Active NPI
Denise Dalton-Love
- Psychiatric/Mental Health Nurse Practitioner
- Patagonia, AZ
National Provider Identifier
1487418034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 279410
- Practice address
- 124 Wood Canyon Rd
Patagonia, AZ 85624-6103 - Phone
- (317) 840-1698
- NPI assigned
- Feb 13, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 279410 | AZ | Primary |
Addresses
Primary practice location
124 Wood Canyon Rd
Patagonia, AZ 85624-6103
Mailing address
124 Wood Canyon Rd
Patagonia, AZ 85624-6103
Phone (317) 840-1698
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
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3395 N Campbell Ave
Tucson, AZ 85719-2306
Phone (520) 771-6782
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 279410 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Sage Behavioral Health, PLC | Current | Accepting new patients |
Locations
3395 N Campbell Ave
Tucson, AZ 85719
Phone (520) 327-9677
3375 N Campbell Ave
Tucson, AZ 85719
Phone (520) 624-8935
Organizations & group practices 1
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 Registered Nurse
- Tucson, AZ
- NPI 1750736724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707782400000",
"number": "1487418034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 WOOD CANYON RD",
"city": "PATAGONIA",
"state": "AZ",
"postal_code": "856246103",
"telephone_number": "317-840-1698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 WOOD CANYON RD",
"city": "PATAGONIA",
"state": "AZ",
"postal_code": "856246103",
"telephone_number": "317-840-1698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALTON-LOVE",
"first_name": "DENISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-13",
"last_updated": "2024-02-13",
"certification_date": "2024-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "279410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Patagonia, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.