Tandra A Garvin, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

AP8943 Issued in AZ

Practice address

2510 W Dunlap Ave
Ste 290
Phoenix, AZ 85021-2737

Phone

(602) 789-0344

Fax

(602) 789-8389

NPI assigned

Aug 26, 2016

Last updated

Sep 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Tandra A Crumedy Former name

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

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MGT Psych LLCGroup PAC ID 3274056411, 5 clinicians

MGT RN LLCGroup PAC ID 3173953924, 3 clinicians

Allied Internal Medicine PLLCGroup PAC ID 7315251964, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21099/brand/1/csg/1/fhir/r4
• Direct secure messaging: tandra.garvin@240587814797316.direct.elationemr.com
• Direct secure messaging: tgarvin@gthl-az.direct.office.nextgen.com

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.

• Allied Internal Medicine PLLC

  • Internal Medicine Physician
  • Mesa, AZ
  • NPI 1124408232
  Medicare reassignment Care Compare group NPD
• Golden Trinity Healthcare LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Maricopa, AZ
  • NPI 1669942645
  Medicare reassignment NPD Authorized official
• M.G.T RN LLC

  dba MGT MD at Home

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1003448952
  Medicare reassignment Care Compare group NPD
• MGT Psych LLC

  dba Signature Mobile Specialists

  • Psychiatric/Mental Health Nurse Practitioner
  • Mesa, AZ
  • NPI 1992401228
  Medicare reassignment Care Compare group NPD
• Alante Primary Care and Palliative Services LLC

  dba Alante Primary Care LLC

  • Primary Care Clinic/Center
  • Scottsdale, AZ
  • NPI 1700468527
  Medicare reassignment NPD
• Lifeline Hospitalist Associates LLC

  • Internal Medicine Physician
  • Mesa, AZ
  • NPI 1265107478
  Medicare reassignment NPD
• Synovation Integrated Partners, LLC

  • Multi-Specialty Clinic/Center
  • Mesa, AZ
  • NPI 1013565548

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Alante Primary Care W LLC

  • Primary Care Clinic/Center
  • Scottsdale, AZ
  • NPI 1568279792
  NPD
• Arizona Acute Medical Services 1 PC

  • Hospitalist Physician
  • Phoenix, AZ
  • NPI 1154860674
  NPD (past)
• Hospitalists of Arizona, LLC

  dba IPC - The Hospitalist Company

  • Hospitalist Physician
  • Phoenix, AZ
  • NPI 1578564860
  NPD (past)
• Rayiom Health and Wellness, Inc

  dba Rayiom Health and Wellness, Inc HIV/AIDS Outpatient Clinic

  • Adult Health Nurse Practitioner
  • Phoenix, AZ
  • NPI 1124662408
  NPD (past)
• Rayiom Health and Wellness, Inc

  • Professional Counselor
  • Phoenix, AZ
  • NPI 1497243968
  NPD (past)

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1881140259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 W DUNLAP AVE",
            "address_2": "STE 290",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850212737",
            "telephone_number": "602-789-0344",
            "fax_number": "602-789-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 W DUNLAP AVE",
            "address_2": "STE 290",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850212737",
            "telephone_number": "602-789-0344",
            "fax_number": "602-789-8389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40616 W Art Pl",
            "address_purpose": "LOCATION",
            "city": "Maricopa",
            "state": "AZ",
            "postal_code": "851385221",
            "country_code": "US",
            "telephone_number": "480-567-2526",
            "fax_number": "480-750-2444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARVIN",
        "first_name": "TANDRA",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-26",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "AP8943",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP8943",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANDRA",
            "last_name": "CRUMEDY",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gene M. Garsha, D.M.D.
• Josette Rei Garth, RN, BSN
• Lacy Garth, PMHNP-BC
• Andrew Garton, MD
• Erin M Garvey, M.D.
• Gary Betz II MD PC (Thompson Peak Internal Medicine)
• Gary D. Oreskovich, D.D.S., P.C.
• Gary Howard Greene
• Gary Kersten MD PC
• Anna Gary, MD

• Acute Care Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Acute Care Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.