Individual provider Active NPI

Laryssa Brandt, PA-C

  • Physician Assistant
  • Tucson, AZ
National Provider Identifier
1760289573
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3870 W River Rd
Tucson, AZ 85741-3079
Phone
(520) 219-6616
NPI assigned
Feb 27, 2025
Last updated
Apr 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

3870 W River Rd
Tucson, AZ 85741-3079

Mailing address

2260 W Orange Grove Rd
Tucson, AZ 85741-3117

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
I20250610001948 AZ Practitioner - Physician Assistant 5092225987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Urgent Care LLCGroup PAC ID 9830506062, 70 clinicians

Practice addresses (Care Compare)

10568 N Oracle Rd
Suite 110
Tucson, AZ 85737-9314
Phone (520) 543-6960

1218 W Irvington Rd
Suite 150
Tucson, AZ 85714-1137
Phone (520) 989-8257

1370 N Silverbell Rd
Suite 170
Tucson, AZ 85745-2291
Phone (520) 205-8950

1880 E Tangerine Rd
Suite 100
Oro Valley, AZ 85755-6241
Phone (520) 989-8249

3662 W Ina Rd
Suite 150
Tucson, AZ 85741-2269
Phone (520) 989-8251

3870 W River Rd
Suite 126
Tucson, AZ 85741-3080
Phone (520) 219-6616

4001 E Sunrise Dr
Suite 121
Tucson, AZ 85718-4326
Phone (520) 209-7000

446 N Campbell Ave
Unit 130
Tucson, AZ 85719-5660
Phone (520) 989-8245

6303 E Broadway Blvd
Suite 161
Tucson, AZ 85710-3549
Phone (520) 989-8243

6572 E Grant Rd
Suite 130
Tucson, AZ 85715-3810
Phone (520) 989-8259

7725 N Oracle Rd
Suite 131
Oro Valley, AZ 85704-6987
Phone (520) 989-8253

7895 E Broadway Blvd
Tucson, AZ 85710-3943
Phone (520) 543-6770

9175 E Tanque Verde Rd
Tucson, AZ 85749-8820
Phone (520) 989-8241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoran Radiology LTD Physician Assistant PastSince May 4, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: laryssa.brandt.1@1576.direct.athenahealth.com

Organizations & group practices 2

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": "1740614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1760289573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 W ORANGE GROVE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3870 W RIVER RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413079",
            "telephone_number": "520-219-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDT",
        "first_name": "LARYSSA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.