Individual provider Active NPI

Christina A Tretter, NP-C

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1073984639
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
TAP8161 Issued in AZ
Practice address
1327 E Chandler Blvd
Ste 106
Phoenix, AZ 85048-6289
Phone
(480) 501-9475
Fax
(480) 306-7674
NPI assigned
Oct 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X MT3783380 AZ
Adult Health Nurse Practitioner 363LA2200X TAP8161 AZ
Internal Medicine Physician 207R00000X TAP8161 AZ Primary

Addresses

Primary practice location

1327 E Chandler Blvd
Ste 106
Phoenix, AZ 85048-6289

Mailing address

1327 E Chandler Blvd
Ste 106
Phoenix, AZ 85048-6289
Phone (480) 501-9475

Other practice location 1

4955 S Alma School Rd
Chandler, AZ 85248-5638
Phone (315) 292-2863

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
I20160406000674 AZ Practitioner - Nurse Practitioner 8022316165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stone Med LLCGroup PAC ID 6507114022, 2 clinicians

Practice addresses (Care Compare)

1327 E Chandler Blvd
Suite 106
Phoenix, AZ 85048-6272
Phone (480) 501-9475

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TAP8161AZMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stone Med, LLC Internal Medicine CurrentSince Jul 1, 2018 Accepting new patients

Locations

77 S Dobson Rd
Chandler, AZ 85224
Phone (480) 814-0266

77 S Dobson Rd
Ste 2
Chandler, AZ 85224
Phone (480) 444-7491

1327 E Chandler Blvd
Ste 106
Phoenix, AZ 85048
Phone (480) 460-1177

Organizations & group practices 1

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": "1444262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1073984639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 E CHANDLER BLVD",
            "address_2": "STE 106",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850486289",
            "telephone_number": "480-501-9475",
            "fax_number": "480-306-7674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 E CHANDLER BLVD",
            "address_2": "STE 106",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850486289",
            "telephone_number": "480-501-9475",
            "fax_number": "480-306-7674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4955 S Alma School Rd",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852485638",
            "country_code": "US",
            "telephone_number": "315-292-2863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRETTER",
        "first_name": "CHRISTINA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-08",
        "last_updated": "2024-06-06",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AZ",
            "license": "MT3783380",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "TAP8161",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "TAP8161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.