Individual provider Active NPI

Tiffany Luc, NP

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1164108205
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
296497 Issued in AZ
Practice address
4555 E Inverness Ave BLDG 3
Mesa, AZ 85206-4630
Phone
(480) 361-0110
NPI assigned
Jun 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN205625 AZ
Family Nurse Practitioner 363LF0000X 296497 AZ Primary

Addresses

Primary practice location

4555 E Inverness Ave BLDG 3
Mesa, AZ 85206-4630

Mailing address

4555 E Inverness Ave BLDG 3
Mesa, AZ 85206-4630

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
I20240429003299 AZ Practitioner - Nurse Practitioner 4082054721 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Sleep Physicians IncGroup PAC ID 5698905677, 27 clinicians
Brian G Lee MD PLLCGroup PAC ID 4082914247, 18 clinicians

Practice addresses (Care Compare)

4555 E Inverness Ave
Suite 112
Mesa, AZ 85206-4630
Phone (480) 361-0110

7301 E 2ND St
Suite 106
Scottsdale, AZ 85251-5609
Phone (480) 994-0308

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN205625AZMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Sleep Physicians, Inc CurrentSince Mar 17, 2026 Accepting new patients
Mountain Park Health Center - Dental Past Accepting new patients

Locations

4555 E Inverness Ave
Bldg 3
Mesa, AZ 85206
Phone (480) 361-0110

4555 E Inverness Ave
Ste 112
Mesa, AZ 85206
Phone (480) 361-0110

10221 N 32nd St
Ste B
Phoenix, AZ 85028
Phone (480) 361-0110

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": "1687478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1164108205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4555 E INVERNESS AVE BLDG 3",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 E INVERNESS AVE BLDG 3",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064630",
            "telephone_number": "480-361-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUC",
        "first_name": "TIFFANY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-23",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN205625",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "296497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.