NPIMap

Organization Active NPI

DHHS-PHS, IHS Tucson Area, IHS Tucson San Xavier Clinic

  • Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1649233685
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
DHHS-PHS, IHS TUCSON AREA, IHS TUCSON SAN XAVIER CLINIC
Practice address
7900 S J Stock Rd
Tucson, AZ 85746-7012
Phone
(520) 295-2427
Fax
(520) 295-2611
NPI assigned
Apr 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Kurt Priessman, B.A., M.B.A., C.P.M.
Title
Accounting and Budget Officer
Phone
(520) 295-2427

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Pediatric Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0200X
School Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LS0200X
Women's Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LW0102X
Community Health/Public Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SC1501X

Addresses

Primary practice location

7900 S J Stock Rd
Tucson, AZ 85746-7012

Mailing address

7900 S J Stock Rd
Tucson, AZ 85746-7012
Phone (520) 295-2427

Other identifiers 4

IdentifierTypeStateIssuer
AZ0209620OtherAZBC/BSAZ PROV NO
706921-01MedicaidAZ
1437157302OtherAZFACILITY NPI #
147133-03MedicaidAZ

Other names 1

  • SAN XAVIER CLINIC PAAPNP Other name

National Provider Directory

National Provider Directory
Tax ID family
DHHS-PHS IHS Tucson Area IHS Tucson San Xavier Clinic12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1649233685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 S J STOCK RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857467012",
            "telephone_number": "520-295-2427",
            "fax_number": "520-295-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 S J STOCK RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857467012",
            "telephone_number": "520-295-2427",
            "fax_number": "520-295-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DHHS-PHS, IHS TUCSON AREA, IHS TUCSON SAN XAVIER CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "PRIESSMAN",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "ACCOUNTING AND BUDGET OFFICER",
        "authorized_official_telephone_number": "520-295-2427",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.A., M.B.A., C.P.M."
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SC1501X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Community Health/Public Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BSAZ PROV NO",
            "identifier": "AZ0209620",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "706921-01",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY NPI #",
            "identifier": "1437157302",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147133-03",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAN XAVIER CLINIC PAAPNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.