Active NPI
Fanny T Nisbet, MD
- Pediatrics Physician
- Tucson, AZ
National Provider Identifier
1811971021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 20324
- Practice address
- 320 W Prince Rd
Tucson, AZ 85705-3526 - Phone
- (520) 670-3909
- Fax
- (520) 388-7170
- NPI assigned
- Dec 1, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 20324 | AZ | Primary |
Addresses
Primary practice location
320 W Prince Rd
Tucson, AZ 85705-3526
Mailing address
320 W Prince Rd
Tucson, AZ 85705-3526
Phone (520) 792-9890
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 096322 | Medicaid | AZ |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20324 | AZ | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1811971021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 W PRINCE RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857053526",
"telephone_number": "520-792-9890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 W PRINCE RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857053526",
"telephone_number": "520-670-3909",
"fax_number": "520-388-7170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NISBET",
"first_name": "FANNY",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-01",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "20324",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "096322",
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.