Individual provider Active NPI

Tanya Clesie Cavallaro-Moretti, DNP FNP-BC

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1265761399
Registry record updated Jun 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP3532 Issued in AZ
Practice address
1717 E Morten Ave Unit 34
Phoenix, AZ 85020-4756
Phone
(480) 286-2866
NPI assigned
Dec 20, 2009
Last updated
Jun 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP3532 AZ Primary

Addresses

Primary practice location

1717 E Morten Ave Unit 34
Phoenix, AZ 85020-4756

Mailing address

1717 E Morten Ave Unit 34
Phoenix, AZ 85020-4756
Phone (480) 286-2866

Other names 1

  • Mrs. Tanya Clesie Cavallaro Moretti Other name

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
I20101220000731 AZ Practitioner - Nurse Practitioner 8325236250 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Honorhealth Urgent Care LLCGroup PAC ID 0345130266, 103 clinicians

Practice addresses (Care Compare)

1515 E Bethany Home Rd
Suite 120B
Phoenix, AZ 85014-2496
Phone (602) 812-3080

Merit-based Incentive Payment System (MIPS)

Final score
83.21 of 100Reported as group
Quality
77.66
Promoting interoperability
100
Improvement activities
40
Cost
66.36

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Urgent Care, LLC CurrentSince Oct 29, 2018 Accepting new patients
Honorhealth-Fastmed Ambulatory Holdings LLC Current Accepting new patients
Honorhealth Urgent Care, LLC CurrentSince Oct 29, 2018 Accepting new patients
Honorhealth Urgent Care, LLC Current Accepting new patients
Honorhealth-Fastmed Ambulatory Holdings LLC CurrentSince Aug 1, 2023 Accepting new patients
Honorhealth-Fastmed Ambulatory Holdings LLC CurrentSince Aug 1, 2023 Accepting new patients
4C Medical Group PLC PastSince May 1, 2017 Accepting new patients
Alsham Medical PLLC PastSince Sep 1, 2009 Accepting new patients

Locations

3648 W Anthem Way
Bldg A100C
Anthem, AZ 85086
Phone (623) 434-6444

16716 E Palisades Blvd
Ste 101B
Fountain Hills, AZ 85268
Phone (480) 587-5738

415 N Val Vista Dr
Ste 101
Mesa, AZ 85213
Phone (480) 654-5661

10230 W Happy Valley Pkwy
Ste 100C
Peoria, AZ 85383
Phone (623) 561-3030

1515 E Bethany Home Rd
Ste 120B
Phoenix, AZ 85014
Phone (602) 547-7335

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

Interoperability endpoints

  • Direct secure messaging: tcavallaromoretti253292@direct.honorhealth.com

Organizations & group practices 9

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": "1261267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719619200000",
    "number": "1265761399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 E MORTEN AVE UNIT 34",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204756",
            "telephone_number": "480-286-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 E MORTEN AVE UNIT 34",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204756",
            "telephone_number": "480-286-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVALLARO-MORETTI",
        "first_name": "TANYA",
        "middle_name": "CLESIE",
        "name_prefix": "Dr.",
        "credential": "DNP FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-20",
        "last_updated": "2024-06-29",
        "certification_date": "2024-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP3532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANYA",
            "last_name": "CAVALLARO MORETTI",
            "middle_name": "CLESIE",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.