Individual provider Active NPI

Tammie Kay Perez, FNP-C

  • Family Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1851580930
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN101541 Issued in AZ
Practice address
16390 N 59TH Ave Ste 200
Glendale, AZ 85306-1711
Phone
(623) 334-4000
Fax
(623) 334-4400
NPI assigned
Oct 15, 2007
Last updated
Oct 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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 RN101541 AZ Primary

Addresses

Primary practice location

16390 N 59TH Ave Ste 200
Glendale, AZ 85306-1711

Mailing address

13430 N Scottsdale Rd Ste 200
Scottsdale, AZ 85254-4058
Phone (623) 334-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080915000370 AZ Practitioner - Nurse Practitioner 1254407331 Reassigns benefits to 1 organization
I20250226003099 TX Practitioner - Nurse Practitioner 1254407331 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN101541AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family & Children's Service Current Accepting new patients
Native American Connections, Inc. CurrentSince Dec 6, 2024 Accepting new patients
Jewish Family & Children's Service CurrentSince May 4, 2022 Accepting new patients
Native American Connections, Inc. CurrentSince Dec 6, 2024 Accepting new patients
Jewish Family & Children's Service CurrentSince May 4, 2022 Accepting new patients
Hope Diabetes Center, LLC Past Accepting new patients
Integrity Pain and Anesthesia PLLC Past Accepting new patients
Michael F Esber DPM PC Past Accepting new patients

Locations

5701 W Talavi Blvd
Ste 180
Glendale, AZ 85306
Phone (623) 486-8082

1840 N 95th Ave
Ste 160
Phoenix, AZ 85037
Phone (623) 234-9811

2033 N 7th St
Phoenix, AZ 85006
Phone (602) 257-9314

3216 N 3rd St
Phoenix, AZ 85012

337 E Virginia Ave
Unit B
Phoenix, AZ 85004
Phone (602) 254-3247

4747 N 7th St
Ste 100
Phoenix, AZ 85014
Phone (602) 279-7655

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: tammie.perez.1@15849.direct.athenahealth.com
  • Direct secure messaging: tammie.perez.p1@direct.alegiscare.nextgenshare.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1851580930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13430 N SCOTTSDALE RD STE 200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544058",
            "telephone_number": "623-334-4000",
            "fax_number": "623-334-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16390 N 59TH AVE STE 200",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853061711",
            "telephone_number": "623-334-4000",
            "fax_number": "623-334-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "TAMMIE",
        "middle_name": "KAY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-15",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN101541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.