Individual provider Active NPI

Natalie Joy Kollasch, PNP

  • Pediatric Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1740644020
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP8627 Issued in AZ
Practice address
1669 W Ina Rd Ste 141
Tucson, AZ 85704
Phone
(520) 795-6183
NPI assigned
Apr 12, 2016
Last updated
Sep 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X AP8627 AZ Primary

Addresses

Primary practice location

1669 W Ina Rd Ste 141
Tucson, AZ 85704

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (520) 751-3675

Other practice location 1

7600 N La Cholla Blvd
Tucson, AZ 85741-4201
Phone (520) 751-3675

Other practice location 2

5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (520) 324-1205

Other identifiers 1

IdentifierTypeStateIssuer
141537MedicaidAZ

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Medical Center CurrentSince Jun 30, 2020 Accepting new patients
Arizona Community Physicians PC Pediatrics Current Accepting new patients
Arizona Medical Services, PC CurrentSince Sep 25, 2019 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Mar 1, 2019 Accepting new patients
TMC Medical Network CurrentSince Jun 1, 2021 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Mar 1, 2019 Accepting new patients
Arizona Community Physician PC CurrentSince Jun 1, 2016 Accepting new patients
Tucson Medical Center CurrentSince Jun 30, 2020 Accepting new patients

Locations

5830 N 19th Ave
Phoenix, AZ 85015
Phone (602) 249-0115

1669 W Ina Rd
Ste 141
Tucson, AZ 85704
Phone (520) 795-6183

2055 W Hospital Dr
Tucson, AZ 85704
Phone (520) 547-5725

2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010

5055 E Broadway Blvd
Ste A100
Tucson, AZ 85711
Phone (520) 327-0460

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

7340 E Speedway Blvd
Ste 104
Tucson, AZ 85710
Phone (520) 547-7045

7600 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 751-3675

7600 N La Cholla Blvd
Ste A100
Tucson, AZ 85741

Organizations & group practices 8

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": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1740644020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "520-751-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1669 W INA RD STE 141",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85704",
            "telephone_number": "520-795-6183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7600 N La Cholla Blvd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857414201",
            "country_code": "US",
            "telephone_number": "520-751-3675",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5301 E Grant Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857122805",
            "country_code": "US",
            "telephone_number": "520-324-1205",
            "fax_number": "520-324-3650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLLASCH",
        "first_name": "NATALIE",
        "middle_name": "JOY",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-12",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AZ",
            "license": "AP8627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141537",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.