Mary Margaret Fahey, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN026544 Issued in AZ

Practice address

380 W Vista Hermosa Dr
140
Green Valley, AZ 85614-1999

Phone

(520) 399-2291

Fax

(520) 399-0180

NPI assigned

May 11, 2006

Last updated

Jul 8, 2007By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Banner Pharmacy Services LLC

  dba Banner Family Pharmacy-University Medical Center Tucson

  • Community/Retail Pharmacy
  • Tucson, AZ
  • NPI 1154384899
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669422481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 W VISTA HERMOSA DR",
            "address_2": "140",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856141999",
            "telephone_number": "520-399-2291",
            "fax_number": "520-399-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 W VISTA HERMOSA DR",
            "address_2": "140",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856141999",
            "telephone_number": "520-399-2291",
            "fax_number": "520-399-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHEY",
        "first_name": "MARY",
        "middle_name": "MARGARET",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN026544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Empowered Healing Therapy
• Denise Ann Encinas
• Jonathan Eng
• Dean D Ettinger, MD
• Edita Extra-Mendoza, MD
• Stephanie Fakhry Tonos, MD
• Fernando A Felix, D.C.
• Erin Elizabeth Fleming, DPT
• Terence J Fowler, DDS
• Mary Ellen Francl, NP

• Family Nurse Practitioner in Green Valley, AZ
• Providers in Green Valley, 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 Jul 8, 2007; 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.