Individual provider Active NPI

Susan Ellen Gabbard, RNFA

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1750603049
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP7453 Issued in AZ
Practice address
2601 S Houghton Rd
Tucson, AZ 85730
Phone
(866) 389-2727
NPI assigned
Feb 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X RN098819 AZ
Family Nurse Practitioner 363LF0000X AP7453 AZ Primary

Addresses

Primary practice location

2601 S Houghton Rd
Tucson, AZ 85730

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203

Other practice location 1

20414 N 27th Ave
Phoenix, AZ 85027-3250
Phone (623) 869-5000

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
I20161004001375 AZ Practitioner - Nurse Practitioner 9931497179 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sonoran Orthopaedic Trauma SurgeonsGroup PAC ID 5991735979, 29 clinicians

Practice addresses (Care Compare)

6565 E Carondelet Dr
Suite 235
Tucson, AZ 85710-3533
Phone (520) 367-1050

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Nurse Practitioner CurrentSince Sep 12, 2016 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince May 1, 2021 Accepting new patients
Arizona Oncology Associates PC CurrentSince Jan 1, 2023 Accepting new patients
Sonoran Orthopaedic Trauma Surgeons CurrentSince Sep 10, 2025 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince May 1, 2021 Accepting new patients

Locations

28138 N Tatum Blvd
Cave Creek, AZ 85331
Phone (480) 585-6097

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

20414 N 27th Ave
Phoenix, AZ 85027
Phone (602) 529-1016

3126 N Civic Center Plz
Scottsdale, AZ 85251
Phone (480) 949-2760

2625 N Craycroft Rd
Ste 200
Tucson, AZ 85712
Phone (520) 324-2409

6565 E Carondelet Dr
Ste 235
Tucson, AZ 85710
Phone (520) 367-1050

10650 N Oracle Rd
Tucson, AZ 85737
Phone (520) 544-5544

3172 N Swan Rd
Tucson, AZ 85712
Phone (520) 795-8777

2601 S Houghton Rd
Tucson, AZ 85730
Phone (520) 591-9348

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

603 N Wilmot Rd
Ste 151
Tucson, AZ 85711
Phone (520) 420-2560

2625 N Craycroft Rd
Ste 20
Tucson, AZ 85712
Phone (520) 324-2409

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5564/brand/1/csg/1/fhir/r4
  • Direct secure messaging: susan.gabbard@aoa.ikm.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1267228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1750603049",
    "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": "702-579-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 S HOUGHTON RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85730",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20414 N 27th Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850273250",
            "country_code": "US",
            "telephone_number": "623-869-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GABBARD",
        "first_name": "SUSAN",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "RNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-27",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "AZ",
            "license": "RN098819",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP7453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.