Individual provider Active NPI

Tara Dupuy Herrero, CRNA

  • Certified Registered Nurse Anesthetist
  • Flagstaff, AZ
National Provider Identifier
1376565291
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
293397 Issued in AZ
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.

View all 39

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 PLLC 83 clinicians
Southwestern Eye Center LTD 116 clinicians

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 Hospital, Lake Havasu City, AZ, CCN 030069
  • Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, LA, AZ3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
3279SCMDContractor
2925652FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Health System CurrentSince Feb 13, 2012 Accepting new patients
The Capital City Anesthesia Group, LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2018 Accepting new patients
Pathology Associates of Greenville PA Current Accepting new patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Apr 1, 2025 Accepting new patients
Valley Regional Anesthesia Associates Inc CurrentSince Sep 9, 2024 Accepting new patients
Southwestern Eye Center, LTD CurrentSince Apr 1, 2025 Accepting new patients
Prisma Health-Upstate CurrentSince Aug 21, 2017 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Apr 1, 2025 Accepting new patients
Southwestern Eye Center LTD Current Accepting new patients
Anesthesia Partners & Management LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2023 Accepting new patients
Northeastern Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 13, 2025 Accepting new patients
Greenville Health System Current Accepting new patients
Southwestern Eye Center, LTD CurrentSince Apr 1, 2025 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 PastSince Jan 19, 2004 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

  • Direct secure messaging: tara.herrero.p20@direct.avp.nextgenshare.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 2925652 FL
Certified Registered Nurse Anesthetist 367500000X 293397 AZ Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.