Active NPI
Casey Dawn Warden Dutton
- Contractor
- Tucson, AZ
National Provider Identifier
1811028145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 10037
- Practice address
- 5770 S. Woodcrest Dr
Tucson, AZ 85746-3245 - Phone
- (520) 294-1179
- Fax
- (520) 750-0056
- NPI assigned
- Mar 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 10037 | AZ | Primary |
Addresses
Primary practice location
5770 S. Woodcrest Dr
Tucson, AZ 85746-3245
Mailing address
5770 South Woodcrest Drive
Tucson, AZ 85746-3245
Phone (520) 294-1179
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 945107 | Medicaid | AZ |
Other names 1
- Casey Dutton
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10037 | AZ | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216339200000",
"number": "1811028145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5770 SOUTH WOODCREST DRIVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857463245",
"telephone_number": "520-294-1179",
"fax_number": "520-750-0056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5770 S. WOODCREST DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857463245",
"telephone_number": "520-294-1179",
"fax_number": "520-750-0056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARDEN DUTTON",
"first_name": "CASEY",
"middle_name": "DAWN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2008-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "AZ",
"license": "10037",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "945107",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CASEY",
"last_name": "DUTTON",
"code": "2",
"type": "Professional Name"
}
]
}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 Jul 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.