Individual provider Active NPI

Marie Patricia Kearney, RN ANP CGNP

  • Adult Health Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1881796852
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN044028 Issued in AZ
Practice address
3953 E Paradise Falls Dr Ste 110
Tucson, AZ 85712-6689
Phone
(520) 323-0401
Fax
(520) 323-0901
NPI assigned
Sep 1, 2006
Last updated
Jan 4, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN044028 AZ Primary
Adult Health Nurse Practitioner 363LA2200X ANP #91 AZ

Addresses

Primary practice location

3953 E Paradise Falls Dr Ste 110
Tucson, AZ 85712-6689

Mailing address

PO Box 35637
Tucson, AZ 85740
Phone (520) 690-4567

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
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
ANP #91AZMDAdult Health Nurse Practitioner
RN044028AZMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
5TH Street Associates, Inc Past Accepting new patients

Organizations & group practices 1

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325635200000",
    "number": "1881796852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35637",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85740",
            "telephone_number": "520-690-4567",
            "fax_number": "520-323-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3953 E PARADISE FALLS DR STE 110",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857126689",
            "telephone_number": "520-323-0401",
            "fax_number": "520-323-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARNEY",
        "first_name": "MARIE",
        "middle_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "RN ANP CGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2012-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "RN044028",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "ANP #91",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jan 4, 2012; 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.