Julie Tanase, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F08220244 Issued in TX

Practice address

2162 E Williams Field Rd Ste 111
Gilbert, AZ 85295-0736

Phone

(480) 795-1515

Fax

(480) 597-1723

NPI assigned

Aug 30, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ponderosa Heart House CallGroup PAC ID 5890112429, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Ponderosa Heart House Call

  • Cardiovascular Disease Physician
  • Gilbert, AZ
  • NPI 1073131561
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1831819945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2162 E WILLIAMS FIELD RD STE 111",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852950736",
            "telephone_number": "480-795-1515",
            "fax_number": "480-597-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2162 E WILLIAMS FIELD RD STE 111",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852950736",
            "telephone_number": "480-795-1515",
            "fax_number": "480-597-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANASE",
        "first_name": "JULIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-30",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F08220244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "281103",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135256",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul SK Tamanaha, MD
• Rhaiey Tamrat
• Benny Kien Hon Tan, MD
• Patricia Marie Ngkaion Tan, MD
• Avigayil Malia Tanami, PA
• Tandem LLC
• Elizabeth M Tandy, DMD
• Ted Hsiang Tang, D.D.S.
• Joshua Tanghal
• Cecilia Tankarian, SLPA

• Family Nurse Practitioner in Gilbert, AZ
• Providers in Gilbert, 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 Sep 9, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.