Tamara Noel Wisely, WHNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP4266 Issued in AZ

Practice address

3300 W Camelback Rd BLDG 47
Phoenix, AZ 85017-1097

Phone

(602) 639-6215

Fax

(602) 639-7830

NPI assigned

Apr 3, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20314/brand/1/csg/1/fhir/r4

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.

• Fifth Avenue Gynecologists LTD

  • Specialist
  • Phoenix, AZ
  • NPI 1508997719
  NPD (past)
• Synergy Physicians PLLC

  • Plastic and Reconstructive Surgery Physician
  • Scottsdale, AZ
  • NPI 1083271746
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615593600000",
    "number": "1801918883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27414 N 66TH LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850857526",
            "telephone_number": "623-825-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 W CAMELBACK RD BLDG 47",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850171097",
            "telephone_number": "602-639-6215",
            "fax_number": "602-639-7830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3033 W Bell Rd",
            "address_2": "Suite 102B",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850533000",
            "country_code": "US",
            "telephone_number": "602-588-0316",
            "fax_number": "602-588-0463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISELY",
        "first_name": "TAMARA",
        "middle_name": "NOEL",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2021-03-13",
        "certification_date": "2021-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AZ",
            "license": "RN083717",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "645442",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Stephen Wirick, PHARMD
• Camela Wirick, PHARMD
• Cassandra Dae Wisdom
• Karen Wise, RN
• Kelly Wise
• Anthony M Wiseman, PHARM.D.
• Jason T. Wiseman, MD, MSPH
• Wisemind Wellness, LLC
• Amber Wiser, PT, ATC
• Fidaa J M Wishah, M.D

• Family Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.