Tamara M Bulthuis, APRN-RNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RNP252914 Issued in AZ

Practice address

916 E Sun Valley Farms LN
San Tan Valley, AZ 85140-4264

Phone

(919) 451-2004

NPI assigned

Jan 2, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Archways Recovery Centers, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Mesa, AZ
  • NPI 1861853756
  Medicare reassignment NPD (past)

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

{
    "created_epoch": "1767312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1144186271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 E SUN VALLEY FARMS LN",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851404264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 E SUN VALLEY FARMS LN",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851404264",
            "telephone_number": "919-451-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULTHUIS",
        "first_name": "TAMARA",
        "middle_name": "M",
        "credential": "APRN-RNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-02",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "RNP252914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie Brown, NP
• Kristina Brown, COTA/L
• Palaire Brown, PHARMD
• Jessica Bryner, PHARMD
• Charity Bubik, RN
• Vilma M Burke, FNP
• Amy Burks
• Alyssa Danielle Bustos
• Vidalia M Butler-Poku, MD
• Christopher Ray Butler, D.C.

• Psychiatric/Mental Health Nurse Practitioner in San Tan Valley, AZ
• Providers in San Tan Valley, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; 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.

Verify at the official NPI Registry.