Individual provider Active NPI

Timothy R Burr, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1851133805
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
228875 Issued in AZ
Practice address
1161 N El Dorado PL Ste 203
Tucson, AZ 85715-4607
Phone
(520) 748-7108
NPI assigned
Jun 11, 2024
Last updated
Aug 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 228875 AZ Primary

Addresses

Primary practice location

1161 N El Dorado PL Ste 203
Tucson, AZ 85715-4607

Mailing address

1161 N El Dorado PL Ste 203
Tucson, AZ 85715-4607
Phone (520) 748-7108

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
I20240912003358 AZ Practitioner - Nurse Practitioner 5991245243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathways of Arizona LLCGroup PAC ID 3173718152, 6 clinicians

Practice addresses (Care Compare)

1161 N El Dorado PL
Tucson, AZ 85715-4607
Phone 520748710821460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways of Arizona, LLC CurrentSince Sep 20, 2024 Accepting new patients
Pathways of Arizona, LLC CurrentSince Sep 20, 2024 Accepting new patients

Locations

1161 N El Dorado Pl
Tucson, AZ 85715
Phone (520) 570-1415

1161 N El Dorado Pl
Ste 203
Tucson, AZ 85715
Phone (520) 748-7108

3295 W Ina Rd
Ste 150
Tucson, AZ 85741
Phone (520) 547-2062

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": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1851133805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 N EL DORADO PL STE 203",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857154607",
            "telephone_number": "520-748-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 N EL DORADO PL STE 203",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857154607",
            "telephone_number": "520-748-7108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURR",
        "first_name": "TIMOTHY",
        "middle_name": "R",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "228875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.