Individual provider Active NPI

Tammy Lynn Tunis, FNP

  • Family Nurse Practitioner
  • Prescott, AZ
National Provider Identifier
1447809926
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
233369 Issued in AZ
Practice address
2286 Crosswind Dr Ste C
Prescott, AZ 86301-6100
Phone
(928) 216-3160
Fax
(888) 571-3458
NPI assigned
Sep 8, 2019
Last updated
Jan 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 233369 AZ Primary
Family Medicine Physician 207Q00000X 233369 AZ

Addresses

Primary practice location

2286 Crosswind Dr Ste C
Prescott, AZ 86301-6100

Mailing address

12361 W Bola Dr Ste 109
Surprise, AZ 85378-9021
Phone (623) 227-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200206001358 AZ Practitioner - Nurse Practitioner 3779919949 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
233369AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth G. Lawlor, DO, PLLC Single Specialty CurrentSince Aug 17, 2025 Accepting new patients
Raghav LLC Single Specialty CurrentSince Dec 26, 2024 Accepting new patients
Innovative Wound Solutions, LLC Single Specialty CurrentSince Nov 15, 2024 Accepting new patients
Kenneth G. Lawlor, DO, PLLC Single Specialty CurrentSince Aug 17, 2025 Accepting new patients
Moblie Health Care Solutions, LLC PastSince Nov 9, 2022 Accepting new patients

Locations

1355 W White Mountain Blvd
Ste A
Lakeside, AZ 85929
Phone (928) 358-4086

2060 W Whispering Wind Dr
Ste 264
Phoenix, AZ 85085
Phone (623) 235-6889

2286 Crosswind Dr
Ste C
Prescott, AZ 86301
Phone (623) 227-1000

3108 Clearwater Dr
Ste A
Prescott, AZ 86305
Phone (928) 717-0788

10210 N 92nd St
Ste 104
Scottsdale, AZ 85258
Phone (480) 493-0900

12361 W Bola Dr
Ste 109
Surprise, AZ 85378
Phone (623) 227-1000

1001 E Hebron Pkwy
Ste 118347
Carrollton, TX 75010

Interoperability endpoints

  • Direct secure messaging: tammy.tunis.1@30296.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1567900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1447809926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12361 W BOLA DR STE 109",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853789021",
            "telephone_number": "623-227-1000",
            "fax_number": "623-227-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2286 CROSSWIND DR STE C",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863016100",
            "telephone_number": "928-216-3160",
            "fax_number": "888-571-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUNIS",
        "first_name": "TAMMY",
        "middle_name": "LYNN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-08",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "233369",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "233369",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.