Nicole Alissa Deatherage

  • Tucson, AZ
  • Pathologist
NPI1417691338
Industry payments
$19
State license
1
Year NPI issued
2022
Practice address
1625 N Campbell Ave, Tucson, AZ 85719-4330
Practice phone
Call (520) 626-6830
Professional email
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Personal email
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Mobile number
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Social profiles

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Nicole Alissa Deatherage is a pathologist in Tucson, Arizona

Nicole Deatherage practices in Tucson, Arizona.

Nicole Deatherage's NPI, 1417691338, was assigned on April 26, 2022. Nicole Deatherage holds Arizona license R79300.

NPI and contact details
NPI enumeration date
April 26, 2022
NPI status
Active
Practice phone
(520) 626-6830
Professional email
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Personal email
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Mobile number
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Sources: NPPES NPI Registry (CMS); and Dmand AI Professional Profile Data

Nicole Alissa Deatherage's practice address is in Tucson, Arizona

Nicole Deatherage's practice address in the NPI Registry is 1625 N Campbell Ave, Tucson, AZ 85719-4330. The practice phone is (520) 626-6830.

  • NPI Registry address
    1625 N Campbell Ave, Tucson, AZ 85719-4330Phone(520) 626-6830

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Dmand AI tracks the EHR system at Nicole Alissa Deatherage's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Nicole Deatherage practices. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Nicole Deatherage's practiceAvailable with a free account

Source: Dmand AI Technology Install Data

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Nicole Alissa Deatherage is one of 194 pathologists in Arizona

Anatomic pathology and clinical pathology is Nicole Deatherage's primary specialty in the NPI Registry, under taxonomy code 207ZP0102X. Nicole Deatherage is licensed in Arizona.

Specialties and state licenses

  • Anatomic pathology and clinical pathology, ArizonaPrimaryLicense R79300 · taxonomy 207ZP0102X

Pathologists near Nicole Deatherage

Counts of pathologists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Nicole Alissa Deatherage received $19 in industry payments in 2024

CMS Open Payments shows 1 general payment to Nicole Deatherage from 1 drug or device company in 2024. Food and beverage make up the largest share, 100% of the total. Shionogi Inc paid the most, $19.

Companies that paid Nicole Deatherage the most, 2024 to 2024

Share is of all general payments to this clinician.

See all payments to Nicole Deatherage

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Sources for Nicole Alissa Deatherage's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Industry paymentsOpen Payments (CMS) (opens in a new tab)
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Nicole Alissa Deatherage

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Nicole Alissa Deatherage's NPI number?

Nicole Alissa Deatherage's NPI number is 1417691338. It was assigned on April 26, 2022, and it is active in the NPI Registry.

What does Nicole Alissa Deatherage specialize in?

Nicole Alissa Deatherage is a pathologist in Tucson, Arizona. The primary specialty in the NPI Registry is Anatomic Pathology & Clinical Pathology Physician (taxonomy code 207ZP0102X).

Where does Nicole Alissa Deatherage practice?

Nicole Deatherage practices at 1625 N Campbell Ave, Tucson, AZ 85719-4330.

What is Nicole Alissa Deatherage's office phone number?

The practice phone on file for Nicole Deatherage is (520) 626-6830.

What is Nicole Alissa Deatherage's medical license number?

Nicole Deatherage holds Arizona license R79300.

Has Nicole Alissa Deatherage received payments from drug or device companies?

CMS Open Payments shows $19 in general payments to Nicole Deatherage from 1 company from 2024 to 2024. The largest total came from Shionogi Inc.

How long has Nicole Alissa Deatherage been practicing?

Nicole Deatherage's NPI was assigned in 2022.

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