Individual provider Active NPI

Tamara D Sharp, DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1871088401
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP11084 Issued in AZ
Practice address
1515 E Missouri Ave Ste 201
Phoenix, AZ 85014-2432
Phone
(602) 234-3733
Fax
(602) 253-1631
NPI assigned
Jun 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP11084 AZ Primary

Addresses

Primary practice location

1515 E Missouri Ave Ste 201
Phoenix, AZ 85014-2432

Mailing address

711 E Monona Dr
Phoenix, AZ 85024-4150
Phone (480) 703-5355

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
I20240411003567 AZ Practitioner - Nurse Practitioner 8921447863 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP11084AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Healthcare Group, Inc. Psychiatric/Mental Health Current Accepting new patients
Spectrum Healthcare Group, Inc. Psychiatric/Mental Health CurrentSince Jan 28, 2024 Accepting new patients
Spectrum Healthcare Group, Inc. Psychiatric/Mental Health Current Accepting new patients
Spectrum Healthcare Group, Inc Psychiatric/Mental Health CurrentSince Jan 28, 2024 Accepting new patients

Locations

452 W Finnie Flat Rd
Camp Verde, AZ 86322
Phone (520) 567-5257

651 W Mingus Ave
Cottonwood, AZ 86326
Phone (928) 203-5425

8 E Cottonwood St
Bldg A
Cottonwood, AZ 86326
Phone (928) 203-5404

8 E Cottonwood St
Cottonwood, AZ 86326
Phone (928) 203-5404

636 N Main St
Cottonwood, AZ 86326
Phone (928) 639-4440

4494 W Peoria Ave
Ste 115A
Glendale, AZ 85302
Phone (480) 876-4013

3633 Crossings Dr
Prescott, AZ 86305
Phone (928) 445-2424

990 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 778-7823

1200 N Country Club Rd
Tucson, AZ 85716
Phone (520) 770-1197

Interoperability endpoints

  • Direct secure messaging: tamara.sharp.p1@direct.spectrumhg.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1871088401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 E MONONA DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850244150",
            "telephone_number": "480-703-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 E MISSOURI AVE STE 201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142432",
            "telephone_number": "602-234-3733",
            "fax_number": "602-253-1631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "TAMARA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP11084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.