Individual provider Active NPI

Natalie Ann Tejada, FNP-C

  • Family Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1083959795
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP4779 Issued in AZ
Practice address
428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296-2263
Phone
(480) 677-8282
Fax
(480) 677-8283
NPI assigned
Dec 6, 2012
Last updated
Mar 24, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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 AP4779 AZ Primary

Addresses

Primary practice location

428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296-2263

Mailing address

4600 S Mill Ave
Ste 280
Tempe, AZ 85282-6757
Phone (480) 305-2888

Other identifiers 1

IdentifierTypeStateIssuer
775502MedicaidAZ

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
I20130131000132 AZ Practitioner - Nurse Practitioner 7416101332 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Associated Internists of Ahwatukee PCGroup PAC ID 1759272958, 9 clinicians

Practice addresses (Care Compare)

4530 E Muirwood Dr
Suite 105
Phoenix, AZ 85048-7693
Phone (480) 961-2303

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP4779AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Good Health Medical, PLLC CurrentSince Feb 8, 2017 Accepting new patients
Good Health Medical, PLLC CurrentSince Feb 8, 2017 Accepting new patients
Good Health Medical, PLLC Current Accepting new patients
Alia Family Practice Inc CurrentSince Dec 2, 2017 Accepting new patients
Associated Internists of Ahwatukee, P.C. CurrentSince Feb 27, 2020 Accepting new patients
Effideen Ameerally MD PC CurrentSince Aug 29, 2017 Accepting new patients
Livn, P.C. Past Accepting new patients
District Medical Group, Inc Past Accepting new patients

Locations

100 W Apache Trl
Ste 8
Apache Junction, AZ 85120
Phone (480) 288-7700

3100 N Alma School Rd
Chandler, AZ 85224
Phone (480) 255-5983

3420 S Mercy Rd
Ste 211
Gilbert, AZ 85297
Phone (480) 961-2303

428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 632-7400

7436 E Main St
Ste 1
Mesa, AZ 85207
Phone (405) 921-2503

7436 E Main St
Ste 2
Mesa, AZ 85207
Phone (480) 983-5111

4530 E Muirwood Dr
Ste 105
Phoenix, AZ 85048
Phone (480) 961-2303

287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 667-8282

10115 E Bell Rd
Ste 107
Scottsdale, AZ 85260

8897 E Desert CV Ave
1St FL
Scottsdale, AZ 85260

4600 S Mill Ave
Ste 280
Tempe, AZ 85282

6655 S Rural Rd
Ste 3
Tempe, AZ 85283
Phone (480) 831-0600

Interoperability endpoints

  • FHIR API: https://epicproxy.et4001.epichosted.com/APIProxyPRD/MDN/api/FHIR/R4

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490313600000",
    "number": "1083959795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 S MILL AVE",
            "address_2": "STE 280",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852826757",
            "telephone_number": "480-305-2888",
            "fax_number": "480-305-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 S GILBERT RD",
            "address_2": "STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852962263",
            "telephone_number": "480-677-8282",
            "fax_number": "480-677-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEJADA",
        "first_name": "NATALIE",
        "middle_name": "ANN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-06",
        "last_updated": "2017-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "775502",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.