Individual provider Active NPI

Tarah E Wood, FNP-BC

  • Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1174097299
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
251994 Issued in AZ
Practice address
4921 E Bell Rd Ste 205
Scottsdale, AZ 85254-6002
Phone
(800) 640-3451
NPI assigned
Jan 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11038318 FL
Nurse Practitioner 363L00000X 82768 NM
Nurse Practitioner 363L00000X 10049239 OR
Family Nurse Practitioner 363LF0000X AP140056 TX
Nurse Practitioner 363L00000X 251994 AZ Primary

Addresses

Primary practice location

4921 E Bell Rd Ste 205
Scottsdale, AZ 85254-6002

Mailing address

PO Box 1200
Pleasant Grove, UT 84062-1200
Phone (800) 640-3451

Other practice location 1

25195 SW Parkway Ave Ste 210
Wilsonville, OR 97070-9689
Phone (800) 640-3451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ, FL, NM, OR, WA6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20190227001954 TX Practitioner - Nurse Practitioner 2264771740 Reassigns benefits to 1 organization
I20210507002027 AZ Practitioner - Nurse Practitioner 2264771740 Reassigns benefits to 4 organizations
I20250513000170 FL Practitioner - Nurse Practitioner 2264771740 Reassigns benefits to 1 organization
I20250522002003 NM Practitioner - Nurse Practitioner 2264771740 Reassigns benefits to 1 organization
I20250916002697 OR Practitioner - Nurse Practitioner 2264771740 Reassigns benefits to 1 organization
I20251024002351 WA Practitioner - Nurse Practitioner 2264771740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Plaid Eagle Medical PLLCGroup PAC ID 6103268560, 35 clinicians
Bku Wound Management PLLCGroup PAC ID 7113450081, 8 clinicians
Mulberry Medical LLCGroup PAC ID 2365954450, 30 clinicians

Practice addresses (Care Compare)

11417 124TH Ave NE
Suite 100
Kirkland, WA 98033-4677
Phone (800) 640-3451

25195 SW Pkwy Ave
Suite 210
Wilsonville, OR 97070-9689
Phone (800) 640-3451

4921 E Bell Rd
Suite 205
Scottsdale, AZ 85254-6002
Phone (800) 640-3451

5801 S McClintock Dr
Suite 104
Tempe, AZ 85283-6002
Phone (623) 220-2602

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10049239ORMDNurse Practitioner
AP140056TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bku Wound Management PLLC CurrentSince Nov 1, 2024 Accepting new patients
Mulberry Medical LLC CurrentSince Mar 9, 2026 Accepting new patients
Spencer J Hardenbrook MD PC CurrentSince May 21, 2024 Accepting new patients
Vpa of Texas PLLC CurrentSince Mar 1, 2019 Accepting new patients
Plaid Eagle Medical PLLC CurrentSince Sep 1, 2025 Accepting new patients
Vpa of Texas PLLC CurrentSince Mar 1, 2019 Accepting new patients
Family Medicine PC CurrentSince Apr 15, 2025 Accepting new patients
Vpa of Texas PLLC Current Accepting new patients
Plastic and Peripheral Nerve Surgery LLC PastSince Mar 9, 2026 Accepting new patients

Locations

4921 E Bell Rd
Ste 205
Scottsdale, AZ 85254
Phone (602) 753-9403

5801 S McClintock Dr
Ste 104
Tempe, AZ 85283
Phone (623) 220-2601

8320 W Sunrise Blvd
Ste 208
Plantation, FL 33322
Phone (904) 203-8853

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

3825 Eubank Blvd NE
Ste A
Albuquerque, NM 87111
Phone (505) 292-8575

25195 SW Parkway Ave
Ste 210
Wilsonville, OR 97070
Phone 8006403451 ext. 97070

7800 Shoal Creek Blvd
Ste 118W
Austin, TX 78757
Phone (512) 374-0700

7800 Shoal Creek Blvd
Ste 130W
Austin, TX 78757
Phone (713) 874-0012

5414 Fredericksburg Rd
Ste 100A
San Antonio, TX 78229
Phone (210) 468-0800

11417 124th Ave NE
Ste 100
Kirkland, WA 98033

Interoperability endpoints

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

Organizations & group practices 10

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": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1174097299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1200",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840621200",
            "telephone_number": "800-640-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4921 E BELL RD STE 205",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546002",
            "telephone_number": "800-640-3451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25195 SW Parkway Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Wilsonville",
            "state": "OR",
            "postal_code": "970709689",
            "country_code": "US",
            "telephone_number": "800-640-3451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "TARAH",
        "middle_name": "E",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-11",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11038318",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "82768",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "10049239",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140056",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "251994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.