Individual provider Active NPI

Tammatha Lynn Jones, FNP-C

  • Family Nurse Practitioner
  • San Tan Valley, AZ
National Provider Identifier
1417439274
Registry record updated Mar 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP11502 Issued in AZ
Practice address
155 W Combs Rd
San Tan Valley, AZ 85140-9108
Phone
(480) 474-6620
NPI assigned
Aug 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP11502 AZ
Family Nurse Practitioner 363LF0000X AP11502 AZ Primary

Addresses

Primary practice location

155 W Combs Rd
San Tan Valley, AZ 85140-9108

Mailing address

1530 S Val Vista Dr Ste 106
Gilbert, AZ 85296-3860
Phone (480) 664-6061

Other practice location 1

1530 S Val Vista Dr Ste 106
Gilbert, AZ 85296-3860
Phone (480) 664-6061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 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
I20181213000553 AZ Practitioner - Nurse Practitioner 0547505984 Reassigns benefits to 2 organizations
I20250225000522 TX Practitioner - Nurse Practitioner 0547505984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gila River Health Care CorporationGroup PAC ID 0648174185, 245 clinicians

Practice addresses (Care Compare)

483 W Seed Farm Rd
Hu Hu Kam Memorial Hosp
Sacaton, AZ 85147-0038
Phone (602) 528-1200

Hospital & facility affiliations

  • Huhu Kam Memorial Hospital Hospital, Sacaton, AZ, CCN 031308

Merit-based Incentive Payment System (MIPS)

Final score
84.28 of 100Reported as group
Quality
69.93
Promoting interoperability
100
Improvement activities
40
Cost
77.66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP11502AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Leading Edge Medical CurrentSince Sep 22, 2018 Accepting new patients
Gila River Health Care Corporation Current Accepting new patients
Gila River Health Care Corporation Current Accepting new patients
Gila River Health Care CurrentSince Feb 13, 2025 Accepting new patients
The Little Clinic of Arizona LLC Family CurrentSince Apr 2, 2019 Accepting new patients
Recovery Chiropractic PastSince Sep 22, 2018 Accepting new patients

Locations

1530 S Val Vista Dr
Ste 106
Gilbert, AZ 85296
Phone (480) 664-6061

6470 S Higley Rd
Gilbert, AZ 85298
Phone (480) 809-2409

17487 S Healthcare Dr
#H
Laveen, AZ 85339
Phone (520) 550-6000

48203 W Farrell Rd
#H
Maricopa, AZ 85139
Phone (520) 568-3881

2727 W Bell Rd
Phoenix, AZ 85053
Phone (602) 680-2386

155 W Combs Rd
San Tan Vly, AZ 85140
Phone (480) 474-6601

Interoperability endpoints

  • Direct secure messaging: tammatha.jones@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1417439274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 S VAL VISTA DR STE 106",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963860",
            "telephone_number": "480-664-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 W COMBS RD",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851409108",
            "telephone_number": "480-474-6620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1530 S Val Vista Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852963860",
            "country_code": "US",
            "telephone_number": "480-664-6061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "TAMMATHA",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP11502",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP11502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Tan Valley, AZ

Sources for this page

Verify at the official NPI Registry.