Individual provider Active NPI

Sonia Jean Shoup, APN

  • Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1861672081
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP7803 Issued in AZ
Practice address
14901 E Rincon Creek Ranch Rd
Tucson, AZ 85747
Phone
(832) 266-9942
NPI assigned
Nov 5, 2007
Last updated
Feb 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP7803 AZ Primary
Adult Health Nurse Practitioner 363LA2200X AP7803 AZ

Addresses

Primary practice location

14901 E Rincon Creek Ranch Rd
Tucson, AZ 85747

Mailing address

3003 N Central Ave
Phoenix, AZ 85012-2902
Phone (832) 266-9942

Other identifiers 1

IdentifierTypeStateIssuer
1861672081MedicaidAZ

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
I20171003007562 AZ Practitioner - Nurse Practitioner 8527286210 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Sage Behavioral Health PLCGroup PAC ID 6406145333, 7 clinicians

Practice addresses (Care Compare)

3395 N Campbell Ave
Tucson, AZ 85719-2306
Phone (520) 771-6782

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP7803AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC Nurse Practitioner CurrentSince Oct 1, 2025 Accepting new patients
Desert Sage Behavioral Health, PLC CurrentSince Jul 30, 2023 Accepting new patients
Southeastern Arizona Behavioral Health Services, Inc. Current Accepting new patients
Southeastern Arizona Behavioral Health Service, Inc CurrentSince Apr 30, 2021 Accepting new patients
Vpa PC CurrentSince May 22, 2020 Accepting new patients
Lafrontera Center Inc. Past Accepting new patients
La Frontera Center, Inc. PastSince Jul 21, 2024 Accepting new patients
Lafrontera Center Inc. PastSince Jul 21, 2024 Accepting new patients
La Frontera Center, Inc. PastSince Jul 21, 2024 Accepting new patients
La Frontera Center, Inc. PastSince Jul 21, 2024 Accepting new patients
La Frontera Center, Inc. PastSince Jul 21, 2024 Accepting new patients
Prescott Healthcare Solutions LLC Past Accepting new patients
La Frontera Center, Inc. PastSince Mar 12, 2023 Accepting new patients

Locations

590 S Ocotillo St
Benson, AZ 85602
Phone (520) 586-6177

611 W Union St
Benson, AZ 85602
Phone (520) 586-0800

2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246

7600 N 15th St
Ste 165B
Phoenix, AZ 85020
Phone (480) 977-6000

2819 E Broadway Blvd
Tucson, AZ 85716
Phone (520) 771-6702

3375 N Campbell Ave
Tucson, AZ 85719
Phone (520) 624-8935

3395 N Campbell Ave
Tucson, AZ 85719
Phone (520) 327-9677

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: sonia.shoup.p4@direct.caremorewest.nextgenshare.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1861672081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 N CENTRAL AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122902",
            "telephone_number": "832-266-9942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14901 E RINCON CREEK RANCH RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85747",
            "telephone_number": "832-266-9942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOUP",
        "first_name": "SONIA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-05",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP7803",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "AP7803",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861672081",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.