Individual provider Active NPI

Tia N. Foukas, DNP, FNP-C

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1275994378
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP8447 Issued in AZ
Practice address
2241 N 39TH Cir
Mesa, AZ 85215-2325
Phone
(520) 668-0910
NPI assigned
Mar 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2016

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 AP8447 AZ Primary

Addresses

Primary practice location

2241 N 39TH Cir
Mesa, AZ 85215-2325

Mailing address

4344 E Presidio St
Mesa, AZ 85215-1143
Phone (480) 834-5111

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
I20160608002194 AZ Practitioner - Nurse Practitioner 6507156288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woman'S Center for Advanced Pelvic Surgery PLLPGroup PAC ID 5890714448, 9 clinicians

Practice addresses (Care Compare)

4344 E Presidio St
Mesa, AZ 85215-1143
Phone (480) 834-5111

Merit-based Incentive Payment System (MIPS)

Final score
87.51 of 100Reported as group
Quality
87.32
Promoting interoperability
100
Improvement activities
40
Cost
71.03

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP8447AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Woman'S Center for Advanced Pelvic Surgery PLLP CurrentSince May 1, 2016 Accepting new patients
Kelly H. Roy, MD, PC Past Accepting new patients

Locations

4344 E Presidio St
Mesa, AZ 85215
Phone (480) 834-5111

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2541/brand/1/csg/1/fhir/r4
  • Direct secure messaging: tia.foukas.1@807.direct.athenahealth.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460937600000",
    "number": "1275994378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4344 E PRESIDIO ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852151143",
            "telephone_number": "480-834-5111",
            "fax_number": "480-834-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 N 39TH CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852152325",
            "telephone_number": "520-668-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUKAS",
        "first_name": "TIA",
        "middle_name": "N.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-16",
        "last_updated": "2016-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.