ
Practice address
2960 N Swan Rd Ste 214
Tucson, AZ 85712-6020
Phone
(520) 235-1645
Fax
(520) 849-7595
NPI assigned
Jun 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 3005326 AZ Primary

Addresses

Primary practice location

2960 N Swan Rd Ste 214
Tucson, AZ 85712-6020

Mailing address

PO Box 64237
Tucson, AZ 85728-4237
Phone (520) 235-1645

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL Tucson Direct
CONNECT URL Tucson Direct
CONNECT URL Tucson Direct

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3005326AZMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1427672799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64237",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857284237",
            "telephone_number": "520-235-1645",
            "fax_number": "520-849-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 N SWAN RD STE 214",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857126020",
            "telephone_number": "520-235-1645",
            "fax_number": "520-849-7595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINN",
        "first_name": "DEBORAH",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-03",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "AZ",
            "license": "3005326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Tucson",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2960 N Swan Rd Ste 214",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857126020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Tucson",
            "affiliation": "N",
            "endpointDescription": "CLSW Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2960 N Swan Rd Ste 214",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857126020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Tucson",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2960 N Swan Rd Ste 214",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857126020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jun 3, 2020; 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.