National Provider Identifier Database

DHHS PHS IHS TUCSON AREA IHS TUCSON SAN XAVIER CLINIC
Nurse Practitioner

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.


Contact Information

DHHS-PHS, IHS TUCSON AREA, IHS TUCSON SAN XAVIER CLINIC
7900 S J STOCK RD
TUCSON, AZ85746-7012
Phone: 520-295-2427
Fax: 520-295-2611
Website:
Specialty Taxonomy Code
* Nurse Practitioner 363L00000X
Community Health/Public Health 364SC1501X
Family 363LF0000X
Medical 363AM0700X
Pediatrics 363LP0200X
School 363LS0200X
Women's Health 363LW0102X

* Indicates primary specialty

NPI Profile & details for DHHS-PHS, IHS TUCSON AREA, IHS TUCSON SAN XAVIER CLINIC

NPI Number 1649233685
Legal business name
LBN
DHHS-PHS, IHS TUCSON AREA, IHS TUCSON SAN XAVIER CLINIC
Authorized official KURT PRIESSMAN - (ACCOUNTING AND BUDGET OFFICER)
Entity Organization
Organization subpart No
Enumeration date 04/10/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers
  • AZ Medicaid: 147133-03
  • AZ Medicaid: 706921-01
  • AZ Other: AZ0209620 BC/BSAZ PROV NO
  • AZ Other: 1437157302 FACILITY NPI #

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for DHHS-PHS, IHS TUCSON AREA, IHS TUCSON SAN XAVIER CLINIC

There are currently no reviews for DHHS-PHS, IHS TUCSON AREA, IHS TUCSON SAN XAVIER CLINIC


NPIdb - Home
v2.201