Individual provider Active NPI

Sein Gwon, APNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1568992519
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP10164 Issued in AZ
Practice address
2695 N Craycroft Rd
Tucson, AZ 85712-2243
Phone
(520) 322-2888
NPI assigned
Jun 13, 2017
Last updated
Jul 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X AP10164 AZ Primary

Addresses

Primary practice location

2695 N Craycroft Rd
Tucson, AZ 85712-2243

Mailing address

2715 N 3Rd St
Phoenix, AZ 85004-1106
Phone (602) 264-4331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170707001947 AZ Practitioner - Nurse Practitioner 4284903113 Reassigns benefits to 3 organizations
I20260223002100 PA Practitioner - Nurse Practitioner 4284903113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Connectionsaz LLCGroup PAC ID 3072858745, 39 clinicians

Practice addresses (Care Compare)

1201 S 7TH Ave
Suite 150
Phoenix, AZ 85007-4075
Phone (602) 253-5100

1424 S 7TH Ave
BLDG C
Phoenix, AZ 85007-3902
Phone (602) 258-3600

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Behavioral Health Services, Inc. CurrentSince Jun 1, 2024 Accepting new patients
Connectionsaz, LLC Single Specialty CurrentSince May 5, 2024 Accepting new patients
Southwest Behavioral Health Services Inc Single Specialty CurrentSince Jun 1, 2024 Accepting new patients
Lifewell Behavioral Wellness Single Specialty CurrentSince May 24, 2021 Accepting new patients
Connectionspa LLC Single Specialty CurrentSince Jan 21, 2026 Accepting new patients
Connectionsaz, LLC CurrentSince May 5, 2024 Accepting new patients
Aimsmedaz LLC Single Specialty PastSince Aug 2, 2020 Accepting new patients

Locations

6915 E Main St
Ste 200
Mesa, AZ 85207

404 W Aero Dr
Payson, AZ 85541
Phone (928) 238-3024

1201 S 7th Ave
Ste 150
Phoenix, AZ 85007
Phone (602) 253-5100

1201 S 7th Ave
Ste 150A
Phoenix, AZ 85007

1205 S 7th Ave
Ste 105
Phoenix, AZ 85007
Phone (602) 416-7647

1424 S 7th Ave
Bldg C
Phoenix, AZ 85007
Phone (602) 258-3600

202 E Earll Dr
Ste 200
Phoenix, AZ 85012
Phone (602) 599-5404

2042 N 35th Ave
Phoenix, AZ 85009
Phone (602) 233-0115

2715 N 3rd St
Phoenix, AZ 85004
Phone (602) 264-4331

3450 N 3rd St
Phoenix, AZ 85012
Phone (602) 257-9339

3540 E Baseline Rd
Ste 150
Phoenix, AZ 85042
Phone (480) 739-5784

7600 E Florentine Rd
Ste 101
Prescott Valley, AZ 86314
Phone (928) 775-7088

7600 E Florentine Rd
Ste 201
Prescott Valley, AZ 86314
Phone (928) 775-7088

1100 S Cameron St
Ste 2
Harrisburg, PA 17104
Phone (717) 408-1353

Interoperability endpoints

  • Direct secure messaging: sein.gwon.p1@direct.lifewell.nextgenshare.com
  • Direct secure messaging: sein.gwon@mmconnections.contexture.medalliesmail.com

Organizations & group practices 7

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": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1568992519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 N 3RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041106",
            "telephone_number": "602-264-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2695 N CRAYCROFT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122243",
            "telephone_number": "520-322-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWON",
        "first_name": "SEIN",
        "credential": "APNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP10164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.