Taelyn Dallas Carrizales

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

6513 Issued in AZ

Practice address

7550 N 19TH Ave Ste 201
Phoenix, AZ 85021-7976

Phone

(480) 963-1853

NPI assigned

Oct 6, 2016

Last updated

Dec 1, 2016By the provider in NPPES

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

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

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Good Health Medical PLLCGroup PAC ID 3779680962, 215 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Banner del E. Webb Medical Center Hospital, Sun City West, AZ, CCN 030093

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et4001.epichosted.com/APIProxyPRD/MDN/api/FHIR/R4

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.

• Good Health Medical, PLLC

  dba My Dr Now

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1144764432
  Medicare reassignment Care Compare group
• Amardeep S Majhail MD PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Surprise, AZ
  • NPI 1558745380
  Medicare reassignment
• Neena K Uppal MD PC

  • Family Medicine Physician
  • Surprise, AZ
  • NPI 1790973006
  Medicare reassignment
• Surprise Medical Consultants LLC

  • Family Medicine Physician
  • Surprise, AZ
  • NPI 1497293898
  Medicare reassignment
• Good Health Medical, PLLC

  dba My Dr Now

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1023828431
  NPD
• Good Health Medical, PLLC

  dba My Dr Now

  • Family Medicine Physician
  • Peoria, AZ
  • NPI 1679347587
  NPD
• Good Health Medical, PLLC

  dba My Dr Now

  • Family Medicine Physician
  • San Tan Valley, AZ
  • NPI 1063573079
  NPD (past)
• Livn, P.C.

  • Family Medicine Physician
  • Chandler, AZ
  • NPI 1245759307
  NPD (past)

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

• Banner del E Webb Medical Center

  • General Acute Care Hospital
  • Sun City West, AZ
  • NPI 1588823553
  Care Compare affiliation

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1851841480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 N 19TH AVE STE 201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850217976",
            "telephone_number": "480-963-1853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 N 19TH AVE STE 201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850217976",
            "telephone_number": "480-963-1853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRIZALES",
        "first_name": "TAELYN",
        "middle_name": "DALLAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "6513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mylda Carrillo, M.ED, LPC
• Rebecca Jean Carrillo, RN BSN
• Seneca Akasha Carrillo, MD
• Carring Devotion LLC (Lamar Residential Home)
• Serena Rose Carrizales
• Christina Monique Carrizoza, M.S.
• Carroll Physiotherapy
• Anna Nicole Carroll
• Christine Carroll
• Faith M Carroll, N.P.

• Physician Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.

Verify at the official NPI Registry.