Active NPI
Tammy Lynn Tunis, FNP
- Family Nurse Practitioner
- Prescott, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 233369
- 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, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 233369 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kenneth G. Lawlor, DO, PLLC | Single Specialty | Current | Accepting new patients |
| Raghav LLC | Single Specialty | Current | Accepting new patients |
| Innovative Wound Solutions, LLC | Single Specialty | Current | Accepting new patients |
| Kenneth G. Lawlor, DO, PLLC | Single Specialty | Current | Accepting new patients |
| Moblie Health Care Solutions, LLC | Past | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Scottsdale, AZ
- NPI 1649038910
Single Specialty
-
dba Carefirst Wellness Associates of Arizona
- Multi-Specialty Clinic/Center
- Surprise, AZ
- NPI 1598125791
Single Specialty
-
dba Optima Medical
- Family Medicine Physician
- Prescott, AZ
- NPI 1821454505
-
dba Canyon State Rheumatology
- Rheumatology Physician
- Phoenix, AZ
- NPI 1255955191
Single Specialty
-
dba Family Medical Walk In
- Pharmacy
- Prescott Valley, AZ
- NPI 1396170106
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.