John R Carruthers

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LAC1300 Issued in AZ

Practice address

1701 W Saint Marys Rd
Ste 160
Tucson, AZ 85745-2621

Phone

(520) 628-8287

Fax

(520) 628-8749

NPI assigned

Jun 3, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243987200000",
    "number": "1477789550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 W CONGRESS ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452819",
            "telephone_number": "520-792-9890",
            "fax_number": "520-884-9287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W SAINT MARYS RD",
            "address_2": "STE 160",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452621",
            "telephone_number": "520-628-8287",
            "fax_number": "520-628-8749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRUTHERS",
        "first_name": "JOHN",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-03",
        "last_updated": "2009-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LAC1300",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC11859",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Carroll, P.T, C.H.T
• Travis Allen Carroll
• Harry Carrozza, MD
• Trevor Matthew Carrozza, MSW
• Loren S Carruth, MOT
• Sheri Michele Carson-Beauto, CPNP-PC
• Alison Brooke Carson, MS, CCC-SLP
• Joan Carson, M.A. CCC-SLP
• John Robert Carson, D.D.S.
• Judith Joan Carson, R.N.

• Counselor in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; 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.