Active NPI
Coddie L Tatro, NP-C
- Family Nurse Practitioner
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 250869
- 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
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 | 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
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
Enrollment records 1
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
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 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honorhealth Urgent Care, LLC | Current | Accepting new patients | |
| Honorhealth Urgent Care, LLC | Current | Accepting new patients | |
| Summit Medical Group Arizona LLC | Current | Accepting new patients | |
| Scottsdale Physicians Group PLC | Current | 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
- 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.
-
- Urgent Care Clinic/Center
- Phoenix, AZ
- NPI 1740273614
-
- Internal Medicine Physician
- Scottsdale, AZ
- NPI 1689799579
-
- Family Medicine Physician
- Glendale, AZ
- NPI 1053810622
-
- Urgent Care Clinic/Center
- Scottsdale, AZ
- NPI 1700423415
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.