Individual provider Active NPI

Denise Dalton-Love

  • Psychiatric/Mental Health Nurse Practitioner
  • Patagonia, AZ
National Provider Identifier
1487418034
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
279410 Issued in AZ
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

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250401001573 AZ Practitioner - Nurse Practitioner 6800319757 Reassigns benefits to 1 organization

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
Desert Sage Behavioral Health PLCGroup PAC ID 6406145333, 7 clinicians

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

LicenseStateTypeSpecialty
279410AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Sage Behavioral Health, PLC CurrentSince Apr 1, 2025 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.

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

Verify at the official NPI Registry.