Individual provider Active NPI

Tamara K Haas, CRNA

  • Certified Registered Nurse Anesthetist
  • Goodyear, AZ
National Provider Identifier
1801963509
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN114395 Issued in AZ
Practice address
11331 S Santa Fe LN
Goodyear, AZ 85338-9352
Phone
(623) 546-0411
Fax
(623) 546-0411
NPI assigned
Nov 29, 2006
Last updated
Sep 26, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN114395 AZ Primary

Addresses

Primary practice location

11331 S Santa Fe LN
Goodyear, AZ 85338-9352

Mailing address

11331 S Santa Fe LN
Goodyear, AZ 85338-9352
Phone (623) 546-0411

Other identifiers 1

IdentifierTypeStateIssuer
894312MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041222000452 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 5496713430 Reassigns benefits to 8 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN114395AZMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Eye Center LTD Current Accepting new patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Nov 1, 2024 Accepting new patients
Del Anesthesia Services, LLC CurrentSince May 1, 2023 Accepting new patients
Dec Anesthesia LLC CurrentSince Mar 10, 2012 Accepting new patients
Scottsdale Anesthesia Group,LLC CurrentSince Apr 1, 2021 Accepting new patients
Barnet Dulaney Perkins Eye Center II PLLC CurrentSince Nov 1, 2024 Accepting new patients
Coronado Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2022 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Current Accepting new patients
Southwestern Eye Center, LTD CurrentSince Nov 1, 2024 Accepting new patients
Union Hills Pain Partners LLC CurrentSince Jul 1, 2022 Accepting new patients
Asap Anesthesia, LLC CurrentSince Jan 11, 2022 Accepting new patients
Southwestern Eye Center, LTD CurrentSince Nov 1, 2024 Accepting new patients
Mesa Az Endoscopy ASC LLC PastSince Oct 17, 2021 Accepting new patients
Arizona Digestive Health, PC PastSince Feb 28, 2011 Accepting new patients

Locations (25 of 44)

110 S Idaho Rd
Ste 160
Apache Junction, AZ 85119
Phone (480) 982-0241

3003 Highway 95
Ste 63
Bullhead City, AZ 86442
Phone (928) 763-7555

560 N Camino Mercado
Ste 1
Casa Grande, AZ 85122
Phone (520) 426-9224

855 S Dobson Rd
Ste 1
Chandler, AZ 85224

399 W Palomino Rd
Chino Valley, AZ 86323
Phone (928) 636-5504

371 W Central Ave
Coolidge, AZ 85128
Phone (520) 723-3000

270 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-4202

350 N Switzer Canyon Dr
Flagstaff, AZ 86001
Phone (928) 779-0500

16390 N 59th Ave
Ste 100
Glendale, AZ 85306
Phone (602) 492-9821

1151 S La Canada Dr
Ste 200
Green Valley, AZ 85614
Phone (520) 625-8562

1055 S Stapley Dr
Mesa, AZ 85204
Phone (480) 833-9100

160 W University Dr
Ste 1
Mesa, AZ 85201
Phone (480) 833-0014

4760 E Falcon Dr
Ste 101
Mesa, AZ 85215
Phone (480) 985-7400

603 W Baseline Rd
Ste 101
Mesa, AZ 85210
Phone (480) 969-0405

2302 N 75th Ave
Phoenix, AZ 85035
Phone (623) 849-7500

2345 E Thomas Rd
Ste 400
Phoenix, AZ 85016
Phone (602) 343-2900

2525 W Greenway Rd
Ste 125
Phoenix, AZ 85023
Phone (480) 640-0513

349 E Coronado Rd
Phoenix, AZ 85004
Phone (602) 266-5678

4727 E Union Hills Dr
Ste 300
Phoenix, AZ 85050
Phone (480) 207-3737

4800 N 22nd St
Ste 120
Phoenix, AZ 85016

3192 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 445-1234

3223 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 772-1510

825 S 20th Ave
Safford, AZ 85546
Phone (928) 428-6930

3301 N Miller Rd
Ste 140
Scottsdale, AZ 85251
Phone (480) 945-8440

4921 E Bell Rd
Ste 102
Scottsdale, AZ 85254
Phone (602) 548-6500

Interoperability endpoints

  • Direct secure messaging: tamara.haas.p20@direct.avp.nextgenshare.com

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1801963509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11331 S SANTA FE LN",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853389352",
            "telephone_number": "623-546-0411",
            "fax_number": "623-546-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11331 S SANTA FE LN",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853389352",
            "telephone_number": "623-546-0411",
            "fax_number": "623-546-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAS",
        "first_name": "TAMARA",
        "middle_name": "K",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "RN114395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "894312",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.