Individual provider Active NPI

Tessa Lynn Farley, FNP

  • Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1689243487
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RNP258091 Issued in AZ
Practice address
2222 E Highland Ave Ste 205
Phoenix, AZ 85016-4876
Phone
(600) 358-8588
Fax
(602) 688-6991
NPI assigned
Jun 24, 2021
Last updated
Dec 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RNP258091 AZ Primary
Registered Nurse 163W00000X RN196622 AZ

Addresses

Primary practice location

2222 E Highland Ave Ste 205
Phoenix, AZ 85016-4876

Mailing address

7330 N 16TH St Ste B101
Phoenix, AZ 85020-5274
Phone (602) 358-8588

Other practice location 1

1151 N Gilbert Rd
Mesa, AZ 85203-5127
Phone (602) 358-8588

Other practice location 2

1919 E McKellips Rd Ste 106
Mesa, AZ 85203-2855
Phone (602) 358-8588

Other practice location 3

1008 E McDowell Rd Ste A
Phoenix, AZ 85006-2603
Phone (602) 358-8588

Other practice location 4

702 E Bell Rd Ste 119
Phoenix, AZ 85022-6639
Phone (602) 358-8588

Other practice location 5

10555 E Tatum BLVD
Suite A101
Paradise Valley, AZ 85253
Phone (602) 358-8588

Other practice location 6

10585 N Tatum Blvd Ste D130
Paradise Valley, AZ 85253-1073
Phone (602) 358-8588

Other names 1

  • Tessa Lynn Farley Former name

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
I20211130001080 AZ Practitioner - Nurse Practitioner 2264822634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kelly H Roy MD PCGroup PAC ID 3476526724, 28 clinicians

Practice addresses (Care Compare)

1008 E McDowell Rd
Suite a
Phoenix, AZ 85006-2603
Phone (602) 358-8588

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN196622AZMDRegistered Nurse
RNP258091AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly H. Roy, MD, PC CurrentSince Nov 15, 2021 Accepting new patients
WD Recovery and Wellness Center, LLC PastSince May 1, 2022 Accepting new patients

Locations

1151 N Gilbert Rd
Mesa, AZ 85203
Phone (480) 469-3891

1919 E McKellips Rd
Ste 106
Mesa, AZ 85203
Phone (480) 833-0302

10585 N Tatum Blvd
Ste D130
Paradise Vly, AZ 85253
Phone (602) 559-9966

1008 E McDowell Rd
Ste A
Phoenix, AZ 85006
Phone (602) 241-1944

2222 E Highland Ave
Ste 205
Phoenix, AZ 85016
Phone (600) 235-8588

702 E Bell Rd
Ste 119
Phoenix, AZ 85022
Phone (600) 358-8588

7330 N 16th St
Ste B101
Phoenix, AZ 85020
Phone 60235885882004

3105 Clearwater Dr
Prescott, AZ 86305
Phone (928) 776-4349

9201 E Mountain View Rd
Ste 210
Scottsdale, AZ 85258

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2541/brand/1/csg/1/fhir/r4
  • Direct secure messaging: tessa.farley.1@2541.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": "1702857600000",
    "number": "1689243487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7330 N 16TH ST STE B101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205274",
            "telephone_number": "602-358-8588",
            "fax_number": "602-688-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 E HIGHLAND AVE STE 205",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164876",
            "telephone_number": "600-358-8588",
            "fax_number": "602-688-6991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1151 N Gilbert Rd",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852035127",
            "country_code": "US",
            "telephone_number": "602-358-8588",
            "fax_number": "602-688-6991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1919 E McKellips Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852032855",
            "country_code": "US",
            "telephone_number": "602-358-8588",
            "fax_number": "600-688-6991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1008 E McDowell Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850062603",
            "country_code": "US",
            "telephone_number": "602-358-8588",
            "fax_number": "602-688-6991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "702 E Bell Rd Ste 119",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850226639",
            "country_code": "US",
            "telephone_number": "602-358-8588",
            "fax_number": "602-688-6991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10555 E Tatum BLVD",
            "address_2": "Suite A101",
            "address_purpose": "LOCATION",
            "city": "Paradise Valley",
            "state": "AZ",
            "postal_code": "85253",
            "country_code": "US",
            "telephone_number": "602-358-8588",
            "fax_number": "602-688-6991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10585 N Tatum Blvd Ste D130",
            "address_purpose": "LOCATION",
            "city": "Paradise Valley",
            "state": "AZ",
            "postal_code": "852531073",
            "country_code": "US",
            "telephone_number": "602-358-8588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARLEY",
        "first_name": "TESSA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "RNP258091",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN196622",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TESSA",
            "last_name": "FARLEY",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.