Individual provider Active NPI

Kristin W Lorenz, DO

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1598723249
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2769 Issued in AZ
Practice address
4532 E Camp Lowell Dr
Tucson, AZ 85712-1282
Phone
(520) 547-1887
Fax
(520) 547-1893
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2769 AZ Primary

Addresses

Primary practice location

4532 E Camp Lowell Dr
Tucson, AZ 85712-1282

Mailing address

5055 E Broadway Blvd
Ste a-100
Tucson, AZ 85711-3640
Phone (520) 327-0460

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100121000728 AZ Practitioner - Family Practice 9436291945 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Community Physicians PC Family Medicine CurrentSince Oct 21, 1997 Accepting new patients
Arizona Community Physician PC CurrentSince Oct 21, 1997 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

4530 E Camp Lowell Dr
Tucson, AZ 85712
Phone (520) 320-1200

5265 E Knight Dr
Tucson, AZ 85712
Phone (520) 327-5911

6565 E Carondelet Dr
Ste 215
Tucson, AZ 85710
Phone (520) 547-1887

4532 E Camp Lowell Dr
Tucson, AZ 85712
Phone (520) 323-3130

5055 E Broadway Blvd
Ste A100
Tucson, AZ 85711
Phone (520) 327-0460

2055 W Hospital Dr
Tucson, AZ 85704
Phone (520) 547-5725

Organizations & group practices 3

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1598723249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5055 E BROADWAY BLVD",
            "address_2": "STE A-100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113640",
            "telephone_number": "520-327-0460",
            "fax_number": "520-795-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4532 E CAMP LOWELL DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121282",
            "telephone_number": "520-547-1887",
            "fax_number": "520-547-1893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENZ",
        "first_name": "KRISTIN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "2769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.