Individual provider Active NPI

Erin Marie Tharalson, NP

  • Adult Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1619077229
Registry record updated Nov 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN102767 Issued in AZ
Practice address
420 W Watkins Rd
Phoenix, AZ 85003-2830
Phone
(602) 261-6867
NPI assigned
Sep 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN102767 AZ Primary

Addresses

Primary practice location

420 W Watkins Rd
Phoenix, AZ 85003-2830

Mailing address

420 W Watkins Rd
Phoenix, AZ 85003-2830
Phone (602) 261-6867

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN102767AZMDAdult Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: erin.tharalson.1@5919.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322352000000",
    "number": "1619077229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W WATKINS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850032830",
            "telephone_number": "602-261-6867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W WATKINS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850032830",
            "telephone_number": "602-261-6867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THARALSON",
        "first_name": "ERIN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2011-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "RN102767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2011; 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.