Active NPI
Dennis Tatu, FNP-BC
- Family Nurse Practitioner
- Goodyear, AZ
National Provider Identifier
1528941283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 253222
- Practice address
- 18023 W Raymond St
Goodyear, AZ 85338-7568 - Phone
- (949) 394-6904
- NPI assigned
- Jul 30, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 253222 | AZ | |
| Family Nurse Practitioner | 363LF0000X | 253222 | AZ | Primary |
Addresses
Primary practice location
18023 W Raymond St
Goodyear, AZ 85338-7568
Mailing address
18023 W Raymond St
Goodyear, AZ 85338-7568
Phone (949) 394-6904
Other practice location 1
10230 W Happy Valley Pkwy Ste 100
Peoria, AZ 85383-4692
Phone (623) 561-3030
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10230 W Happy Valley Pkwy
Suite 100
Peoria, AZ 85383-4692
Phone (623) 266-4699
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 253222 | AZ | MD | Emergency Registered Nurse |
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Peoria, AZ
- NPI 1043851793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766016000000",
"number": "1528941283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18023 W RAYMOND ST",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853387568",
"telephone_number": "949-394-6904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18023 W RAYMOND ST",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853387568",
"telephone_number": "949-394-6904"
}
],
"practiceLocations": [
{
"address_1": "10230 W Happy Valley Pkwy Ste 100",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "AZ",
"postal_code": "853834692",
"country_code": "US",
"telephone_number": "623-561-3030",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TATU",
"first_name": "DENNIS",
"name_prefix": "Mr.",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-07-30",
"last_updated": "2025-12-18",
"certification_date": "2025-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "AZ",
"license": "253222",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "253222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.