Active NPI
Tanisha Danielle Morales, NURSE PRACTITIONER
- Family Nurse Practitioner
- Peridot, AZ
National Provider Identifier
1043843436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 237603
- Practice address
- 103 Medicine Way Rd
Peridot, AZ 85542-5000 - Phone
- (928) 475-1400
- NPI assigned
- Feb 13, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 237603 | AZ | Primary |
Addresses
Primary practice location
103 Medicine Way Rd
Peridot, AZ 85542-5000
Mailing address
284 S Salas LN
Globe, AZ 85501-2380
Phone (928) 200-8381
Other names 1
- Tanisha Danielle Whipple
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | tanisha.morales@scahealth.org | Direct | |
| Other URL | tanisha.morales@scahealth.org | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
103 Medicine Way Rd
Peridot, AZ 85542-0787
Phone (928) 475-1400
P O Box
Suite 787
Peridot, AZ 85542-0787
PO Box
Suite 787
Peridot, AZ 85542-0787
Hospital & facility affiliations
- San Carlos Apache Healthcare Corporation
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Carlos Apache Healthcare Corporation | Current | Accepting new patients | |
| San Carlos Apache Healthcare Corporation | Current | Accepting new patients |
Locations
103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200
Organizations & group practices 2
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.
-
- Critical Access Hospital Clinic/Center
- Peridot, AZ
- NPI 1265813075
TX
-
- Clinic/Center
- Bylas, AZ
- NPI 1417330713
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital Clinic/Center
- Peridot, AZ
- NPI 1265813075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581552000000",
"number": "1043843436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "284 S SALAS LN",
"city": "GLOBE",
"state": "AZ",
"postal_code": "855012380",
"telephone_number": "928-200-8381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 MEDICINE WAY RD",
"city": "PERIDOT",
"state": "AZ",
"postal_code": "855425000",
"telephone_number": "928-475-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORALES",
"first_name": "TANISHA",
"middle_name": "DANIELLE",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-13",
"last_updated": "2020-02-13",
"certification_date": "2020-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "237603",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "tanisha.morales@scahealth.org",
"affiliation": "N",
"endpointDescription": "Secure Work email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "103 Medicine Way Rd",
"city": "Peridot",
"state": "AZ",
"country_code": "US",
"postal_code": "855425000",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "tanisha.morales@scahealth.org",
"affiliation": "N",
"endpointDescription": "Secure work email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "103 Medicine Way Rd",
"city": "Peridot",
"state": "AZ",
"country_code": "US",
"postal_code": "855425000",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "TANISHA",
"last_name": "WHIPPLE",
"middle_name": "DANIELLE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Peridot, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.