Individual provider Active NPI

Kristine McGinnis Mehrabani, FNP-C

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1689264772
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F12200580 Issued in AZ
Practice address
450 W Paseo Redondo
Tucson, AZ 85701-8274
Phone
(520) 670-3909
NPI assigned
Jan 22, 2021
Last updated
Jan 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F12200580 AZ Primary

Addresses

Primary practice location

450 W Paseo Redondo
Tucson, AZ 85701-8274

Mailing address

450 W Paseo Redondo
Tucson, AZ 85701-8274
Phone (520) 670-3909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F12200580AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BHG Lxxxv, LLC Past Accepting new patients
Center for Behavioral Health LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kmehrabani18399@elrio.direct.ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1689264772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 W PASEO REDONDO",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857018274",
            "telephone_number": "520-670-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W PASEO REDONDO",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857018274",
            "telephone_number": "520-670-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHRABANI",
        "first_name": "KRISTINE",
        "middle_name": "MCGINNIS",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "F12200580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.