Active NPI
Devin Grogan, FNP
- Nurse Practitioner
- Tucson, AZ
National Provider Identifier
1922616747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 244591
- Practice address
- 6050 N Corona Rd
Tucson, AZ 85704-1096 - Phone
- (877) 539-0589
- NPI assigned
- Jul 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 244591 | AZ | Primary |
Addresses
Primary practice location
6050 N Corona Rd
Tucson, AZ 85704-1096
Mailing address
4837 W Bayberry St
Tucson, AZ 85742-4115
Phone (617) 913-0055
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 244591 | AZ | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594944000000",
"number": "1922616747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4837 W BAYBERRY ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857424115",
"telephone_number": "617-913-0055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6050 N CORONA RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857041096",
"telephone_number": "877-539-0589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROGAN",
"first_name": "DEVIN",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-17",
"last_updated": "2020-07-17",
"certification_date": "2020-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "244591",
"primary": true
}
],
"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 Jul 17, 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.