Individual provider Active NPI

Tiffany Hanze, PA-C

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1760152375
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
8755 Issued in AZ
Practice address
2222 E Highland Ave Ste 205
Phoenix, AZ 85016-4876
Phone
(602) 358-8588
Fax
(602) 688-6991
NPI assigned
Sep 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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 8755 AZ Primary

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

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

Other practice location 2

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

Other practice location 3

9201 E Mountain View Rd Ste 210
Scottsdale, AZ 85258-5172
Phone (602) 358-8588

Other practice location 4

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

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
I20220523001059 AZ Practitioner - Physician Assistant 0749667202 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8755AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Smi Imaging LLC CurrentSince Feb 14, 2022 Accepting new patients
Kelly H. Roy, MD, PC CurrentSince Jul 14, 2026 Accepting new patients
Planned Parenthood Arizona CurrentSince Apr 27, 2025 Accepting new patients
Smi Imaging, LLC CurrentSince Feb 14, 2022 Accepting new patients
Planned Parenthood Arizona PastSince Nov 13, 2022 Accepting new patients
WD Recovery and Wellness Center, LLC Past Accepting new patients

Locations

1000 N Humphreys St
Ste 100
Flagstaff, AZ 86001
Phone (928) 223-0200

5771 W Eugie Ave
Glendale, AZ 85304
Phone (602) 263-4212

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

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

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

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

6900 E Camelback Rd
Ste 700
Scottsdale, AZ 85251
Phone (602) 651-1945

1845 W Orange Grove Rd
Ste 103
Tucson, AZ 85704
Phone (520) 230-4900

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2541/brand/1/csg/1/fhir/r4

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": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1760152375",
    "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": "602-358-8588",
            "fax_number": "602-688-6991"
        }
    ],
    "practiceLocations": [
        {
            "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": "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": "9201 E Mountain View Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852585172",
            "country_code": "US",
            "telephone_number": "602-358-8588",
            "fax_number": "602-688-6991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "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"
        }
    ],
    "basic": {
        "last_name": "HANZE",
        "first_name": "TIFFANY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "8755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.