KATHRYN M TYNAN (NPI# 1508857095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508857095 |
| Entity Type | Individual |
| Full Name | KATHRYN M TYNAN |
| Credential | NP |
| Practice Address |
1775 E Skyline Dr Suite 101 Tucson AZ 85718-9101 |
| Mailing Address |
3672 N White Pearl Ln Tucson AZ 85749-9707 |
| Practice Telephone | 5202993968 |
| Practice Fax Number | 5205773968 |
| Mailing Telephone | 5202453326 |
| Mailing Fax Number | 5207516448 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2014-05-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
200550137NP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN081159 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
200550138NP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 440777 | 05 |
| Street Address |
1775 E SKYLINE DR SUITE 101 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85718-9101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952627572 | Matthew Thomas Connell | Obstetrics & Gynecology | 1775 E Skyline Dr, Suite 175, Tucson, AZ 85718-9101 | 2010-04-08 |
| 1902045339 | Sharon J Bransky | General Practice | 1775 E Skyline Dr, Ste 101, Tucson, AZ 85718-9101 | 2009-02-09 |
| 1437309580 | Myunghan Choi | Nurse Practitioner | 1775 E Skyline Dr, Ste 101, Tucson, AZ 85718-9101 | 2008-09-25 |
| 1699819623 | Gregory John Stevenson | Nurse Practitioner | 1775 E Skyline Dr, Ste 101, Tucson, AZ 85718-9101 | 2007-02-15 |
| 1508949561 | Elaine J Charteris | Nurse Practitioner | 1775 E Skyline Dr, #101, Tucson, AZ 85718-1162 | 2006-10-23 |
| 1831299932 | Tucson Long Term Care Medical Group | Clinic/Center | 1775 E Skyline Dr, Ste 101, Tucson, AZ 85718-1162 | 2006-09-25 |
| 1194821165 | Indu S Partha | Internal Medicine | 1775 E Skyline Dr, Suite 101, Tucson, AZ 85718-9101 | 2006-09-16 |
| 1609891464 | Anna Desimone | Nurse Practitioner | 1775 E Skyline Dr, Ste 101, Tucson, AZ 85718-1162 | 2006-07-13 |
| 1316995376 | Tlc Pain & Palliative Medicine Practice, Inc | Pain Medicine | 1775 E Skyline Dr, Ste 101, Tucson, AZ 85718-1162 | 2006-05-04 |
| 1952369324 | Tlc Medical Group - Catalina Foothills | Clinic/Center | 1775 E Skyline Dr, Ste 175, Tucson, AZ 85718-1162 | 2006-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821503103 | Janet Lee | Physical Therapist | 2720 E River Rd, Tucson, Az 85718, Tucson, AZ 85718 | 2017-12-07 |
| 1922519230 | Patricia Shumate Haebe | Naturopath | 7364 N Mountain Shadows Dr, Tucson, AZ 85718 | 2017-10-13 |
| 1831613579 | Ashley Shaw | Physician Assistant | 5856 N Placita Esplendora, Tucson, AZ 85718 | 2017-08-02 |
| 1093245680 | Genevieve Antoinette Sansonetti-sice | Advanced Practice Midwife | 7252 N Placita Sin Codicia, Tucson, AZ 85718 | 2017-06-15 |
| 1609307354 | Tucson Hacienda River, LLC | Skilled Nursing Facility | 2720 E River Road, Tucson, AZ 85718 | 2017-03-24 |
| 1629524368 | Family First Senior Services | Durable Medical Equipment & Medical Supplies | 3837 N Forest Park Dr, Unit 122, Tucson, AZ 85718 | 2016-09-01 |
| 1326410069 | Desert Edge Holdings, LLC Dba Caring Senior Service | In Home Supportive Care | 1760 E. River Road, Suite 161, Tucson, AZ 85718 | 2015-10-21 |
| 1841676616 | Manal W Sabri | Speech-Language Pathologist | 1050 E River Plaza, Suite 100, Tucson, AZ 85718 | 2015-08-04 |
| 1538569983 | Kristen Zaporowski | Physical Therapist | 1800 East River Road, Suite #200, Tucson, AZ 85718 | 2014-09-03 |
| 1598101347 | Thomas Edmund Obrien | Surgery | 5240 Circulo Sobrio, Tucson, AZ 85718 | 2013-05-21 |
| Find all providers in zip 85718 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720605231 | Sadie Franco | Nurse Practitioner | 8581 N Rolling River Dr, Tucson, AZ 85743-1451 | 2020-06-30 |
| 1356777395 | Carla Marie Pease | Nurse Practitioner | 3900 N Sabino Canyon Rd, Tucson, AZ 85750-2130 | 2013-09-23 |
| 1447691464 | Elizabeth Mary Benyo | Nurse Practitioner | 4379 N Placita De Sandra, Tucson, AZ 85718-7422 | 2013-07-08 |
| 1073801650 | Valerie Ann Bradley | Nurse Practitioner | 7910 E Speedway Blvd, Tucson, AZ 85710-1650 | 2011-07-15 |
| 1780867507 | Kathi Long | Nurse Practitioner | 7525 S Avenida De Belleza, Tucson, AZ 85747-9707 | 2007-12-14 |
| 1861672081 | Sonia Jean Shoup | Nurse Practitioner | 14901 E Rincon Creek Ranch Rd, Tucson, AZ 85747 | 2007-11-05 |
| 1639364599 | Beth Edna Lee | Nurse Practitioner | 3800 W Camino Nuestro, Tucson, AZ 85745-9755 | 2007-09-12 |
| 1326174525 | Amy Louise Ginn | Nurse Practitioner | 7740n Oracle Rd, Tucson, AZ 85704-6313 | 2007-02-24 |
| 1629133483 | Sandra Lee Johnson | Nurse Practitioner | 1225 East Lowell Street, Tucson, AZ 85721-0095 | 2006-12-22 |
| 1578647442 | Judy Stein | Nurse Practitioner | 7520 N Oracle Rd Ste 100, Catalina Pointe Arth & Rheumatology Specialists, PC, Tucson, AZ 85704-4452 | 2006-10-25 |
| Find all providers in TUCSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.