Tisa Lynn Lopez, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

260967 Issued in AZ

Practice address

4729 E Camp Lowell Dr
Tucson, AZ 85712-1256

Phone

(520) 838-3540

NPI assigned

Sep 7, 2021

Last updated

Sep 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carelon Medical Partners of Arizona PCGroup PAC ID 6406010552, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tisa.lopez.1@32527.direct.athenahealth.com
• Direct secure messaging: tisa.lopez.p1@direct.caremorewest.nextgenshare.com
• Direct secure messaging: tisa.lopez.p4@direct.caremorewest.nextgenshare.com

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.

• Carelon Medical Partners of Arizona, P.C.

  • Family Medicine Physician
  • Tucson, AZ
  • NPI 1972879773
  Medicare reassignment Care Compare group NPD
• West Coast Wound and Skin Care Inc

  • Surgery Physician
  • Burbank, CA
  • NPI 1437675980

  AZ, Family Medicine

  Medicare reassignment NPD
• Carelon Medical Partners of Arizona, P.C.

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1730697483

  Family Medicine

  NPD
• Carondelet Medical Group, Inc

  • Family Medicine Physician
  • Tucson, AZ
  • NPI 1659326585
  NPD (past)
• Pima Heart Physicians, PC

  dba Pima Heart & Vascular

  • Cardiovascular Disease Physician
  • Sierra Vista, AZ
  • NPI 1003081803
  NPD (past)

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1447928270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 N CAMPBELL AVE STE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857191563",
            "telephone_number": "520-838-3540",
            "fax_number": "520-325-3526"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "TISA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "260967",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "RN172023",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Tucson",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4729 E Camp Lowell Dr",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857121256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephanie Rose Lopez, PHARMD, RPH
• Stephany Terese Lopez
• Tammy Mae Lopez
• Tawny Lopez, RN
• Taylor Lopez
• Vanessa Lopez
• Vianey M Lopez
• Bettina Lopezcardenas, FNP
• Angela Lopresti, LCSW
• Jennifer Anne Lopshire

• Family Nurse Practitioner in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.

Verify at the official NPI Registry.