Individual provider Active NPI

Megumi Rubin, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1740633825
Registry record updated Apr 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP8608 Issued in AZ
Practice address
7750 E Broadway Blvd Ste A100
Tucson, AZ 85710-3902
Phone
(520) 327-1529
NPI assigned
Jul 13, 2016
Last updated
Apr 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP8608 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP8608 AZ Primary

Addresses

Primary practice location

7750 E Broadway Blvd Ste A100
Tucson, AZ 85710-3902

Mailing address

7750 E Broadway Blvd
Tucson, AZ 85710-3901

Other practice location 1

5405 E Placita Hayuco
Tucson, AZ 85718-4534
Phone (520) 487-1189

Other practice location 2

5555 E 5th St Ste 101
Tucson, AZ 85711-2415
Phone (520) 886-4181

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
I20160818001852 AZ Practitioner - Nurse Practitioner 0244525004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Easter Seals Blake FoundationGroup PAC ID 9335302710, 20 clinicians

Practice addresses (Care Compare)

7750 E Broadway Blvd
Suite A100
Tucson, AZ 85710-3901
Phone (520) 327-1529

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP8608AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Easter Seals Blake Foundation Current Accepting new patients
Easter Seals Blake Foundation CurrentSince Apr 1, 2024 Accepting new patients
Easter Seals Blake Foundation CurrentSince Apr 1, 2024 Accepting new patients
Easter Seals Blake Foundation Past Accepting new patients

Locations

1115 E Florence Blvd
Ste A
Casa Grande, AZ 85122
Phone (520) 705-7847

900 E Florence Blvd
Ste A
Casa Grande, AZ 85122
Phone (520) 723-4429

6303 N 7TH St
Phoenix, AZ 85014

55 S 5th St
Sierra Vista, AZ 85635
Phone (520) 452-9784

55 S 5th St
Ste A200
Sierra Vista, AZ 85635

709 N Allred Ln
Ste 104105
Thatcher, AZ 85552

310 S Meyer Ave
Tucson, AZ 85701
Phone (520) 209-2492

4653 E Pima St
Tucson, AZ 85712
Phone (520) 326-6182

7750 E Broadway Blvd
Ste A100
Tucson, AZ 85710
Phone (520) 310-5425

7750 E Broadway Blvd
Ste A200
Tucson, AZ 85710

3860 W 24th St
Ste 201
Yuma, AZ 85364

3860 W 24th St
Ste 201214
Yuma, AZ 85364
Phone (928) 276-9225

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, 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": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745107200000",
    "number": "1740633825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7750 E BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857103901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 E BROADWAY BLVD STE A100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857103902",
            "telephone_number": "520-327-1529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5405 E Placita Hayuco",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857184534",
            "country_code": "US",
            "telephone_number": "520-487-1189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5555 E 5th St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857112415",
            "country_code": "US",
            "telephone_number": "520-886-4181",
            "fax_number": "520-721-7536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "MEGUMI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-13",
        "last_updated": "2025-04-20",
        "certification_date": "2025-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8608",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP8608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.