Jackie Laiwah Camargo, FNP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

AP5480 Issued in AZ

Practice address

10501 E Seven Generations Way Ste 201-16
Tucson, AZ 85747-5828

Phone

(520) 358-2025

NPI assigned

Mar 3, 2014

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Miguel a. Arenas, M.D., PC

  • Gastroenterology Physician
  • Tucson, AZ
  • NPI 1053515130
  Medicare reassignment

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

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1669897468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 E SEVEN GENERATIONS WAY STE 201-16",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857475828",
            "telephone_number": "520-358-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 E SEVEN GENERATIONS WAY STE 201-16",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857475828",
            "telephone_number": "520-358-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMARGO",
        "first_name": "JACKIE",
        "middle_name": "LAIWAH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-03",
        "last_updated": "2024-07-24",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "AP5480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George A. Camacho, D.C.
• Jocelyn Camacho, PA
• Ramses Camacho, PT, DPT
• Guadalupe Camarena
• Patricia Camarena
• Robert Salinas Camarillo, DO
• Kristen Anne Camarota, AU.D.
• Caren Secuya Camasura
• Michelle Ann Cambern, FNP-C
• Camelback Iup, LLC

• Primary Care Nurse Practitioner in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Primary Care Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.