Individual provider Active NPI

Stephanie Taylor Previc, FNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1447876602
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
242881 Issued in AZ
Practice address
2195 E River Rd Ste 105
Tucson, AZ 85718-6586
Phone
(520) 524-6565
Fax
(520) 495-3477
NPI assigned
Jun 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 242881 AZ Primary

Addresses

Primary practice location

2195 E River Rd Ste 105
Tucson, AZ 85718-6586

Mailing address

825 N Grand Ave Ste 100
Nogales, AZ 85621-1061
Phone (520) 761-2128

Other practice location 1

1103 Circulo Mercado
Rio Rico, AZ 85648-6248
Phone (520) 281-1550 ext. 1180

Other identifiers 1

IdentifierTypeStateIssuer
079886MedicaidAZ

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
I20200914002847 AZ Practitioner - Nurse Practitioner 8022436245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Colorado School of Medicine, Denver, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sunrise Mental Health LLCGroup PAC ID 5193174746, 9 clinicians

Practice addresses (Care Compare)

2195 E River Rd
Suite 105
Tucson, AZ 85718-6586
Phone (520) 524-6565

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Mental Health LLC Psychiatric/Mental Health CurrentSince Sep 8, 2025 Accepting new patients
Mariposa Community Health Center, Inc PastSince Sep 1, 2021 Accepting new patients

Locations

2195 E River Rd
Ste 105
Tucson, AZ 85718
Phone (520) 524-6565

Interoperability endpoints

  • Direct secure messaging: sprevic627557@direct.ochin.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1447876602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 N GRAND AVE STE 100",
            "city": "NOGALES",
            "state": "AZ",
            "postal_code": "856211061",
            "telephone_number": "520-761-2128",
            "fax_number": "520-281-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 E RIVER RD STE 105",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857186586",
            "telephone_number": "520-524-6565",
            "fax_number": "520-495-3477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1103 Circulo Mercado",
            "address_purpose": "LOCATION",
            "city": "Rio Rico",
            "state": "AZ",
            "postal_code": "856486248",
            "country_code": "US",
            "telephone_number": "520-281-1550 x1180",
            "fax_number": "520-281-1112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PREVIC",
        "first_name": "STEPHANIE",
        "middle_name": "TAYLOR",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "242881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079886",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.