Prince Abbrey

Primary specialty

Respite CareTaxonomy code 385H00000X

License

BH6102 Issued in AZ

Practice address

6506 E Brushback Loop
Tucson, AZ 85756-8437

Phone

(520) 838-4339

NPI assigned

Jul 8, 2020

Last updated

Jul 8, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• The Devereux Foundation

  dba Devereux Arizona

  • Adolescent and Children Mental Health Clinic/Center
  • Phoenix, AZ
  • NPI 1306939368
  NPD (past)

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1700404589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6506 E BRUSHBACK LOOP",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857568437",
            "telephone_number": "520-838-4339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6506 E BRUSHBACK LOOP",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857568437",
            "telephone_number": "520-838-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBREY",
        "first_name": "PRINCE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "AZ",
            "license": "BH6102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ DEPT OF HEALTH SERVICES",
            "identifier": "BH6102",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abbott Hearing Centers of Tucson
• Elyse Nicole Abbott, AT, ATC
• Jon Thaddeus Abbott, M.D.
• Lindsay Abbott
• Rosalee Abbott, R.PH
• Abc Dental Center, PC
• Abc Therapy Services
• Amy Beth Abdai, MS CCCSLP
• Mazin Abdalgadir
• Abdelrahman Abdalla

• Respite Care in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Respite Care in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.