Individual provider Active NPI

Debra E Stamp, NP-C

  • Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1619001492
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN032304 Issued in AZ
Practice address
15921 W Ajo Way
Tucson, AZ 85735
Phone
(520) 625-3691
Fax
(520) 625-2335
NPI assigned
Mar 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN032304 AZ Primary

Addresses

Primary practice location

15921 W Ajo Way
Tucson, AZ 85735

Mailing address

81 W Esperanza Blvd
Ste 201
Green Valley, AZ 85614-2667
Phone (520) 625-4401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN032304AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Community Health Center-Maria Auxiliadora, Inc. Past Accepting new patients
Catalina Hospice PLLC PastSince Sep 20, 2020 Accepting new patients
United Community Health Center - Maria Auxiliadora, Inc. Past Accepting new patients
Agape Hospice & Palliative Care, LLC PastSince Apr 15, 2015 Accepting new patients

Organizations & group practices 4

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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231718400000",
    "number": "1619001492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 W ESPERANZA BLVD",
            "address_2": "STE 201",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856142667",
            "telephone_number": "520-625-4401",
            "fax_number": "520-625-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15921 W AJO WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85735",
            "telephone_number": "520-625-3691",
            "fax_number": "520-625-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMP",
        "first_name": "DEBRA",
        "middle_name": "E",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2009-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "RN032304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.