Individual provider Active NPI

Takako Yamada, DNP, FNP-C

  • Family Nurse Practitioner
  • Chandler, AZ
National Provider Identifier
1619534971
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
226384 Issued in AZ
Practice address
2051 W Chandler Blvd Ste 5
Chandler, AZ 85224-6239
Phone
(480) 214-9000
Fax
(480) 214-9999
NPI assigned
May 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 226384 AZ Primary

Addresses

Primary practice location

2051 W Chandler Blvd Ste 5
Chandler, AZ 85224-6239

Mailing address

2051 W Chandler Blvd Ste 5
Chandler, AZ 85224-6239
Phone (480) 214-9000

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
I20190821004355 AZ Practitioner - Nurse Practitioner 5799013298 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Enticare PCGroup PAC ID 2264532779, 19 clinicians

Practice addresses (Care Compare)

2051 W Chandler Blvd
Suite 5
Chandler, AZ 85224-6239
Phone (480) 214-9000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Enticare PC CurrentSince Aug 1, 2023 Accepting new patients
Honorhealth Ambulatory CurrentSince Feb 21, 2022 Accepting new patients
The Little Clinic of Arizona LLC Family CurrentSince Sep 15, 2022 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Ambulatory CurrentSince Feb 21, 2022 Accepting new patients
Sjhmc Physician Services PastSince Jan 30, 2018 Accepting new patients
Enticare PC PastSince Feb 18, 2024 Accepting new patients

Locations

2051 W Chandler Blvd
Ste 5
Chandler, AZ 85224
Phone (480) 672-2964

1935 N Stapley Dr
Mesa, AZ 85203
Phone (480) 339-6178

2727 W Bell Rd
Phoenix, AZ 85053
Phone (602) 680-2386

3100 N Glassford Hill Rd
Prescott Valley, AZ 86314
Phone (928) 445-0607

36457 N Gantzel Rd
Ste 101
San Tan Valley, AZ 85140

155 W Combs Rd
San Tan Vly, AZ 85140
Phone (480) 474-6601

10200 N 92nd St
Ste 150
Scottsdale, AZ 85258
Phone (480) 860-8488

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

3501 N Scottsdale Rd
Ste 320
Scottsdale, AZ 85251
Phone (480) 424-7228

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1619534971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 W CHANDLER BLVD STE 5",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246239",
            "telephone_number": "480-214-9000",
            "fax_number": "480-214-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 W CHANDLER BLVD STE 5",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246239",
            "telephone_number": "480-214-9000",
            "fax_number": "480-214-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMADA",
        "first_name": "TAKAKO",
        "name_prefix": "Ms.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "226384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.