Active NPI
Tara Saenz, FNP-C
- Family Nurse Practitioner
- Cave Creek, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 267546
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN193479 | AZ | MD | Registered Nurse |
| 267546 | AZ | MD | Family Nurse Practitioner |
| F11210857 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Estrella Family Care and Aesthetics LLC | Family | Current | Accepting new patients |
| Southwest Integrated Health LLC | Current | 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
- https://api.platform.athenahealth.com/25268/brand/1/csg/1/fhir/r4
- 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.
-
dba Estrella Family Care and Aesthetics
- Family Nurse Practitioner
- Goodyear, AZ
- NPI 1912666868
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1861985798
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.