Individual provider Active NPI

Laura Moncada, FNP-C, ABAAHP

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1609254317
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP7797 Issued in AZ
Practice address
7290 E Broadway Blvd Ste 178
Tucson, AZ 85710-0412
Phone
(520) 207-3913
Fax
(520) 207-5451
NPI assigned
May 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP7797 AZ Primary

Addresses

Primary practice location

7290 E Broadway Blvd Ste 178
Tucson, AZ 85710-0412

Mailing address

7290 E Broadway Blvd Ste 178
Tucson, AZ 85710-0412
Phone (520) 207-3913

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
I20150623002777 AZ Practitioner - Nurse Practitioner 3779894357 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7290 E Broadway Blvd
Suite 178
Tucson, AZ 85710-0412
Phone (520) 207-3913

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wilmot Primary Care Group, PLLC CurrentSince May 25, 2015 Accepting new patients
Copper Valley Primary Care Family CurrentSince Feb 6, 2018 Accepting new patients

Locations

7290 E Broadway Blvd
Ste 178
Tucson, AZ 85710
Phone (520) 207-3913

7290 E Broadway Blvd
Ste 124
Tucson, AZ 85710
Phone (520) 306-7717

603 N Wilmot Rd
#201
Tucson, AZ 85711
Phone (520) 790-1556

603 N Wilmot Rd
Ste 201
Tucson, AZ 85711
Phone (520) 729-1311

Interoperability endpoints

  • Direct secure messaging: laura.moncada.1@20633.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20633/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1609254317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7290 E BROADWAY BLVD STE 178",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857100412",
            "telephone_number": "520-207-3913",
            "fax_number": "520-207-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7290 E BROADWAY BLVD STE 178",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857100412",
            "telephone_number": "520-207-3913",
            "fax_number": "520-207-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONCADA",
        "first_name": "LAURA",
        "credential": "FNP-C, ABAAHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-13",
        "last_updated": "2022-07-11",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP7797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.