Individual provider Active NPI

Tara Helm Debardeleben, NP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1265828230
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
69134 Issued in ID
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, CO3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20150624000275 AZ Practitioner - Nurse Practitioner 6305157900 Reassigns benefits to 3 organizations
I20220308000206 ID Practitioner - Nurse Practitioner 6305157900 Reassigns benefits to 1 organization
I20241218001024 CO Practitioner - Nurse Practitioner 6305157900 Reassigns benefits to 2 organizations

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
Iora Senior Health LLCGroup PAC ID 0143520189, 117 clinicians

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

LicenseStateTypeSpecialty
C-APN.0103406-C-NPCOMDFamily Nurse Practitioner
69134IDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iora Health Colorado, P.C. CurrentSince Dec 5, 2024 Accepting new patients
Omg Arizona, LLC CurrentSince Nov 14, 2016 Accepting new patients
Ashley a Davis M.D.P.C. CurrentSince Feb 2, 2022 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Iora Health Colorado, P.C. CurrentSince Dec 5, 2024 Accepting new patients
Iora Senior Health, LLC Current Accepting new patients
Iora Senior Health, LLC CurrentSince Feb 24, 2022 Accepting new patients
Iora Senior Health, LLC CurrentSince Dec 5, 2024 Accepting new patients
District Medical Group, Inc CurrentSince Apr 6, 2015 Accepting new patients
Iora Health Colorado, P.C. Current Accepting new patients
Iora Senior Health, LLC Current Accepting new patients
Iora Senior Health, LLC CurrentSince Feb 24, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.