Individual provider Active NPI

Rachelly De la Cruz, RN

  • Family Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1003524679
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
328855 Issued in AZ
Practice address
1642 S Priest Dr BLDG 6
Tempe, AZ 85281-6204
Phone
(602) 685-6000
NPI assigned
Nov 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 328855 AZ Primary
Registered Nurse 163W00000X RN2371836 MA
Registered Nurse 163W00000X RN78352 RI

Addresses

Primary practice location

1642 S Priest Dr BLDG 6
Tempe, AZ 85281-6204

Mailing address

3003 N Central Ave Ste 400
Phoenix, AZ 85012-2929
Phone (602) 685-6000

Other practice location 1

101 Bacon St
Pawtucket, RI 02860-5542
Phone (401) 722-3560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251126002530 AZ Practitioner - Nurse Practitioner 0547752479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Massachusetts Medical School, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

16200 Addison Rd
Suite 155
Addison, TX 75001-3297

1986 S Dove St
Gilbert, AZ 85233-8945

3003 N Central Ave
Suite 400
Phoenix, AZ 85012-2929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN2371836MAMDRegistered Nurse
RN78352RIMDRegistered Nurse
328855AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Terros Inc CurrentSince Dec 8, 2025 Accepting new patients
Terros, Inc. CurrentSince Dec 8, 2025 Accepting new patients
Terros, Inc. Current Accepting new patients
Terros, Inc. Past Accepting new patients

Locations

262 E University Dr
Mesa, AZ 85201
Phone 60280828005539

1111 S Stapley Dr
Mesa, AZ 85204
Phone (480) 464-6802

222 E Javelina Ave
Ste 1C10
Mesa, AZ 85210

4451 E Oak St
Phoenix, AZ 85008
Phone (602) 957-2220

10844 N 23rd Ave
Ste 100200
Phoenix, AZ 85029

3540 E Baseline Rd
Phoenix, AZ 85042
Phone (623) 267-5200

3003 N Central Ave
Ste 400
Phoenix, AZ 85012
Phone (602) 351-3015

3864 N 27th Ave
Phoenix, AZ 85017
Phone (602) 358-0078

4909 E McDowell Rd
Phoenix, AZ 85008
Phone (602) 244-9591

4616 N 51st Ave
Ste 108
Phoenix, AZ 85031
Phone (480) 566-6497

40 E Mitchell Dr
Ste 100
Phoenix, AZ 85012
Phone (602) 995-7474

1642 S Priest Dr
Bldg 6
Tempe, AZ 85281
Phone (480) 929-5100

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1003524679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 N CENTRAL AVE STE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122929",
            "telephone_number": "602-685-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1642 S PRIEST DR BLDG 6",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852816204",
            "telephone_number": "602-685-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Bacon St",
            "address_purpose": "LOCATION",
            "city": "Pawtucket",
            "state": "RI",
            "postal_code": "028605542",
            "country_code": "US",
            "telephone_number": "401-722-3560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LA CRUZ",
        "first_name": "RACHELLY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-11",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "328855",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2371836",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "RI",
            "license": "RN78352",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.