Individual provider Active NPI

Jennifer Tatrai

  • Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1871176347
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
256705 Issued in AZ
Practice address
7975 N Hayden Rd Ste D354
Scottsdale, AZ 85258-3243
Phone
(480) 694-6891
NPI assigned
May 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 256705 AZ Primary

Addresses

Primary practice location

7975 N Hayden Rd Ste D354
Scottsdale, AZ 85258-3243

Mailing address

2835 E Corrine Dr
Phoenix, AZ 85032-7120
Phone (602) 595-4163

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
I20210512001449 AZ Practitioner - Nurse Practitioner 3072922699 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southwest Kidney Institute PLCGroup PAC ID 8224930987, 100 clinicians

Practice addresses (Care Compare)

2610 N 3Rd St
Phoenix, AZ 85004-1102
Phone (480) 610-6100

Merit-based Incentive Payment System (MIPS)

Final score
89.02 of 100Reported as group
Quality
69.14
Promoting interoperability
100
Improvement activities
40
Cost
77.59

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Kidney Institute, PLC CurrentSince Mar 21, 2022 Accepting new patients
United Telehealth Corp CurrentSince Mar 6, 2021 Accepting new patients
Southwest Kidney Institute, PLC Current Accepting new patients
Scottsdale Physicians Group PLC CurrentSince May 5, 2021 Accepting new patients
Southwest Kidney Institute, PLC CurrentSince Mar 21, 2022 Accepting new patients

Locations

9305 W Thomas Rd
Ste 255
Phoenix, AZ 85037
Phone (623) 247-9235

2610 N 3rd St
Phoenix, AZ 85004
Phone (602) 264-3541

7975 N Hayden Rd
Ste D354
Scottsdale, AZ 85258
Phone (480) 214-9720

2149 E Warner Rd
Ste 102
Tempe, AZ 85284
Phone (623) 247-0808

1845 W Orange Grove Rd
Ste 111
Tucson, AZ 85704
Phone (520) 329-8298

905 N Bowie Ave
Willcox, AZ 85643
Phone (520) 326-4811

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2697/brand/1/csg/22/fhir/r4
  • Direct secure messaging: jennifer.tatrai.1@2697.direct.athenahealth.com

Organizations & group practices 5

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": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1871176347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 E CORRINE DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850327120",
            "telephone_number": "602-595-4163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7975 N HAYDEN RD STE D354",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583243",
            "telephone_number": "480-694-6891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATRAI",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "256705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.