Provider Demographics
NPI:1730105487
Name:HILL, GAY C (PSY/MH NP)
Entity Type:Individual
Prefix:MRS
First Name:GAY
Middle Name:C
Last Name:HILL
Suffix:
Gender:F
Credentials:PSY/MH NP
Other - Prefix:MRS
Other - First Name:GAY
Other - Middle Name:BYINGTON
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:500 CANTERBURY DR
Mailing Address - Street 2:
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85635-4722
Mailing Address - Country:US
Mailing Address - Phone:520-249-6825
Mailing Address - Fax:520-515-9013
Practice Address - Street 1:500 CANTERBURY DR
Practice Address - Street 2:
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85635-4722
Practice Address - Country:US
Practice Address - Phone:520-249-6825
Practice Address - Fax:520-515-9013
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN081084363LP0808X
AZAP6019363LP0808X
AZ0134129364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ406208Medicaid
AZRN081084OtherRN
AZMH0281066OtherDEA
AZZ178429Medicare PIN
AZS41507Medicare ID - Type UnspecifiedNONPARTICIPATING
AZMH0281066OtherDEA