Individual provider Active NPI

Coddie L Tatro, NP-C

  • Family Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1073119442
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
250869 Issued in AZ
Practice address
7975 N Hayden Rd Ste D354
Scottsdale, AZ 85258-3243
Phone
(480) 214-9720
Fax
(480) 214-9722
NPI assigned
Dec 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 250869 AZ Primary

Addresses

Primary practice location

7975 N Hayden Rd Ste D354
Scottsdale, AZ 85258-3243

Mailing address

17729 W Red Bird Rd
Surprise, AZ 85387-1033
Phone (480) 343-0481

Other names 1

  • Coddie L Decker Former name

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
I20210524002268 AZ Practitioner - Nurse Practitioner 5092114074 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Honorhealth Urgent Care LLCGroup PAC ID 0345130266, 103 clinicians

Practice addresses (Care Compare)

5130 W Baseline Rd
Suite 102
Laveen, AZ 85339-2984
Phone (602) 237-7373

Merit-based Incentive Payment System (MIPS)

Final score
83.21 of 100Reported as group
Quality
77.66
Promoting interoperability
100
Improvement activities
40
Cost
66.36

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Urgent Care, LLC CurrentSince Jan 29, 2024 Accepting new patients
Honorhealth Urgent Care, LLC CurrentSince Jan 29, 2024 Accepting new patients
Summit Medical Group Arizona LLC CurrentSince Apr 22, 2021 Accepting new patients
Scottsdale Physicians Group PLC CurrentSince Jan 6, 2021 Accepting new patients

Locations

3648 W Anthem Way
Bldg A100C
Anthem, AZ 85086
Phone (623) 434-6444

5620 W Thunderbird Rd
Ste B2
Glendale, AZ 85306
Phone (602) 547-9405

3730 W Happy Valley Rd
Ste 100
Glendale, AZ 85310
Phone (623) 277-4140

1507 N Litchfield Rd
Ste 200
Goodyear, AZ 85395
Phone (623) 215-0040

14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599

5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039

28516 N El Mirage Rd
Ste 105
Peoria, AZ 85383

10230 W Happy Valley Pkwy
Ste 100C
Peoria, AZ 85383
Phone (623) 561-3030

8303 W Camelback Rd
Phoenix, AZ 85037

8301 W Camelback Rd
Phoenix, AZ 85037
Phone (623) 849-4278

7975 N Hayden Rd
Ste D354
Scottsdale, AZ 85258
Phone (480) 214-9720

12775 W Bell Rd
Ste 100
Surprise, AZ 85378
Phone (623) 215-0082

Interoperability endpoints

  • Direct secure messaging: ctatro154774@direct.honorhealth.com

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": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1073119442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17729 W RED BIRD RD",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853871033",
            "telephone_number": "480-343-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7975 N HAYDEN RD STE D354",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583243",
            "telephone_number": "480-214-9720",
            "fax_number": "480-214-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATRO",
        "first_name": "CODDIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "250869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CODDIE",
            "last_name": "DECKER",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.