Individual provider Active NPI

Laura E Tyndall

  • Psychiatric/Mental Health Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1417423948
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
248828 Issued in AZ
Practice address
1492 S Mill Ave Ste 206
Tempe, AZ 85281-5664
Phone
(623) 288-3656
NPI assigned
Oct 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 248828 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 248828 AZ Primary
Clinical Social Worker 1041C0700X LCSW-19309 AZ

Addresses

Primary practice location

1492 S Mill Ave Ste 206
Tempe, AZ 85281-5664

Mailing address

402 W Lincoln St Apt 361
Phoenix, AZ 85003-2174
Phone (480) 662-2409

Other practice location 1

402 W Lincoln St Apt 361
Phoenix, AZ 85003-2174
Phone (480) 662-2409

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240402004335 AZ Practitioner - Clinical Social Worker 1557606001 Reassigns benefits to 1 organization
I20251015000845 AZ Practitioner - Nurse Practitioner 1557606001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Turnwell Mental Health of Arizona, PCGroup PAC ID 4981063328, 25 clinicians
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

1492 S Mill Ave
Suite 206
Tempe, AZ 85281-5664
Phone (480) 508-0882

20 E Thomas Rd
Suite 2200
Phoenix, AZ 85012-3133
Phone (866) 630-0966

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Turnwell Mental Health of Arizona, PC CurrentSince Sep 2, 2025 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Feb 5, 2024 Accepting new patients

Locations

20 E Thomas Rd
Ste 2200
Phoenix, AZ 85012
Phone (310) 515-8113

8350 E Raintree Dr
Ste 130
Scottsdale, AZ 85260
Phone (480) 508-0882

1492 S Mill Ave
Ste 206
Tempe, AZ 85281
Phone (480) 508-0882

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": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1417423948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 W LINCOLN ST APT 361",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850032174",
            "telephone_number": "480-662-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 S MILL AVE STE 206",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852815664",
            "telephone_number": "623-288-3656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 W Lincoln St Apt 361",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850032174",
            "country_code": "US",
            "telephone_number": "480-662-2409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYNDALL",
        "first_name": "LAURA",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-23",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "248828",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "248828",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-19309",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.