Individual provider Active NPI

Tamara Roshay

  • Family Nurse Practitioner
  • Flagstaff, AZ
National Provider Identifier
1811726318
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
310252 Issued in AZ
Practice address
930 N Switzer Canyon Dr Ste 103
Flagstaff, AZ 86001-4834
Phone
(928) 637-6406
Fax
(844) 772-0459
NPI assigned
Aug 1, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 310252 AZ Primary

Addresses

Primary practice location

930 N Switzer Canyon Dr Ste 103
Flagstaff, AZ 86001-4834

Mailing address

1185 W University Ave Unit 214
Flagstaff, AZ 86001-7150
Phone (415) 265-7113

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
I20241011000785 AZ Practitioner - Nurse Practitioner 7113459439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Kidney Institute PLCGroup PAC ID 8224930987, 100 clinicians

Practice addresses (Care Compare)

301 S Power Rd
Suite 103
Mesa, AZ 85206-5243
Phone (480) 610-6100

Hospital & facility affiliations

  • Flagstaff Medical Center Hospital, Flagstaff, AZ, CCN 030023
  • Verde Valley Medical Center Hospital, Cottonwood, AZ, CCN 030007
  • Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
310252AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Kidney Institute, PLC CurrentSince Nov 4, 2024 Accepting new patients
Southwest Kidney Institute, PLC CurrentSince Nov 4, 2024 Accepting new patients

Locations

301 S Power Rd
Ste 103
Mesa, AZ 85206
Phone (480) 325-7535

9305 W Thomas Rd
Ste 255
Phoenix, AZ 85037
Phone (623) 247-9235

850 W Rio Salado Pkwy
Ste 201
Tempe, AZ 85281

2149 E Warner Rd
Ste 102
Tempe, AZ 85284
Phone (623) 247-0808

Interoperability endpoints

  • Direct secure messaging: tamara.roshay.1@2697.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 and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1811726318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 W UNIVERSITY AVE UNIT 214",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860017150",
            "telephone_number": "415-265-7113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 N SWITZER CANYON DR STE 103",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014834",
            "telephone_number": "928-637-6406",
            "fax_number": "844-772-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSHAY",
        "first_name": "TAMARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "310252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.