Organization Active NPI

Sip Home Systems - Tucson LLC

  • Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1851924179
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
SIP HOME SYSTEMS - TUCSON LLC
Practice address
7620 N Hartman LN Ste 162
Tucson, AZ 85743-7484
Phone
(623) 240-1110
NPI assigned
Feb 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2020

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

Authorized official

Name
Kirk Tjalas
Title
FNP-BC
Phone
(623) 240-1110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

7620 N Hartman LN Ste 162
Tucson, AZ 85743-7484

Mailing address

7620 N Hartman LN Ste 162
Tucson, AZ 85743-7484

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address credentialing@sipmd.com

National Provider Directory

National Provider Directory

Locations

7620 N Hartman Ln
Ste 162
Tucson, AZ 85743
Phone (623) 240-1110

NPI Registry JSON

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

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588204800000",
    "number": "1851924179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7620 N HARTMAN LN STE 162",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857437484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7620 N HARTMAN LN STE 162",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857437484",
            "telephone_number": "623-240-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIP HOME SYSTEMS - TUCSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-14",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A",
        "authorized_official_last_name": "TJALAS",
        "authorized_official_first_name": "KIRK",
        "authorized_official_title_or_position": "FNP-BC",
        "authorized_official_telephone_number": "623-240-1110"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@sipmd.com",
            "affiliation": "N",
            "address_1": "7620 N Hartman Ln Ste 162",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857437484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 30, 2020; 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.