Individual provider Active NPI

Mary Littlehorn, FNP

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1952645558
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F0113199 Issued in AZ
Practice address
2732 N Alvernon Way
Tucson, AZ 85712-1804
Phone
(520) 382-3330
NPI assigned
Nov 20, 2012
Last updated
Jul 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F0113199 AZ Primary
Emergency Registered Nurse 163WE0003X RN133474 AZ

Addresses

Primary practice location

2732 N Alvernon Way
Tucson, AZ 85712-1804

Mailing address

972 W Dobyns LN
Tucson, AZ 85704-3771

Other practice location 1

5304 E. Grant Rd.
Tucson, AZ 85712
Phone (520) 324-5070

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mlittlehorn@specialistsindermatology.emadirect.md Direct

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
I20130411000397 AZ Practitioner - Nurse Practitioner 9739325077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ironwood Dermatology, PCGroup PAC ID 1153346127, 10 clinicians

Practice addresses (Care Compare)

1735 E Skyline Dr
Tucson, AZ 85718-1162
Phone (520) 618-1630

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
85.22
Improvement activities
40
Cost
83.5

Merit-based Incentive Payment System (MIPS)

Final score
95.75 of 100Reported as group
Promoting interoperability
95
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F0113199AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ironwood Dermatology, PC CurrentSince Apr 1, 2024 Accepting new patients

Locations

10211 N Oracle Rd
Tucson, AZ 85737
Phone (520) 618-1630

1735 E Skyline Dr
Tucson, AZ 85718
Phone (520) 548-3884

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": "1353369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1952645558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "972 W DOBYNS LN",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857043771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2732 N ALVERNON WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121804",
            "telephone_number": "520-382-3330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5304 E. Grant Rd.",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "85712",
            "country_code": "US",
            "telephone_number": "520-324-5070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LITTLEHORN",
        "first_name": "MARY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-20",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "F0113199",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "AZ",
            "license": "RN133474",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mlittlehorn@specialistsindermatology.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Direct Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2732 N Alvernon Way",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857121804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.