Individual provider Active NPI

Isabella Waszkiewicz

  • Psychiatric/Mental Health Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1467084855
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
237364 Issued in AZ
Practice address
8525 N Mulberry PL
Tucson, AZ 85704-3335
Phone
(520) 270-4403
NPI assigned
Feb 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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 237364 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 237364 AZ Primary

Addresses

Primary practice location

8525 N Mulberry PL
Tucson, AZ 85704-3335

Mailing address

8525 N Mulberry PL
Tucson, AZ 85704-3335
Phone (520) 270-4403

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
I20240516002538 AZ Practitioner - Nurse Practitioner 2961843271 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pusch Ridge Behavioral Health LLCGroup PAC ID 7416310438, 9 clinicians

Practice addresses (Care Compare)

6700 N Oracle Rd
Suite 505
Tucson, AZ 85704-7736
Phone (520) 330-2334

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
237364AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pusch Ridge Behavioral Health LLC Psychiatric/Mental Health CurrentSince May 2, 2024 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Aug 13, 2024 Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

6700 N Oracle Rd
Ste 505
Tucson, AZ 85704
Phone (520) 330-2334

7384 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 441-9914

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

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": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1467084855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8525 N MULBERRY PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857043335",
            "telephone_number": "520-270-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8525 N MULBERRY PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857043335",
            "telephone_number": "520-270-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASZKIEWICZ",
        "first_name": "ISABELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-04",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "237364",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "237364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.