Active NPI
Katherine Therese Vance, PH.D.
- Clinical Neuropsychologist
- Tucson, AZ
National Provider Identifier
1942336284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 1786
- Practice address
- 7444 N la Oesta Ave
Tucson, AZ 85704-3159 - Phone
- (520) 444-2559
- Fax
- (520) 575-1625
- NPI assigned
- Feb 23, 2007
- 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 |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 1786 | AZ | Primary |
Addresses
Primary practice location
7444 N la Oesta Ave
Tucson, AZ 85704-3159
Mailing address
7090 N. Oracle Road
#178 Pmb138
Tucson, AZ 85704-4383
Phone (520) 444-2559
Other practice location 1
403 W Cool Dr Ste 107
Tucson, AZ 85704-6551
Phone (520) 329-8298
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
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573689600000",
"number": "1942336284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7090 N. ORACLE ROAD",
"address_2": "#178 PMB138",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857044383",
"telephone_number": "520-444-2559",
"fax_number": "520-575-1625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7444 N LA OESTA AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857043159",
"telephone_number": "520-444-2559",
"fax_number": "520-575-1625"
}
],
"practiceLocations": [
{
"address_1": "403 W Cool Dr Ste 107",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857046551",
"country_code": "US",
"telephone_number": "520-329-8298",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANCE",
"first_name": "KATHERINE",
"middle_name": "THERESE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-23",
"last_updated": "2019-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "AZ",
"license": "1786",
"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 Nov 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.