Active NPI
Jamie Tumbleson
- Acute Care Nurse Practitioner
- Litchfield Park, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- AP5549
- Practice address
- 14044 W Camelback Rd
Suite 118 and 216
Litchfield Park, AZ 85340-9428 - Phone
- (623) 547-2600
- Fax
- (623) 547-1899
- NPI assigned
- Dec 9, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 209010441 | IL | |
| Acute Care Nurse Practitioner | 363LA2100X | AP5549 | AZ | Primary |
Addresses
Primary practice location
14044 W Camelback Rd
Suite 118 and 216
Litchfield Park, AZ 85340-9428
Mailing address
14044 W Camelback Rd
Suite 118
Litchfield Park, AZ 85340-9428
Phone (623) 547-2600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 969817 | Medicaid | AZ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14044 W Camelback Rd
Suite 118
Litchfield Park, AZ 85340-9481
Phone (623) 547-2600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP5549 | AZ | MD | Acute Care Nurse Practitioner |
| 209010441 | IL | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Digestive Health, PC | Current | Accepting new patients | |
| Arizona Center for Hematology and Oncology PLC | Past | Accepting new patients |
Locations
3624 W Anthem Way
Ste C122
Anthem, AZ 85086
Phone 62343457483
6320 W Union Hills Dr
Ste 2600B
Glendale, AZ 85308
Phone (602) 942-5600
5823 W Eugie Ave
Ste A
Glendale, AZ 85304
Phone (602) 439-1717
5310 W Thunderbird Rd
Ste 208
Glendale, AZ 85306
Phone (480) 464-9400
14044 W Camelback Rd
Litchfield Park, AZ 85340
Phone (623) 935-9600
14044 W Camelback Rd
Ste 118
Litchfield Pk, AZ 85340
Phone (623) 584-4882
2222 E Highland Ave
Ste 225
Phoenix, AZ 85016
Phone (602) 298-7777
19636 N 27th Ave
Ste 202
Phoenix, AZ 85027
Phone (623) 257-9344
19636 N 27th Ave
Ste 201
Phoenix, AZ 85027
Phone (623) 516-4400
20201 N Scottsdale Healthcare Dr
Ste 280
Scottsdale, AZ 85255
Phone (480) 505-3484
10290 N 92nd St
Ste 207
Scottsdale, AZ 85258
Phone (480) 451-3000
20201 N Scottsdale Rd
Ste 280
Scottsdale, AZ 85255
Phone (480) 505-3484
9425 W Bell Rd
Ste 200
Sun City, AZ 85351
13802 W Meeker Blvd
Sun City West, AZ 85375
Phone 6233029300412
519 Rose Ln
Wickenburg, AZ 85390
Phone (844) 888-0408
1395 W Wickenburg Way
Wickenburg, AZ 85390
Phone (623) 388-9957
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.
-
- Gastroenterology Physician
- Scottsdale, AZ
- NPI 1992981583
-
- Hematology & Oncology Physician
- Scottsdale, AZ
- NPI 1841243722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453161600000",
"number": "1851722342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14044 W CAMELBACK RD",
"address_2": "SUITE 118",
"city": "LITCHFIELD PARK",
"state": "AZ",
"postal_code": "853409428",
"telephone_number": "623-547-2600",
"fax_number": "623-547-1899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14044 W CAMELBACK RD",
"address_2": "SUITE 118 AND 216",
"city": "LITCHFIELD PARK",
"state": "AZ",
"postal_code": "853409428",
"telephone_number": "623-547-2600",
"fax_number": "623-547-1899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUMBLESON",
"first_name": "JAMIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-09",
"last_updated": "2016-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "IL",
"license": "209010441",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "AZ",
"license": "AP5549",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "969817",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Litchfield Park, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.