Individual provider Active NPI

Herbert R Britanico

  • Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1932662764
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
224480 Issued in AZ
Practice address
350 N Wilmot Rd
Tucson, AZ 85711-2602
Phone
(520) 285-3000
NPI assigned
Apr 9, 2019
Last updated
May 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 224480 AZ Primary

Addresses

Primary practice location

350 N Wilmot Rd
Tucson, AZ 85711-2602

Mailing address

10204 E Sonoran Heights PL
Tucson, AZ 85748-2135
Phone (520) 237-5248

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
I20190621001100 AZ Practitioner - Nurse Practitioner 8325372527 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America-Arizona LLPGroup PAC ID 2668903006, 30 clinicians

Practice addresses (Care Compare)

1601 W Saint Marys Rd
Tucson, AZ 85745-2623
Phone (520) 872-4901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Javier R Rios MD a Medical Professional Corporation CurrentSince May 2, 2022 Accepting new patients
Sound Physicians Emergency Medicine of Arizona, Inc. Emergency Medicine CurrentSince Jun 1, 2019 Accepting new patients
Cep America-Arizona LLP Emergency Medicine CurrentSince Oct 10, 2024 Accepting new patients

Locations

1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

3770 S 16th Ave
Tucson, AZ 85713
Phone (520) 620-1200

7401 S Wilmot Rd
Tucson, AZ 85756
Phone (520) 493-0499

495 E Rincon St
Ste 215
Corona, CA 92879

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

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, 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": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1932662764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10204 E SONORAN HEIGHTS PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857482135",
            "telephone_number": "520-237-5248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N WILMOT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112602",
            "telephone_number": "520-285-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRITANICO",
        "first_name": "HERBERT",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-09",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "224480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.