Active NPI
Tarra Emily Noble
- Pediatric Nurse Practitioner
- Tucson, AZ
National Provider Identifier
1265044309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 303785
- Practice address
- 1305 N Martin Ave
Tucson, AZ 85721-0001 - Phone
- (520) 204-5509
- NPI assigned
- Aug 19, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN197777 | AZ | |
| Pediatric Nurse Practitioner | 363LP0200X | 303785 | AZ | Primary |
Addresses
Primary practice location
1305 N Martin Ave
Tucson, AZ 85721-0001
Mailing address
5861 N Oracle Rd
Tucson, AZ 85704-3813
Phone (520) 293-6686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN197777 | AZ | MD | Registered Nurse |
| 303785 | AZ | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Al Shaafi Medical PC | Past | Accepting new patients | |
| Pediatrics GPS, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Tucson, AZ
- NPI 1316946445
-
- Pediatrics Physician
- Tucson, AZ
- NPI 1336758861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707696000000",
"number": "1265044309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5861 N ORACLE RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857043813",
"telephone_number": "520-293-6686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 N MARTIN AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857210001",
"telephone_number": "520-204-5509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOBLE",
"first_name": "TARRA",
"middle_name": "EMILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-19",
"last_updated": "2024-02-12",
"certification_date": "2024-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "RN197777",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "AZ",
"license": "303785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.