COLLABORATIVE MEDICAL PROVIDER GROUP, PLLC
NPI 1245690809
Nurse Practitioner - Family in Tucson, AZ

Q: What is Collaborative Medical Provider Group, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since February 24, 2016

8300 N WESTCLIFF DR, TUCSON, AZ 85743(602) 867-1302(602) 867-4247 Get Directions Write a Review

NPPES record last updated: February 24, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Collaborative Medical Provider Group, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLLABORATIVE MEDICAL PROVIDER GROUP, PLLC (NPI 1245690809) is a healthcare organization registered as a family in Tucson, Arizona and active in the NPI registry since February 2016. The organization lists Jody Agins, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1245690809

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameCOLLABORATIVE MEDICAL PROVIDER GROUP, PLLC

Location Address8300 N WESTCLIFF DRTucson, AZ 85743-1043

Mailing Address8300 N Westcliff DrTucson, AZ 85743-1043 · (602) 867-1302 · Fax (602) 867-4247

Phone(602) 867-1302

Fax(602) 867-4247

Organization SubpartNo

Authorized OfficialJody AginsSole Member · (602) 867-1302

Enumeration DateFebruary 24, 2016

✔ NPI 1245690809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AZ · AP2311

8300 N WESTCLIFF DR, Tucson, AZ 85743

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Other Identifiers 1

Medicare UPIN107888AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SEMINARS FOR HEALTHCARE EDUCATION, INC

Nursing Care

8300 N WESTCLIFF DR
TUCSON, AZ 85743

Pima County (520) 981-0216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Collaborative Medical Provider Group, PLLC's NPI number?

The NPI number for Collaborative Medical Provider Group, PLLC is 1245690809. It was assigned to this organization in the NPPES registry on February 24, 2016.

Where is Collaborative Medical Provider Group, PLLC located?

Collaborative Medical Provider Group, PLLC is located at 8300 N Westcliff Dr, Tucson, AZ 85743. The listed phone number is (602) 867-1302.

What is Collaborative Medical Provider Group, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Collaborative Medical Provider Group, PLLC was last updated on February 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.