Active NPI
Tara Dupuy Herrero, CRNA
- Certified Registered Nurse Anesthetist
- Flagstaff, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 293397
- Practice address
- 1840 N Jasper Dr Ste 1
Flagstaff, AZ 86001-1634 - Phone
- (928) 558-7001
- NPI assigned
- Jul 24, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 39
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.
-
- Anesthesiology Physician
- Sierra Vista, AZ
- NPI 1487956504
AZ, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Brighton, MI
- NPI 1336530997
AZ, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Baton Rouge, LA
- NPI 1245282466
LA, Nurse Anesthetist, Certified Registered
-
- Durable Medical Equipment & Medical Supplies
- Tempe, AZ
- NPI 1558102608
-
- Durable Medical Equipment & Medical Supplies
- Chino Valley, AZ
- NPI 1003384710
-
- Durable Medical Equipment & Medical Supplies
- Sedona, AZ
- NPI 1063456358
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Lake Havasu City, AZ
- NPI 1780761866
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northeastern Anesthesia PLLCSouthwestern Eye Center LTD
Practice addresses (Care Compare)
101 Civic Ctr LN
Lake Havasu City, AZ 86403-5607
Phone (928) 855-8185
1055 S Stapley Dr
Mesa, AZ 85204-5013
Phone (480) 833-9100
2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Phone (928) 537-4375
Hospital & facility affiliations
- Havasu Regional Medical Center
- Kingman Regional Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, LA, AZ
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071210000670 | SC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8527092774 | Reassigns benefits to 2 organizations |
| I20180627003609 | LA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8527092774 | Reassigns benefits to 1 organization |
| I20230705002666 | AZ | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8527092774 | Reassigns benefits to 6 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3279 | SC | MD | Contractor |
| 2925652 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenville Health System | Current | Accepting new patients | |
| The Capital City Anesthesia Group, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Pathology Associates of Greenville PA | Current | Accepting new patients | |
| Barnet Dulaney Perkins Eye Center, PC | Current | Accepting new patients | |
| Valley Regional Anesthesia Associates Inc | Current | Accepting new patients | |
| Southwestern Eye Center, LTD | Current | Accepting new patients | |
| Prisma Health-Upstate | Current | Accepting new patients | |
| Barnet Dulaney Perkins Eye Center, PC | Current | Accepting new patients | |
| Southwestern Eye Center LTD | Current | Accepting new patients | |
| Anesthesia Partners & Management LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northeastern Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Greenville Health System | Current | Accepting new patients | |
| Southwestern Eye Center, LTD | Current | Accepting new patients | |
| Barnet Dulaney Perkins Eye Center, PC | Current | Accepting new patients | |
| Prisma Health-Upstate | Current | Accepting new patients | |
| Anesthesiology Consultants of the Palm Beaches PA | Past | Accepting new patients |
Locations (25 of 50)
3003 Highway 95
Ste 63
Bullhead City, AZ 86442
Phone (928) 763-7555
560 N Camino Mercado
Ste 1
Casa Grande, AZ 85122
Phone (520) 426-9224
1840 W Chandler Blvd
Ste D2
Chandler, AZ 85224
Phone (480) 745-8577
270 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-4202
1020 N San Francisco St
Ste 100
Flagstaff, AZ 86001
Phone (928) 774-2300
1840 N Jasper Dr
Ste 1
Flagstaff, AZ 86001
Phone (928) 558-7001
350 N Switzer Canyon Dr
Flagstaff, AZ 86001
Phone (928) 779-0500
5330 S Highway 95
Fort Mohave, AZ 86426
Phone (928) 788-2273
1151 S La Canada Dr
Ste 200
Green Valley, AZ 85614
Phone (520) 625-8562
40 Capri Blvd
Ste 102
Lk Havasu Cty, AZ 86403
Phone (520) 758-2020
101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150
5250 E Southern Ave
Mesa, AZ 85206
Phone (480) 420-1005
1114 S Higley Rd
Mesa, AZ 85206
Phone (480) 264-2295
160 W University Dr
Ste 1
Mesa, AZ 85201
Phone (480) 833-0014
1055 S Stapley Dr
Mesa, AZ 85204
Phone (480) 833-9100
4760 E Falcon Dr
Ste 101
Mesa, AZ 85215
Phone (480) 985-7400
103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200
4800 N 22nd St
Ste 120
Phoenix, AZ 85016
3900 E Camelback Rd
Ste 190
Phoenix, AZ 85018
Phone (888) 724-6236
7301 N 16th St
Ste 102
Phoenix, AZ 85020
Phone (602) 772-8600
4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872
3110 Clearwater Dr
Prescott, AZ 86305
Phone (623) 241-6185
2242 W 16th St
Safford, AZ 85546
Phone (928) 428-0068
825 S 20th Ave
Safford, AZ 85546
Phone (928) 428-6930
4921 E Bell Rd
Ste 102
Scottsdale, AZ 85254
Phone (602) 548-6500
Interoperability endpoints
- tara.herrero.p20@direct.avp.nextgenshare.com
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 2925652 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | 293397 | AZ | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1840 N Jasper Dr Ste 1
Flagstaff, AZ 86001-1634
Mailing address
322 Pleasant Hill Rd
Landrum, SC 29356-8727
Phone (864) 468-5429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 22, 2023.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687392000000",
"number": "1376565291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 PLEASANT HILL RD",
"city": "LANDRUM",
"state": "SC",
"postal_code": "293568727",
"telephone_number": "864-468-5429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1840 N JASPER DR STE 1",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860011634",
"telephone_number": "928-558-7001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRERO",
"first_name": "TARA",
"middle_name": "DUPUY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2023-06-22",
"certification_date": "2023-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "2925652",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AZ",
"license": "293397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.