Active NPI
Tara Helm Debardeleben, NP
- Family Nurse Practitioner
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 69134
- Practice address
- 2201 E Camelback Rd Ste 101a
Phoenix, AZ 85016-3495 - Phone
- (888) 663-6331
- Fax
- (415) 252-7176
- NPI assigned
- Apr 7, 2015
- Last updated
- Apr 17, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP7738 | AZ | |
| Family Nurse Practitioner | 363LF0000X | C-APN.0103406-C-NP | CO | |
| Family Nurse Practitioner | 363LF0000X | 69134 | ID | Primary |
Addresses
Primary practice location
2201 E Camelback Rd Ste 101a
Phoenix, AZ 85016-3495
Mailing address
222 N 2ND St
Ste 204
Boise, ID 83702-6130
Phone (415) 658-6791
Other practice location 1
3202 E Greenway Rd Ste 1401
Phoenix, AZ 85032-4511
Phone (602) 325-5577
Other practice location 2
8175 Sheridan Blvd Unit N
Arvada, CO 80003-1928
Phone (303) 557-0855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, ID, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2201 E Camelback Rd
Suite 101a
Phoenix, AZ 85016-3495
Phone (888) 405-6396
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-APN.0103406-C-NP | CO | MD | Family Nurse Practitioner |
| 69134 | ID | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iora Health Colorado, P.C. | Current | Accepting new patients | |
| Omg Arizona, LLC | Current | Accepting new patients | |
| Ashley a Davis M.D.P.C. | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Iora Health Colorado, P.C. | Current | Accepting new patients | |
| Iora Senior Health, LLC | Current | Accepting new patients | |
| Iora Senior Health, LLC | Current | Accepting new patients | |
| Iora Senior Health, LLC | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Iora Health Colorado, P.C. | Current | Accepting new patients | |
| Iora Senior Health, LLC | Current | Accepting new patients | |
| Iora Senior Health, LLC | Current | Accepting new patients |
Locations
2201 E Camelback Rd
Ste 101A
Phoenix, AZ 85016
Phone (602) 218-4075
3137 W Indian School Rd
Phoenix, AZ 85017
Phone (602) 325-5570
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
3202 E Greenway Rd
Ste 1401
Phoenix, AZ 85032
Phone (602) 325-5577
1 Embarcadero Ctr
Fl 19
San Francisco, CA 94111
Phone (415) 814-0927
130 Sutter St
Fl 2
San Francisco, CA 94104
Phone (415) 529-4522
8175 Sheridan Blvd
Unit N
Arvada, CO 80003
Phone (303) 557-0855
1080 S Sable Blvd
Unit 18
Aurora, CO 80012
Phone (303) 552-9577
222 N 2nd St
Ste 204
Boise, ID 83702
Phone (208) 429-9100
Interoperability endpoints
- thelm80471@direct.valleywisehealth.org
Organizations & group practices 12
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.
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- NPI 1306970827
-
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- Phoenix, AZ
- NPI 1568795532
-
dba One Medical
- Internal Medicine Physician
- Sun City West, AZ
- NPI 1417486465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744848000000",
"number": "1265828230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 N 2ND ST",
"address_2": "STE 204",
"city": "BOISE",
"state": "ID",
"postal_code": "837026130",
"telephone_number": "415-658-6791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 E CAMELBACK RD STE 101A",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850163495",
"telephone_number": "888-663-6331",
"fax_number": "415-252-7176"
}
],
"practiceLocations": [
{
"address_1": "3202 E Greenway Rd Ste 1401",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850324511",
"country_code": "US",
"telephone_number": "602-325-5577",
"fax_number": "415-252-7176",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8175 Sheridan Blvd Unit N",
"address_purpose": "LOCATION",
"city": "Arvada",
"state": "CO",
"postal_code": "800031928",
"country_code": "US",
"telephone_number": "303-557-0855",
"fax_number": "415-252-7176",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEBARDELEBEN",
"first_name": "TARA",
"middle_name": "HELM",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-07",
"last_updated": "2025-04-17",
"certification_date": "2025-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP7738",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "C-APN.0103406-C-NP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "69134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.