Individual provider Active NPI

Tara L Luke, ARNP

  • Nurse Practitioner
  • San Tan Valley, AZ
National Provider Identifier
1144344680
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
248053 Issued in AZ
Practice address
287 E Hunt Hwy Ste 105
San Tan Valley, AZ 85143-5096
Phone
(480) 677-8282
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN.0992938-NP CO
Nurse Practitioner 363L00000X 248053 AZ Primary

Addresses

Primary practice location

287 E Hunt Hwy Ste 105
San Tan Valley, AZ 85143-5096

Mailing address

261 N Roosevelt Ave
Chandler, AZ 85226-2616
Phone (480) 677-8282

Other identifiers 4

IdentifierTypeStateIssuer
090728MedicaidAZ
248053OtherAZNP LICENSE
ARNP9202657OtherFLLICENSE
308274100MedicaidFL

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
I20210316000523 AZ Practitioner - Nurse Practitioner 0941309991 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
248053AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Good Health Medical, PLLC CurrentSince Mar 10, 2021 Accepting new patients
Good Health Medical, PLLC CurrentSince Mar 10, 2021 Accepting new patients
Openloop Healthcare Partners PC Nurse Practitioner CurrentSince Aug 1, 2025 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Jun 1, 2021 Accepting new patients
Good Health Medical, PLLC Current Accepting new patients
Mobile Eyecare of Utah LLC PastSince Aug 1, 2024 Accepting new patients
Livn, P.C. Past Accepting new patients
Anchor Health Centers PA Past Accepting new patients

Locations

261 N Roosevelt Ave
Chandler, AZ 85226
Phone (480) 305-2888

2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246

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

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

1982 W Main St
Ste 101
Mesa, AZ 85201
Phone (480) 295-4880

3707 E Southern Ave
#1
Mesa, AZ 85206
Phone (424) 387-6806

1035 N Ellsworth Rd
Ste 108
Mesa, AZ 85207
Phone (480) 305-2888

2640 W Baseline Rd
Ste 111
Phoenix, AZ 85041
Phone 4803052888 ext. 1109

2632 S 83rd Ave
Ste 113
Phoenix, AZ 85043

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

3372 Peachtree Rd NE
Ste 115
Atlanta, GA 30326
Phone (229) 514-9229

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

16701 Melford Blvd
Ste 400
Bowie, MD 20715
Phone (202) 836-7776

2300 W Sahara Ave
Ste 800
Las Vegas, NV 89102
Phone (702) 234-3311

7633 E 63rd Pl
Ste 300
Tulsa, OK 74133
Phone (888) 637-9669

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4500 Mercantile Plaza Dr
Fort Worth, TX 76137
Phone (214) 635-6412

180 N University Ave
Ste 270
Provo, UT 84601
Phone (385) 469-3731

Interoperability endpoints

  • Direct secure messaging: tluke18936@mydrnow.gardenplot.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1144344680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 N ROOSEVELT AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262616",
            "telephone_number": "480-677-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 E HUNT HWY STE 105",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851435096",
            "telephone_number": "480-677-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKE",
        "first_name": "TARA",
        "middle_name": "L",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0992938-NP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "248053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "090728",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE",
            "identifier": "248053",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "ARNP9202657",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308274100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Tan Valley, AZ

Sources for this page

Verify at the official NPI Registry.