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BANNER TELEHEALTH LLC
NPI 1386352714
Clinic/Center - Mental Health (Including Community Mental Health Center) in Tucson, AZ

Active since November 15, 2022
1625 N CAMPBELL AVE, TUCSON, AZ 85719(520) 694-0111(520) 694-4805 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 2, 2025, Nov 15, 2022 (2 updates tracked since 2022).

About Banner Telehealth Llc NPPES

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

BANNER TELEHEALTH LLC (NPI 1386352714) is a healthcare organization registered as a mental health (including community mental health center) in Tucson, Arizona and active in the NPI registry since November 2022. The organization maintains a secondary practice location in Tucson and lists Todd Werner, Division President, as its authorized official.

NPPES Registry Identity

NPI1386352714
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameBANNER TELEHEALTH LLC
Location Address1625 N CAMPBELL AVETucson, AZ 85719-4330
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Phone(520) 694-0111
Fax(520) 694-4805
Organization SubpartYesParent: Banner Health
Authorized OfficialTodd WernerDivision President · (602) 747-4000
Enumeration DateNovember 15, 2022
Last NPPES UpdateSeptember 2, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2025
✔ NPI 1386352714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
1625 N CAMPBELL AVE, Tucson, AZ 85719
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Secondary Practice Location 1

Location 12800 E Ajo WayTucson, AZ 85713-6204 · Phone (520) 874-2000

Other Providers at the Same Location NPPES 20

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

NANCY CHEN MD
Hospitalist
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Pima County (520) 626-6614
JAMES H SMITT MD
Emergency Medicine
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Pima County (520) 626-7233
DR. CHRISTOPHER BRIAN JOHNSON M.D.
Internal Medicine
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Pima County (520) 694-0111
LAURA SANDT FNP-C
Nurse Practitioner (Family)
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Pima County (520) 694-6000
GRACE HYEYOUNG PARK
Pharmacist
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Pima County (520) 694-0111
GALEN GARCIA M.D.
Anesthesiology (Pediatric Anesthesiology)
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Pima County (520) 694-0111
SHEILA MICKELS
Nurse Anesthetist, Certified Registered
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Pima County (520) 694-0111
MRS. STEPHANIE WALLACE PA-C
Physician Assistant
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Pima County (520) 694-0111

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 Banner Telehealth LLC's NPI number?

The NPI number for Banner Telehealth LLC is 1386352714. It was assigned to this organization in the NPPES registry on November 15, 2022.

Where is Banner Telehealth LLC located?

Banner Telehealth LLC is located at 1625 N Campbell Ave, Tucson, AZ 85719. The listed phone number is (520) 694-0111.

What is Banner Telehealth LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Banner Telehealth LLC was last updated on September 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.