Individual provider Active NPI

Iva Tirres, FNP

  • Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1558972752
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F12190591 Issued in AZ
Practice address
3815 E Bell Rd Ste 3200
Phoenix, AZ 85032-2162
Phone
(602) 494-5040
Fax
(602) 494-9736
NPI assigned
Aug 11, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F12190591 AZ Primary

Addresses

Primary practice location

3815 E Bell Rd Ste 3200
Phoenix, AZ 85032-2162

Mailing address

3815 E Bell Rd Ste 2200
Phoenix, AZ 85032-2139
Phone (602) 633-3848

Other practice location 1

11000 N Scottsdale Rd Ste 110
Scottsdale, AZ 85254-6168
Phone (623) 810-3668

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
I20200917001289 AZ Practitioner - Nurse Practitioner 1658799077 Reassigns benefits to 3 organizations
Practice locations: Scottsdale, AZ

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group Arizona, LLCGroup PAC ID 1052328408, 94 clinicians

Practice addresses (Care Compare)

3815 E Bell Rd
Suite 3200
Phoenix, AZ 85032-2162
Phone (623) 882-1292

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F12190591AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Arizona, LLC CurrentSince May 7, 2024 Accepting new patients
Privia Medical Group Arizona, LLC CurrentSince May 7, 2024 Accepting new patients
Sun Valley Wound Specialists PLLC CurrentSince Aug 1, 2025 Accepting new patients
East Valley Endocrinology, Diabetes & Metabolism, PC CurrentSince Jun 12, 2023 Accepting new patients
Privia Medical Group Arizona, LLC Past Accepting new patients

Locations

14415 W McDowell Rd
Ste D102
Goodyear, AZ 85395
Phone (623) 512-4190

1301 S 7th Ave
Ste 400
Phoenix, AZ 85007
Phone (602) 824-3358

3815 E Bell Rd
Ste 2200
Phoenix, AZ 85032
Phone (602) 931-4689

3815 E Bell Rd
Ste 3200
Phoenix, AZ 85032
Phone (480) 840-1754

9500 E Ironwood Square Dr
Ste 201
Scottsdale, AZ 85258
Phone (480) 323-4800

7316 E Stetson Dr
Ste 18
Scottsdale, AZ 85251
Phone (623) 760-8339

7316 E Stetson Dr
#18
Scottsdale, AZ 85251
Phone (972) 955-2943

Dept 3472
Los Angeles, CA 90084

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ECBHBA
  • Direct secure messaging: iva.tirres.2@33227.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1558972752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 E BELL RD STE 2200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322139",
            "telephone_number": "602-633-3848",
            "fax_number": "602-633-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 E BELL RD STE 3200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322162",
            "telephone_number": "602-494-5040",
            "fax_number": "602-494-9736"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11000 N Scottsdale Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852546168",
            "country_code": "US",
            "telephone_number": "623-810-3668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIRRES",
        "first_name": "IVA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-11",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "F12190591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.