Individual provider Active NPI

Patricia Lee Ciardulli, NP

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1639846272
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
262021 Issued in AZ
Practice address
8165 N Wade Rd
Tucson, AZ 85743-9582
Phone
(520) 887-1010
Fax
(520) 527-1250
NPI assigned
Aug 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 262021 AZ Primary

Addresses

Primary practice location

8165 N Wade Rd
Tucson, AZ 85743-9582

Mailing address

13535 N Marana Main St
Marana, AZ 85653-0990
Phone (520) 887-1010

Other identifiers 1

IdentifierTypeStateIssuer
097662MedicaidAZ

Other names 1

  • Trish Lee Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address patricia.lee@547224485363716.direct.elationemr.com Direct

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
I20210921002815 AZ Practitioner - Nurse Practitioner 0840697637 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Urgent Care CurrentSince Aug 4, 2024 Accepting new patients
TMC Urgent Care Single Specialty CurrentSince Nov 15, 2021 Accepting new patients
Northwest Fire District PastSince Mar 1, 2023 Accepting new patients

Locations

2424 N Wyatt Dr
Ste 140
Tucson, AZ 85712
Phone (520) 324-4690

10350 E Drexel Rd
Unit 170
Tucson, AZ 85747
Phone (520) 324-8070

Interoperability endpoints

  • Direct secure messaging: patricia.lee@547224485363716.direct.elationemr.com

Organizations & group practices 3

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": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1639846272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13535 N MARANA MAIN ST",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856530990",
            "telephone_number": "520-887-1010",
            "fax_number": "520-433-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8165 N WADE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857439582",
            "telephone_number": "520-887-1010",
            "fax_number": "520-527-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIARDULLI",
        "first_name": "PATRICIA",
        "middle_name": "LEE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "262021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097662",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "patricia.lee@547224485363716.direct.elationemr.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8165 N Wade Rd",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857439582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TRISH",
            "last_name": "LEE",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.