Individual provider Active NPI

Lolita Tramel, PMHNP, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1124378724
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP11199 Issued in AZ
Practice address
9375 E Shea Blvd Ste 100
Scottsdale, AZ 85260-6986
Phone
(480) 720-9038
Fax
(480) 660-6354
NPI assigned
Sep 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AP11199 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP11199 AZ Primary

Addresses

Primary practice location

9375 E Shea Blvd Ste 100
Scottsdale, AZ 85260-6986

Mailing address

9375 E Shea Blvd Ste 100
Scottsdale, AZ 85260-6986
Phone (480) 720-9038

Other identifiers 1

IdentifierTypeStateIssuer
000000MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180514001971 TX Practitioner - Nurse Practitioner 4082842034 Reassigns benefits to 1 organization
I20201001001932 AZ Practitioner - Nurse Practitioner 4082842034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9375 E Shea Blvd
Suite 100
Scottsdale, AZ 85260-6986
Phone (480) 720-9038

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP11199AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Jan 7, 2018 Accepting new patients
Hearts for Dementia LLC Gerontology CurrentSince Nov 1, 2023 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Jan 7, 2018 Accepting new patients

Locations

4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187

9375 E Shea Blvd
Ste 100
Scottsdale, AZ 85260
Phone (480) 720-9038

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AEBGDD/Endpoint/AEBGDD

Organizations & group practices 3

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": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1124378724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9375 E SHEA BLVD STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606986",
            "telephone_number": "480-720-9038",
            "fax_number": "480-660-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9375 E SHEA BLVD STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606986",
            "telephone_number": "480-720-9038",
            "fax_number": "480-660-6354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAMEL",
        "first_name": "LOLITA",
        "credential": "PMHNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-12",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "AP11199",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP11199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.