Active NPI
Thomas Martin Talbot, NP
- Family Nurse Practitioner
- Tucson, AZ
National Provider Identifier
1730146242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP1719
- Practice address
- VA Medical Center-Primary Care/Mesquite Clinic
3601 S. 6TH Ave
Tucson, AZ 85723-0001 - Phone
- (520) 792-6832
- Fax
- (520) 629-4768
- NPI assigned
- Apr 27, 2006
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP1719 | AZ | Primary |
Addresses
Primary practice location
VA Medical Center-Primary Care/Mesquite Clinic
3601 S. 6TH Ave
Tucson, AZ 85723-0001
Mailing address
PO Box 43160
Tucson, AZ 85733-3160
Phone (520) 722-3777
Other practice location 1
5295 E Knight Dr
Tucson, AZ 85712-2147
Phone (520) 382-5972
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F0899545 | Other | AZ | NP CERTIFICATION-AANP |
| RN122045 | Other | AZ | RN LICENSE |
| AP1719 | Other | AZ | FNP-AZ-RX/DISPENSING |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP1719 | AZ | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1730146242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 43160",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857333160",
"telephone_number": "520-722-3777",
"fax_number": "520-296-6224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VA MEDICAL CENTER-PRIMARY CARE/MESQUITE CLINIC",
"address_2": "3601 S. 6TH AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857230001",
"telephone_number": "520-792-6832",
"fax_number": "520-629-4768"
}
],
"practiceLocations": [
{
"address_1": "5295 E Knight Dr",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857122147",
"country_code": "US",
"telephone_number": "520-382-5972",
"fax_number": "520-445-7727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TALBOT",
"first_name": "THOMAS",
"middle_name": "MARTIN",
"name_prefix": "Mr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2023-03-07",
"certification_date": "2020-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP1719",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NP CERTIFICATION-AANP",
"identifier": "F0899545",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "RN122045",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FNP-AZ-RX/DISPENSING",
"identifier": "AP1719",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.