Copper Valley Primary Care

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP7797 Issued in AZ

Legal business name

COPPER VALLEY PRIMARY CARE

Practice address

7290 E Broadway Blvd Ste 178
Tucson, AZ 85710-0412

Phone

(520) 306-7717

NPI assigned

Oct 17, 2017

Last updated

Jul 11, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laura MoncadaNPI 1609254317

Title

Apn

Phone

(520) 207-3913

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20633/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laura Moncada, FNP-C, ABAAHP

  • Family Nurse Practitioner
  • Tucson, AZ
  • NPI 1609254317
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657497600000",
    "number": "1790296853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7290 E BROADWAY BLVD STE 142",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857100410",
            "telephone_number": "520-207-3913",
            "fax_number": "520-207-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7290 E BROADWAY BLVD STE 178",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857100412",
            "telephone_number": "520-306-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPER VALLEY PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-17",
        "last_updated": "2022-07-11",
        "certification_date": "2021-09-28",
        "status": "A",
        "authorized_official_last_name": "MONCADA",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "APN",
        "authorized_official_telephone_number": "520-207-3913"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP7797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046408",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Copihue Counseling, LLC
• Shelby Leigh Coplen, PA-C
• Amy Lauren Copler, MS, SLPA
• Copper Regional Pain Services Inc
• Copper State Hospice Inc
• Copperstate OB-GYN Associates, LTD
• Devin Coppess, RN
• Lynn M. Coppola, M.D.
• Dawn Michelle Copps, LPC
• Corazon de Aguila LLC

• Family Nurse Practitioner in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.