Individual provider Active NPI

Tracy Conboy, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1164819918
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP7751 Issued in AZ
Practice address
8160 E Butherus Dr Ste 9
Scottsdale, AZ 85260-2523
Phone
(602) 377-7326
Fax
(480) 499-5526
NPI assigned
Apr 20, 2015
Last updated
Apr 20, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP7751 AZ Primary

Addresses

Primary practice location

8160 E Butherus Dr Ste 9
Scottsdale, AZ 85260-2523

Mailing address

8160 E Butherus Dr Ste 9
Scottsdale, AZ 85260-2523
Phone (602) 377-7326

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
I20150701000268 AZ Practitioner - Nurse Practitioner 1658683875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Bridges IncGroup PAC ID 2062699721, 106 clinicians

Practice addresses (Care Compare)

2770 E Van Buren St
Phoenix, AZ 85008-6088
Phone (602) 273-9999

554 -1 S Bellview
RM a
Mesa, AZ 85204-2504
Phone (480) 461-1711

560 S Bellview
Mesa, AZ 85204-2504
Phone (480) 962-7711

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP7751AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Bridges, Inc. Current Accepting new patients
Community Bridges, Inc. CurrentSince Jan 1, 2020 Accepting new patients
Community Bridges, Inc. CurrentSince Jan 1, 2020 Accepting new patients
Community Bridges, Inc. Past Accepting new patients
Community Bridges, Inc. Past Accepting new patients

Locations

824 N 99th Ave
Ste 105
Avondale, AZ 85323
Phone (602) 545-8247

1855 W Baseline Rd
Ste 101
Mesa, AZ 85202

554 S Bellview
Rm B
Mesa, AZ 85204
Phone (480) 649-1141

2770 E Van Buren St
Rm Abd
Phoenix, AZ 85008
Phone (602) 273-9999

250 S Toole Ave
Ste 110
Tucson, AZ 85701
Phone (520) 323-1212

2950 N Dodge Blvd
Tucson, AZ 85716
Phone (520) 327-9863

Interoperability endpoints

  • Direct secure messaging: tracy.conboyrn.p1@direct.cbridges.nextgenshare.com

Organizations & group practices 5

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": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429488000000",
    "number": "1164819918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8160 E BUTHERUS DR STE 9",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602523",
            "telephone_number": "602-377-7326",
            "fax_number": "480-499-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8160 E BUTHERUS DR STE 9",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602523",
            "telephone_number": "602-377-7326",
            "fax_number": "480-499-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONBOY",
        "first_name": "TRACY",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-20",
        "last_updated": "2015-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP7751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.