Individual provider Active NPI

Mary K Abrahamson, DNP, NP-C, ACHPN

  • Adult Health Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1487626834
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP1676 Issued in AZ
Practice address
310 S Williams Blvd Ste 210
Tucson, AZ 85711-4483
Phone
(520) 284-9334
NPI assigned
Feb 1, 2006
Last updated
Sep 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP1676 AZ Primary

Addresses

Primary practice location

310 S Williams Blvd Ste 210
Tucson, AZ 85711-4483

Mailing address

7400 N Oracle Rd Ste 150406
Tucson, AZ 85704-6331
Phone (520) 334-9394

Other identifiers 1

IdentifierTypeStateIssuer
110323MedicaidAZ

Other names 1

  • Mary Hook Former name

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
I20060801000109 AZ Practitioner - Nurse Practitioner 4082627419 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP1676AZMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Harmony Hospice of Tucson CurrentSince Feb 16, 2023 Accepting new patients
Arizona State Radiology, PC Past Accepting new patients
Banner Pharmacy Services LLC Past Accepting new patients
Arizona Hematology Oncology PC Past Accepting new patients
Park Nicollet Clinic Past Accepting new patients

Locations

1200 N El Dorado Pl
Ste B200
Tucson, AZ 85715
Phone (520) 284-9334

310 S Williams Blvd
Ste 210
Tucson, AZ 85711
Phone (520) 284-9334

Interoperability endpoints

  • Direct secure messaging: mary.abrahamson.1@31833.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1487626834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 N ORACLE RD STE 150406",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857046331",
            "telephone_number": "520-334-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S WILLIAMS BLVD STE 210",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857114483",
            "telephone_number": "520-284-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAMSON",
        "first_name": "MARY",
        "middle_name": "K",
        "credential": "DNP, NP-C, ACHPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "AP1676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110323",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "HOOK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.