Active NPI
Cameron Nolan
- Pediatrics Physician
- Tucson, AZ
National Provider Identifier
1609517564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 76522
- Practice address
- 101 W Irvington Rd
Tucson, AZ 85714-3050 - Phone
- (520) 670-3909
- NPI assigned
- Apr 5, 2022
- Last updated
- Mar 2, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 76522 | AZ | Primary |
Addresses
Primary practice location
101 W Irvington Rd
Tucson, AZ 85714-3050
Mailing address
839 W Congress St
Tucson, AZ 85745-2819
Phone (520) 670-3909
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- University of South Carolina School of Medicine, Greenville, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
839 W Congress St
Tucson, AZ 85745-2819
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76522 | AZ | MD | Pediatrics Physician |
Interoperability endpoints
- cnolan410112@directhisp.wakemed.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba El Rio Community Health Center
- Federally Qualified Health Center (FQHC)
- Tucson, AZ
- NPI 1487602736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772409600000",
"number": "1609517564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "839 W CONGRESS ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857452819",
"telephone_number": "520-670-3909",
"fax_number": "520-309-2560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W IRVINGTON RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857143050",
"telephone_number": "520-670-3909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLAN",
"first_name": "CAMERON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-05",
"last_updated": "2026-03-02",
"certification_date": "2026-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "76522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.