Carol Avila, ACNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

AP8318 Issued in AZ

Practice address

400 W Camino Casa Verde Ste 100
Green Valley, AZ 85614-3569

Phone

(520) 625-1760

Fax

(520) 648-9496

NPI assigned

Dec 3, 2015

Last updated

May 10, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

TMC Medical NetworkGroup PAC ID 9638457013, 276 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tucson Medical Center Hospital, Tucson, AZ, CCN 030006

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• TMC Medical Network

  • Multi-Specialty Clinic/Center
  • Tucson, AZ
  • NPI 1750832283
  Medicare reassignment Care Compare group NPD
• Brian S Page DO LLC

  • Pain Medicine Physician
  • Glendale, AZ
  • NPI 1821282666
  Medicare reassignment NPD
• Ies Arizona PLLC

  • Emergency Medicine Physician
  • Tucson, AZ
  • NPI 1821752213
  Medicare reassignment NPD
• Ies Obs Arizona PLLC

  • Emergency Medicine Physician
  • Tucson, AZ
  • NPI 1356006670
  Medicare reassignment NPD
• Northwest HBP Medical Services LLC

  • Emergency Medicine Physician
  • Tucson, AZ
  • NPI 1407353006
  Medicare reassignment NPD
• American Physicians, Inc.

  • Hospitalist Physician
  • Phoenix, AZ
  • NPI 1609869908
  NPD
• Brian S Page DO LLC

  • Durable Medical Equipment & Medical Supplies
  • Mesa, AZ
  • NPI 1205645447
  NPD
• American Physicians, Inc

  • Hospitalist Physician
  • Dover Foxcroft, ME
  • NPI 1881090934
  NPD
• App of Southern Arizona HM LLC

  • Hospitalist Physician
  • Brentwood, TN
  • NPI 1518542679
  NPD

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

• Tucson Medical Center

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1174512792
  Care Compare affiliation

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1629443502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W CAMINO CASA VERDE STE 100",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856143569",
            "telephone_number": "520-625-1760",
            "fax_number": "520-648-9496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W CAMINO CASA VERDE STE 100",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856143569",
            "telephone_number": "520-625-1760",
            "fax_number": "520-648-9496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILA",
        "first_name": "CAROL",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-03",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "AP8318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arizona Medicos Inc
• Arlo B Brakel MD LLC
• Aspire Hope Counseling PLLC
• Athlon Physical Therapy, LLC (Movement For Life Physical Therapy)
• Elizabeth Mable Augustine, DPT
• Katelyn Ayer, MA SLP CCC
• Cynthia Babcock Sullivan
• Lutissua D Ballard, PSYD
• Elisa Ycoco Ballesteros, BS SLP
• Banner - University Medical Center Tucson Campus LLC

• Acute Care Nurse Practitioner in Green Valley, AZ
• Providers in Green Valley, AZ by specialty
• Acute Care Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; 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.

Verify at the official NPI Registry.