Individual provider Active NPI

Kathryn Lucio, PA-C

  • Physician Assistant
  • Tucson, AZ
National Provider Identifier
1902782600
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
11175 Issued in AZ
Practice address
2404 E River Rd Ste 251
Tucson, AZ 85718-6523
Phone
(520) 838-3540
Fax
(520) 325-3526
NPI assigned
Aug 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 11175 AZ Primary

Addresses

Primary practice location

2404 E River Rd Ste 251
Tucson, AZ 85718-6523

Mailing address

PO Box 52156
Phoenix, AZ 85072-2156
Phone (520) 838-3540

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
I20251030004826 AZ Practitioner - Physician Assistant 5799274551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pima Heart Physicians PCGroup PAC ID 6507751294, 65 clinicians

Practice addresses (Care Compare)

1601 W Saint Marys Rd
Tucson, AZ 85745-2623
Phone (520) 872-3000

2404 E River Rd
Suite 251
Tucson, AZ 85718-6523
Phone (520) 838-3540

4729 E Camp Lowell Dr
Tucson, AZ 85712-1256
Phone (520) 838-3540

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
11175AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pima Heart Physicians, PC CurrentSince Nov 1, 2025 Accepting new patients
Pima Heart Physicians, PC CurrentSince Nov 1, 2025 Accepting new patients
Pima Heart Physicians, PC PastSince Oct 12, 2025 Accepting new patients

Locations

480 N Morley Ave
Nogales, AZ 85621
Phone (520) 287-2726

2404 E River Rd
Ste 251
Tucson, AZ 85718
Phone (520) 209-2575

4729 E Camp Lowell Dr
Tucson, AZ 85712

1714 W Anklam Rd
Ste 104
Tucson, AZ 85745
Phone (520) 229-9600

2404 E River Rd
Tucson, AZ 85718
Phone (520) 408-9868

341 Cool Springs Blvd
Ste 305
Franklin, TN 37067
Phone (972) 391-1915

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1755216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1902782600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52156",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850722156",
            "telephone_number": "520-838-3540",
            "fax_number": "520-325-3526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 E RIVER RD STE 251",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857186523",
            "telephone_number": "520-838-3540",
            "fax_number": "520-325-3526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCIO",
        "first_name": "KATHRYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "11175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.