Active NPI
Stephanie Taylor Previc, FNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Tucson, AZ
National Provider Identifier
1447876602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 242881
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 079886 | Medicaid | AZ |
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrise Mental Health LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Mariposa Community Health Center, Inc | Past | Accepting new patients |
Locations
2195 E River Rd
Ste 105
Tucson, AZ 85718
Phone (520) 524-6565
Interoperability endpoints
- 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Tucson, AZ
- NPI 1568161800
-
- Federally Qualified Health Center (FQHC)
- Rio Rico, AZ
- NPI 1013213404
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.