Active NPI
Tiffany Michelle Tapia, PA-C
- Physician Assistant
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3045
- Practice address
- 9801 N Metro Pkwy E
Phoenix, AZ 85051-1513 - Phone
- (602) 249-0115
- Fax
- (602) 246-0837
- NPI assigned
- Sep 29, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3045 | AZ | Primary |
Addresses
Primary practice location
9801 N Metro Pkwy E
Phoenix, AZ 85051-1513
Mailing address
PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203
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
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10249 W Thunderbird Blvd
Suite 100
Sun City, AZ 85351-3113
Phone (702) 480-2550
5830 N 19TH Ave
Phoenix, AZ 85015-2494
Phone (602) 336-1966
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3045 | AZ | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Phoenix Collaborative Care PC | Current | Accepting new patients |
Locations
16838 E Palisades Blvd
Ste C153
Fountain Hls, AZ 85268
Phone (480) 445-9199
9801 N Metro Pkwy E
Phoenix, AZ 85051
Phone (602) 249-0115
5830 N 19th Ave
Phoenix, AZ 85015
Phone (602) 249-0115
8041 N Black Canyon Hwy
Phoenix, AZ 85021
Phone (602) 249-0115
Interoperability endpoints
- ttapia114553@westdirect.optum.com
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.
-
- Clinic/Center
- Phoenix, AZ
- NPI 1750686614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729728000000",
"number": "1629065206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35380",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891335380",
"telephone_number": "702-579-3203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9801 N METRO PKWY E",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850511513",
"telephone_number": "602-249-0115",
"fax_number": "602-246-0837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAPIA",
"first_name": "TIFFANY",
"middle_name": "MICHELLE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-29",
"last_updated": "2024-10-24",
"certification_date": "2024-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "3045",
"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 Oct 24, 2024; 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.