Individual provider Active NPI

Tammy E. Hostetler, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Surprise, AZ
National Provider Identifier
1881258416
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
224943 Issued in AZ
Practice address
15015 W Bell Rd Ste 101114
Surprise, AZ 85374-3214
Phone
(623) 269-4870
Fax
(623) 269-4871
NPI assigned
Apr 29, 2019
Last updated
Sep 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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 224943 AZ Primary

Addresses

Primary practice location

15015 W Bell Rd Ste 101114
Surprise, AZ 85374-3214

Mailing address

16430 N Scottsdale Rd Ste 210
Scottsdale, AZ 85254-1581
Phone (602) 266-7000

Other practice location 1

14100 N 83rd Ave Ste 100
Peoria, AZ 85381-4621
Phone (623) 583-0232

Other practice location 2

7400 S Power Rd Ste 126114
Gilbert, AZ 85297-9281
Phone (602) 464-9576

Other names 1

  • Tammy Elaine Eshelman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rock Recovery Psychiatric/Mental Health Current Accepting new patients
Happy Ears Hearing Center PastSince Nov 6, 2017 Accepting new patients
Camelback Physicians Group LLC Psychiatric/Mental Health Past Accepting new patients
Camelback Physicians Group LLC Psychiatric/Mental Health Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1881258416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16430 N SCOTTSDALE RD STE 210",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541581",
            "telephone_number": "602-266-7000",
            "fax_number": "602-646-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15015 W BELL RD STE 101114",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743214",
            "telephone_number": "623-269-4870",
            "fax_number": "623-269-4871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14100 N 83rd Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853814621",
            "country_code": "US",
            "telephone_number": "623-583-0232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7400 S Power Rd Ste 126114",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852979281",
            "country_code": "US",
            "telephone_number": "602-464-9576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOSTETLER",
        "first_name": "TAMMY",
        "middle_name": "E.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-29",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "224943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "ESHELMAN",
            "middle_name": "ELAINE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.