Individual provider Active NPI

Carmen Eveline Meridith, PA-C

  • Physician Assistant
  • Scottsdale, AZ
National Provider Identifier
1669500039
Registry record updated Feb 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1840 Issued in AZ
Practice address
8412 E. Shea Blvd. Ste 101
Scottsdale, AZ 85260
Phone
(480) 874-1515
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1840 AZ Primary

Addresses

Primary practice location

8412 E. Shea Blvd. Ste 101
Scottsdale, AZ 85260

Mailing address

21585 N 77TH Ave
Ste 1500
Peoria, AZ 85382-2138
Phone (623) 582-0953

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1840AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tutera Medical Inc PastSince Oct 21, 2025 Accepting new patients
Gino Tutera MD, a Professional Corporation Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518220800000",
    "number": "1669500039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21585 N 77TH AVE",
            "address_2": "STE 1500",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822138",
            "telephone_number": "623-582-0953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8412 E. SHEA BLVD. STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85260",
            "telephone_number": "480-874-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERIDITH",
        "first_name": "CARMEN",
        "middle_name": "EVELINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2018-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "1840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.