Individual provider Active NPI

Tara Lynn Denton, MSN, APRN, WHNP-BC

  • Women's Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1063913986
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
3011998 Issued in KY
Practice address
3125 N 32ND St Ste 200
Phoenix, AZ 85018-6218
Phone
(602) 956-7481
Fax
(602) 956-7591
NPI assigned
Feb 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 3011998 KY Primary

Addresses

Primary practice location

3125 N 32ND St Ste 200
Phoenix, AZ 85018-6218

Mailing address

3125 N 32ND St Ste 200
Phoenix, AZ 85018-6218
Phone (602) 956-7481

Other practice location 1

4612 Chamberlain Ln Unit 200
Louisville, KY 40241-1071
Phone (502) 996-4480 ext. 5707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Fertility Center PastSince Mar 24, 2025 Accepting new patients
Kentucky Fertility Associates, PLLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1063913986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 N 32ND ST STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850186218",
            "telephone_number": "602-956-7481",
            "fax_number": "602-956-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 N 32ND ST STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850186218",
            "telephone_number": "602-956-7481",
            "fax_number": "602-956-7591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4612 Chamberlain Ln Unit 200",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402411071",
            "country_code": "US",
            "telephone_number": "502-996-4480 x5707",
            "fax_number": "502-996-4481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENTON",
        "first_name": "TARA",
        "middle_name": "LYNN",
        "credential": "MSN, APRN, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-26",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "KY",
            "license": "3011998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.