Individual provider Active NPI

Tara Saenz, FNP-C

  • Family Nurse Practitioner
  • Cave Creek, AZ
National Provider Identifier
1649849498
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
267546 Issued in AZ
Practice address
28138 N Tatum Blvd
Cave Creek, AZ 85331-6303
Phone
(480) 585-6097
NPI assigned
Jun 24, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN193479 AZ
Family Nurse Practitioner 363LF0000X F11210857 AZ
Family Nurse Practitioner 363LF0000X 267546 AZ Primary

Addresses

Primary practice location

28138 N Tatum Blvd
Cave Creek, AZ 85331-6303

Mailing address

28138 N Tatum Blvd
Cave Creek, AZ 85331-6303
Phone (480) 585-6097

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
I20220407000521 AZ Practitioner - Nurse Practitioner 1456747021 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN193479AZMDRegistered Nurse
267546AZMDFamily Nurse Practitioner
F11210857AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Estrella Family Care and Aesthetics LLC Family CurrentSince Feb 1, 2022 Accepting new patients
Southwest Integrated Health LLC CurrentSince Jun 1, 2022 Accepting new patients

Locations

500 N Estrella Pkwy
Ste B2272
Goodyear, AZ 85338
Phone (602) 501-2352

500 N Estrella Pkwy
Ste B2
Goodyear, AZ 85338
Phone (602) 661-0200

1138 S Higley Rd
Mesa, AZ 85206
Phone (480) 325-3876

1201 S 7th Ave
Ste 200
Phoenix, AZ 85007
Phone (623) 236-2000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25268/brand/1/csg/1/fhir/r4
  • Direct secure messaging: tara.saenz.1@25268.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1649849498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28138 N TATUM BLVD",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853316303",
            "telephone_number": "480-585-6097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28138 N TATUM BLVD",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853316303",
            "telephone_number": "480-585-6097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAENZ",
        "first_name": "TARA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN193479",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "F11210857",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "267546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cave Creek, AZ

Sources for this page

Verify at the official NPI Registry.