Individual provider Active NPI

Li-Ting Sudano, FNP

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1639524804
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP8650 Issued in AZ
Practice address
7520 N Oracle Rd
Suite 100
Tucson, AZ 85704-4448
Phone
(520) 408-1133
Fax
(520) 408-2233
NPI assigned
Apr 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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 AP8650 AZ Primary

Addresses

Primary practice location

7520 N Oracle Rd
Suite 100
Tucson, AZ 85704-4448

Mailing address

7520 N Oracle Rd
Suite 100
Tucson, AZ 85704-4448
Phone (520) 408-1133

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
I20160624001409 AZ Practitioner - Nurse Practitioner 4486945227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7520 N Oracle Rd
Suite 100
Tucson, AZ 85704-4452
Phone (520) 408-1133

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP8650AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Catalina Pointe Arthritis & Rheumatology Specialists, PC CurrentSince Jul 1, 2016 Accepting new patients

Locations

7520 N Oracle Rd
Ste 100
Tucson, AZ 85704
Phone (520) 408-1133

5501 N Oracle Rd
Ste 161
Tucson, AZ 85704
Phone (520) 408-1133

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DCGAAA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1639524804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7520 N ORACLE RD",
            "address_2": "SUITE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857044448",
            "telephone_number": "520-408-1133",
            "fax_number": "520-408-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 N ORACLE RD",
            "address_2": "SUITE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857044448",
            "telephone_number": "520-408-1133",
            "fax_number": "520-408-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDANO",
        "first_name": "LI-TING",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-25",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.