NPIMap

Organization Active NPI

Teresa Loera LLC

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1346862406
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TERESA LOERA LLC
Practice address
4150 W Peoria Ave Ste 122
Phoenix, AZ 85029-3951
Phone
(602) 918-3225
NPI assigned
May 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Authorized official

Name
Tara Begay, NP
Title
NP
Phone
(480) 652-9802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4150 W Peoria Ave Ste 122
Phoenix, AZ 85029-3951

Mailing address

4150 W Peoria Ave Ste 122
Phoenix, AZ 85029-3951
Phone (602) 918-3225

Other names 1

  • TL Family Nurse Practice Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
TL Family Nurse Practice LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593475200000",
    "number": "1346862406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 W PEORIA AVE STE 122",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850293951",
            "telephone_number": "602-918-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 W PEORIA AVE STE 122",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850293951",
            "telephone_number": "602-918-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA LOERA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-12",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A",
        "authorized_official_last_name": "BEGAY",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "480-652-9802",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TL Family Nurse Practice",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jun 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.