Individual provider Active NPI

Heather Froeschle, P.A.

  • Physician Assistant
  • Tucson, AZ
National Provider Identifier
1679960504
Registry record updated Apr 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6041 Issued in AZ
Practice address
2850 E Skyline Dr
Suite 130
Tucson, AZ 85718-8012
Phone
(520) 638-5757
Fax
(520) 447-5701
NPI assigned
Apr 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 6041 AZ Primary

Addresses

Primary practice location

2850 E Skyline Dr
Suite 130
Tucson, AZ 85718-8012

Mailing address

2850 E Skyline Dr
Suite 130
Tucson, AZ 85718-8012
Phone (520) 638-5757

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
I20160929002095 AZ Practitioner - Physician Assistant 4183924392 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 4

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": "1429228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429228800000",
    "number": "1679960504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 E SKYLINE DR",
            "address_2": "SUITE 130",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857188012",
            "telephone_number": "520-638-5757",
            "fax_number": "520-447-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 E SKYLINE DR",
            "address_2": "SUITE 130",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857188012",
            "telephone_number": "520-638-5757",
            "fax_number": "520-447-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROESCHLE",
        "first_name": "HEATHER",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-17",
        "last_updated": "2015-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "6041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.