Jennifer Mabry

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

238242 Issued in AZ

Practice address

70 N Harrison Rd
Tucson, AZ 85748-3260

Phone

(520) 324-4403

Fax

(520) 324-1409

NPI assigned

Feb 13, 2020

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

Other identifiers 1

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, 2019

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 and National Provider Directory roles.

• TMC Medical Network

  • Multi-Specialty Clinic/Center
  • Tucson, AZ
  • NPI 1750832283
  Medicare reassignment Care Compare group NPD
• TMC Urgent Care

  • Urgent Care Clinic/Center
  • Tucson, AZ
  • NPI 1649759606
  Medicare reassignment NPD
• TMC Urgent Care

  • Urgent Care Clinic/Center
  • Tucson, AZ
  • NPI 1669202909
  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": "1581552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1649803081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31235",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857511235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 N HARRISON RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857483260",
            "telephone_number": "520-324-4403",
            "fax_number": "520-324-1409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9356 E Rita Rd Ste 180",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857476318",
            "country_code": "US",
            "telephone_number": "520-324-4499",
            "fax_number": "520-324-4492",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10350 E Drexel Rd Unit 110",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857479409",
            "country_code": "US",
            "telephone_number": "520-324-1727",
            "fax_number": "520-324-1700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10350 E Drexel Rd Unit 170",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857479411",
            "country_code": "US",
            "telephone_number": "520-324-8070",
            "fax_number": "520-324-8071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2424 N Wyatt Dr Ste 140",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857126115",
            "country_code": "US",
            "telephone_number": "520-324-4690",
            "fax_number": "520-324-4691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MABRY",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-13",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "238242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007423",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan William Lyttle, M.D.
• M.K. Lynn Otr/L, L.L.C.
• Melody Maarouf, MD
• Julia Maberry, PHARMD
• Prince Mabiala
• Triston Mabry
• Kathryn Elizabeth Macadangdang, LPC
• Melissa Macaluso, CRT
• Marci Macaraeg, MD
• Meghan Macardy

• Family Nurse Practitioner in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.