Jacob Robert Tafoya, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0648 Issued in AZ

Practice address

3134 N Civic Center PLZ
Scottsdale, AZ 85251-6912

Phone

(480) 882-4934

NPI assigned

Jan 30, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Honorhealth

  dba HonorHealth Tina's Treasures

  • Prosthetic/Orthotic Supplier
  • Peoria, AZ
  • NPI 1386456762
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508902917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6610 E UNIVERSITY DR",
            "address_2": "UNIT 185",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852057643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3134 N CIVIC CENTER PLZ",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516912",
            "telephone_number": "480-882-4934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAFOYA",
        "first_name": "JACOB",
        "middle_name": "ROBERT",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "0648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Marie Tack Demott, NP-C
• Sherry C Tackett, N.P.
• Elizabeth Taddiken, ND
• Brenda Taege, D.D.S.
• Christine Tafoya, PHARM.D.
• Steven Elias Tager, DPM
• Navid Taghvaei, AU.D.
• Maria Cecilia Angeles Tagle-Cornell, NP,APRN, BC
• Joel Daniel Tagle, COTA/L
• Maureen Ancajas Tagsip, OTR/L

• Athletic Trainer in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Athletic Trainer in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.