Individual provider Active NPI

Kathleen B McLeod, FNP-BC

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1720054992
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP1315 Issued in AZ
Practice address
5210 E Farness Dr
Tucson, AZ 85712-2140
Phone
(520) 525-9433
Fax
(520) 849-7441
NPI assigned
Feb 27, 2006
Last updated
Mar 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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 AP1315 AZ Primary

Addresses

Primary practice location

5210 E Farness Dr
Tucson, AZ 85712-2140

Mailing address

5210 E Farness Dr
Tucson, AZ 85712-2140
Phone (520) 525-9433

Other practice location 1

2450 E River Rd
Tucson, AZ 85718-6526
Phone (520) 795-7750

Other practice location 2

3900 N Sabino Canyon Rd
Tucson, AZ 85750-2130
Phone (520) 324-1301

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
I20070917000199 AZ Practitioner - Nurse Practitioner 1850485277 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5210 E Farness Dr
Tucson, AZ 85712-2140
Phone (520) 525-9433

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Steven a Wool MD Personalized Healthcare of Arizona PLLC CurrentSince Apr 11, 2025 Accepting new patients
Southern Arizona Internal Medicine PLLC CurrentSince Mar 28, 2020 Accepting new patients

Locations

5210 E Farness Dr
Tucson, AZ 85712
Phone (520) 525-9433

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1720054992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5210 E FARNESS DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122140",
            "telephone_number": "520-525-9433",
            "fax_number": "520-849-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5210 E FARNESS DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122140",
            "telephone_number": "520-525-9433",
            "fax_number": "520-849-7441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2450 E River Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857186526",
            "country_code": "US",
            "telephone_number": "520-795-7750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3900 N Sabino Canyon Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857502130",
            "country_code": "US",
            "telephone_number": "520-324-1301",
            "fax_number": "520-324-1345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLEOD",
        "first_name": "KATHLEEN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP1315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.