NPIMap

Organization Active NPI

TL Family Nurse Practice LLC

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1659998292
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TL FAMILY NURSE PRACTICE LLC
Practice address
3201 W Peoria Ave
A105
Phoenix, AZ 85029-4609
Phone
(602) 918-3225
Fax
(833) 992-2059
NPI assigned
Jun 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Tara Begay, FNPNPI 1962890277
Title
FNP/Co Owner
Phone
(602) 918-3225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3201 W Peoria Ave
A105
Phoenix, AZ 85029-4609

Mailing address

3201 W Peoria Ave
Suite A105
Phoenix, AZ 85029-4609
Phone (602) 918-3225

Other practice location 1

13055 W McDowell Rd Ste E101
Avondale, AZ 85392-6460
Phone (602) 918-3225

Other identifiers 1

IdentifierTypeStateIssuer
082184MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200924003307 AZ Part B Supplier - Clinic/Group Practice 4880013846 Receives reassigned benefits from 8 practitioners
Practice locations: Avondale, AZ; Phoenix, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2189441TL Family Nurse Practice LLC3201 W Peoria Ave Ste A105, Phoenix, AZ 85029Provider-performed microscopyJul 29, 2026

National Provider Directory

National Provider Directory
Tax ID family
TL Family Nurse Practice LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3201 W Peoria Ave
Ste A105
Phoenix, AZ 85029
Phone (602) 841-9720

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1659998292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 W PEORIA AVE",
            "address_2": "SUITE A105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294609",
            "telephone_number": "602-918-3225",
            "fax_number": "833-992-2059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 W PEORIA AVE",
            "address_2": "A105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294609",
            "telephone_number": "602-918-3225",
            "fax_number": "833-992-2059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13055 W McDowell Rd Ste E101",
            "address_purpose": "LOCATION",
            "city": "Avondale",
            "state": "AZ",
            "postal_code": "853926460",
            "country_code": "US",
            "telephone_number": "602-918-3225",
            "fax_number": "833-992-2059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TL FAMILY NURSE PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-30",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "BEGAY",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "FNP/CO OWNER",
        "authorized_official_telephone_number": "602-918-3225",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "082184",
            "state": "AZ"
        }
    ],
    "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 Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.