FANNY T NISBET (NPI# 1811971021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811971021 |
| Entity Type | Individual |
| Full Name | FANNY T NISBET |
| Credential | MD |
| Practice Address |
320 W Prince Rd Tucson AZ 85705-3526 |
| Practice Telephone | 5206703909 |
| Practice Fax Number | 5203887170 |
| Mailing Telephone | 5207929890 |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2016-11-03 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 20324 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 096322 | 05 |
| Street Address |
320 W PRINCE RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85705-3526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255324794 | Melissa Warkentin-thiessen | Pharmacist | 320 W Prince Rd, Tucson, AZ 85705-3526 | 2005-08-30 |
| 1063977080 | El Rio Santa Cruz Neighborhood Health Center Inc | Pharmacy | 320 W Prince Rd, Tucson, AZ 85705 | 2019-02-04 |
| 1265836811 | El Rio Santa Cruz Neighborhood Health Center | Clinic/Center | 320 W Prince Rd, Tucson, AZ 85705-3526 | 2014-10-10 |
| 1740681402 | Robert Kurlander | Pharmacist | 320 W Prince Rd, Tucson, AZ 85705-3526 | 2014-09-11 |
| 1932458429 | Shannon L Fennie | Nurse Practitioner | 320 W Prince Rd, Tucson, AZ 85705-3526 | 2012-08-30 |
| 1114218385 | El Rio Santa Cruz Neighborhood Health Center, Inc | Clinic/Center | 320 W Prince Rd, Tucson, AZ 85705-3526 | 2011-04-22 |
| 1245529924 | Kelli P Trueba | Counselor | 320 W Prince Rd, Tucson, AZ 85705-3526 | 2011-04-01 |
| 1265690838 | Felipe Reyes Perez | Family Medicine | 320 W Prince Rd, Tucson, AZ 85705-3526 | 2008-05-29 |
| 1083835557 | Connie Susan Funk | Internal Medicine | 320 W Prince Rd, Tucson, AZ 85705-3526 | 2007-05-01 |
| 1346334083 | Mary Zimmerman | Pediatrics | 320 W Prince Rd, Tucson, AZ 85705-3526 | 2006-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184257347 | John Matthew Gill, Od and Associates | Optometrist | 4500 N. Oracle Road, Suite 423, Tucson, AZ 85705 | 2020-02-17 |
| 1831730795 | El Rio Santa Cruz Neighborhood Health Center, Inc | Clinic/Center | 434 E University Blvd, Tucson, AZ 85705 | 2019-10-02 |
| 1730681685 | Casa De Los Ninos, Inc. | Community/Behavioral Health | 1120 N 5th Avenue, Tucson, AZ 85705 | 2018-03-07 |
| 1699275693 | Tzimari Sotelo | Nurse Practitioner | 941 N 11th Ave, Tucson, AZ 85705 | 2018-02-15 |
| 1679956502 | Dean Doan | Dentist | 2012 North Country Club Road, Suite E, Tucson, AZ 85705 | 2015-07-09 |
| 1437572955 | Home Is Where The Heart Is Senior Care | Home Health | 4541 N Old Romero Rd, #35, Tuscon, AZ 85705 | 2014-02-04 |
| 1932457553 | Pamela A Williamson | Registered Nurse | 698 E Wetmore Rd Ste 100, Tucson, AZ 85705 | 2012-08-29 |
| 1104136571 | Charles Tyler Upton | Counselor | 721 N. Fourth Ave, Tucson, AZ 85705 | 2010-10-19 |
| 1851629844 | Francisco Antonio Sanchez | Psychologist | 504 E. Speedway Blvd, Tucson, AZ 85705 | 2009-12-02 |
| 1235466145 | Maria Guadalupe Millan | Contractor | 870 W. Miracle Mile, La Paloma Family Services, Tucson, AZ 85705 | 2009-11-13 |
| Find all providers in zip 85705 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235793100 | Jacquelyn Christine Wagner | Pediatrics | 1625 N Campbell, Tucson, AZ 85719 | 2019-04-26 |
| 1952965212 | Jeremey William Gneck | Pediatrics | 1625 N Campbell Ave Tucson Az 85719, Tucson, AZ 85724-0001 | 2019-04-23 |
| 1992295158 | Melanie Anne Kaplanek | Pediatrics | 1501 N Campbell Ave Rm 3301, Tucson, AZ 85724-0001 | 2018-05-14 |
| 1003352154 | Pleasant Pediatrics Plc | Pediatrics | 1601 N Oracle Rd, Tucson, AZ 85705-6440 | 2017-01-13 |
| 1134570211 | Eryn Simmons | Pediatrics | 1620 W Commerce Ct, Tucson, AZ 85746-6005 | 2016-06-29 |
| 1063860518 | Rachael Charles | Pediatrics | 2621 N Woodland Rd, Tucson, AZ 85749-9576 | 2016-05-25 |
| 1376998294 | Drew Carter Johnson | Pediatrics | 1625 N Campbell Ave Rm 3301, Tucson, AZ 85719-4330 | 2016-04-28 |
| 1609280742 | Emily Nicole Lawson | Pediatrics | 826 W Placita Estrella Azul, Tucson, AZ 85713-1595 | 2014-06-17 |
| 1598184020 | John Paul Jarczyk | Pediatrics | University of Arizona Dept of Pediatrics, 1501 N. Campbell Ave., Tucson, AZ 85724-0001 | 2014-04-11 |
| 1558780346 | Leo Warren Landau Md | Pediatrics | 11702 E Saint James Rd, Tucson, AZ 85748-7928 | 2014-04-09 |
| 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.