Individual provider Active NPI

Tatenda Hofisi, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1295544781
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1171223 Issued in TX
Practice address
2415 E Camelback Rd Ste 700
Phoenix, AZ 85016-4245
Phone
(469) 254-0202
NPI assigned
Dec 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1171223 TX Primary

Addresses

Primary practice location

2415 E Camelback Rd Ste 700
Phoenix, AZ 85016-4245

Mailing address

315 W McLain Dr
Sherman, TX 75092-2605

Other practice location 1

315 W McLain Dr
Sherman, TX 75092-2605
Phone (903) 957-4701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250317002434 TX Practitioner - Nurse Practitioner 2163944414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texoma Community CenterGroup PAC ID 6608830104, 9 clinicians

Practice addresses (Care Compare)

315 W McLain Dr
Sherman, TX 75092-2605
Phone (903) 957-4701

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texoma Community Center CurrentSince Jan 27, 2025 Accepting new patients
Tae Mind Solutions LLC Psychiatric/Mental Health Current Accepting new patients

Locations

315 W McLain Dr
Sherman, TX 75092
Phone (903) 957-4701

Interoperability endpoints

  • Direct secure messaging: tatenda.hofisi.1@22469.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": "1735516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1295544781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W MCLAIN DR",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750922605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 E CAMELBACK RD STE 700",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164245",
            "telephone_number": "469-254-0202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 W McLain Dr",
            "address_purpose": "LOCATION",
            "city": "Sherman",
            "state": "TX",
            "postal_code": "750922605",
            "country_code": "US",
            "telephone_number": "903-957-4701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFISI",
        "first_name": "TATENDA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-30",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1171223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.