Active NPI
Kristin Hertzog
- Family Nurse Practitioner
- Tucson, AZ
National Provider Identifier
1992638167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 340487
- Practice address
- 2265 W Ina Rd
Tucson, AZ 85741-2650 - Phone
- (520) 702-3637
- Fax
- (855) 576-4111
- NPI assigned
- Jun 5, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 340487 | AZ | Primary |
Addresses
Primary practice location
2265 W Ina Rd
Tucson, AZ 85741-2650
Mailing address
102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250
Phone (888) 987-1151
Other practice location 1
3300 W Camelback Rd
Phoenix, AZ 85017-1097
Phone (855) 428-5673
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 340487 | AZ | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1992638167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 WOODMONT BLVD STE 600",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372055250",
"telephone_number": "888-987-1151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2265 W INA RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857412650",
"telephone_number": "520-702-3637",
"fax_number": "855-576-4111"
}
],
"practiceLocations": [
{
"address_1": "3300 W Camelback Rd",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850171097",
"country_code": "US",
"telephone_number": "855-428-5673",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERTZOG",
"first_name": "KRISTIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-05",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "340487",
"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 Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.