Individual provider Active NPI

Tara M Thompson, FNP

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1235652942
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP10708 Issued in AZ
Practice address
4824 E Baseline Rd Ste 140
Mesa, AZ 85206-4680
Phone
(480) 969-4040
Fax
(480) 830-1042
NPI assigned
Jul 25, 2017
Last updated
Aug 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP10708 AZ Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X AP10708 AZ

Addresses

Primary practice location

4824 E Baseline Rd Ste 140
Mesa, AZ 85206-4680

Mailing address

19713 E Cherry Hills PL
Queen Creek, AZ 85142-6272

Other practice location 1

19713 E Cherry Hills Place
Queen Creek, AZ 85142
Phone (480) 907-8467

Other practice location 2

7525 E Broadway Rd Ste 11
Mesa, AZ 85208-1156
Phone (480) 646-1001

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
I20171215000744 AZ Practitioner - Nurse Practitioner 6305104563 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Corner Health Medical Group P aGroup PAC ID 5799223236, 36 clinicians

Practice addresses (Care Compare)

2855 E Brown Rd
Suite 17
Mesa, AZ 85213-4216
Phone (480) 637-7974

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP10708AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Corner Health Medical Group P a Multi-Specialty CurrentSince Oct 5, 2025 Accepting new patients
Goldfield Medical Clinics, LLC Multi-Specialty CurrentSince Feb 1, 2023 Accepting new patients
Northwest Rheumatology PLLC Multi-Specialty PastSince Oct 5, 2025 Accepting new patients

Locations

99 S Gold Dr
Ste 5
Apache Junction, AZ 85120
Phone (480) 286-7907

13 N San Francisco St
Ste 6
Flagstaff, AZ 86001
Phone (928) 405-0173

1641 S Stapley Dr
Ste 107
Mesa, AZ 85204
Phone (480) 660-8612

2855 E Brown Rd
Ste 17
Mesa, AZ 85213
Phone (480) 637-7974

3048 E Baseline Rd
Ste 122
Mesa, AZ 85204
Phone (480) 497-5933

7115 E Baseline Rd
Ste 110
Mesa, AZ 85209
Phone (480) 626-4999

7615 E Baseline Rd
Ste 101
Mesa, AZ 85209
Phone (480) 300-4646

2 N Central Ave
Ste 1800
Phoenix, AZ 85004
Phone (425) 243-3719

2320 E Baseline Rd
Ste 148284
Phoenix, AZ 85042

10401 E McDowell Mtn Ranch Rd
Ste 100
Scottsdale, AZ 85255
Phone (480) 725-8601

312 Arizona Ave
Ste 314
Santa Monica, CA 90401

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, 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": "1500940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1235652942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19713 E CHERRY HILLS PL",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4824 E BASELINE RD STE 140",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064680",
            "telephone_number": "480-969-4040",
            "fax_number": "480-830-1042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19713 E Cherry Hills Place",
            "address_purpose": "LOCATION",
            "city": "Queen Creek",
            "state": "AZ",
            "postal_code": "85142",
            "country_code": "US",
            "telephone_number": "480-907-8467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7525 E Broadway Rd Ste 11",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852081156",
            "country_code": "US",
            "telephone_number": "480-646-1001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "TARA",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-25",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10708",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "AZ",
            "license": "AP10708",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.