Individual provider Active NPI

Traci Ann Robinson

  • Community Psychiatric/Mental Health Clinical Nurse Specialist
  • Tempe, AZ
National Provider Identifier
1659871994
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0812X
License
292581 Issued in AZ
Practice address
2123 E Southern Ave
Tempe, AZ 85282-7531
Phone
(480) 897-7044
NPI assigned
Feb 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Psychiatric/Mental Health Clinical Nurse Specialist 364SP0812X 292581 AZ Primary

Addresses

Primary practice location

2123 E Southern Ave
Tempe, AZ 85282-7531

Mailing address

3877 N 7TH St Ste 400
Phoenix, AZ 85014-5061
Phone (602) 258-6797

Other practice location 1

334 W 10th Pl Ste 100
Mesa, AZ 85201-3499
Phone (602) 258-6797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180514001991 GA Practitioner - Nurse Practitioner 0840554101 Reassigns benefits to 1 organization
I20230913000826 AZ Practitioner - Nurse Practitioner 0840554101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valle del Sol IncGroup PAC ID 8628019148, 25 clinicians

Practice addresses (Care Compare)

334 W 10TH PL
Suite 100
Mesa, AZ 85201-3499
Phone (602) 258-6797

3807 N 7TH St
Phoenix, AZ 85014-5005
Phone (602) 258-6797

4135 S Power Rd
Suite 108
Mesa, AZ 85212-3625
Phone (602) 258-6797

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
292581AZMDCommunity Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Valle del Sol, Inc. CurrentSince Aug 3, 2024 Accepting new patients
Valle del Sol, Inc. Current Accepting new patients
Valle del Sol, Inc. CurrentSince Aug 3, 2024 Accepting new patients
Vision Medical Consulting, P.C. CurrentSince Mar 15, 2018 Accepting new patients
Community Medical Services Arizona-Private, LLC Past Accepting new patients
Center for Behavioral Health LLC PastSince Jul 9, 2025 Accepting new patients

Locations

4135 S Power Rd
Ste 108
Mesa, AZ 85212
Phone (480) 641-1511

334 W 10th Pl
Ste 100
Mesa, AZ 85201
Phone (480) 834-0771

3807 N 7th St
Phoenix, AZ 85014

3877 N 7th St
Ste 400
Phoenix, AZ 85014
Phone (602) 257-8118

502 N 27th Ave
Phoenix, AZ 85009

8410 W Thomas Rd
Ste 116
Phoenix, AZ 85037
Phone (623) 748-9331

1209 S 1st Ave
Phoenix, AZ 85003
Phone (602) 282-8006

4344 W Indian School Rd
Ste 22
Phoenix, AZ 85031
Phone (800) 480-1781

4344 W Indian School Rd
Ste 16
Phoenix, AZ 85031

54 Peachtree Park Dr NE
Atlanta, GA 30309
Phone (404) 351-6041

3715 Northside Pkwy NW
Ste 2100
Atlanta, GA 30327
Phone (770) 938-1757

3715 Northside Pkwy NW
Bldg 2100
Atlanta, GA 30327
Phone (770) 938-1757

350 Boulevard SE
Atlanta, GA 30312
Phone (401) 688-6731

2787 N Decatur Rd
Decatur, GA 30033
Phone (404) 292-0626

4115 Glenwood Rd
Decatur, GA 30032
Phone (404) 284-6414

4595 Cantrell Rd
Flowery Branch, GA 30542
Phone (770) 967-2070

1109 Green St
Roswell, GA 30075
Phone (770) 998-1802

4608 Lawrenceville Hwy
Tucker, GA 30084
Phone (770) 491-9444

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1659871994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3877 N 7TH ST STE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145061",
            "telephone_number": "602-258-6797",
            "fax_number": "602-248-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 E SOUTHERN AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827531",
            "telephone_number": "480-897-7044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "334 W 10th Pl Ste 100",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852013499",
            "country_code": "US",
            "telephone_number": "602-258-6797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "TRACI",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-13",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0812X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Community",
            "state": "AZ",
            "license": "292581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.