Individual provider Active NPI

Ana M Ben Shabat, FNP

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1770812331
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP3494 Issued in AZ
Practice address
2675 N Wyatt Dr
Tucson, AZ 85712-6107
Phone
(520) 245-2156
Fax
(185) 582-2019
NPI assigned
Dec 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP3494 AZ Primary

Addresses

Primary practice location

2675 N Wyatt Dr
Tucson, AZ 85712-6107

Mailing address

2675 N Wyatt Dr
Tucson, AZ 85712-6107
Phone (520) 245-2156

Other identifiers 1

IdentifierTypeStateIssuer
521287MedicaidAZ

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

Practice roles

OrganizationSpecialtyStatusNew patients
Catalina Hospice PLLC PastSince Sep 20, 2020 Accepting new patients
Agape Hospice & Palliative Care, LLC PastSince Jun 8, 2010 Accepting new patients
Hospitalists of Arizona, Inc Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1770812331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 N WYATT DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857126107",
            "telephone_number": "520-245-2156",
            "fax_number": "185-582-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 N WYATT DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857126107",
            "telephone_number": "520-245-2156",
            "fax_number": "185-582-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEN SHABAT",
        "first_name": "ANA",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-10",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP3494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "521287",
            "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 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.