Tammie Resendez, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RNP290447 Issued in AZ

Practice address

1801 W Deuce of Clubs Ste 100
Show Low, AZ 85901-2704

Phone

(928) 368-4110

NPI assigned

Apr 12, 2023

Last updated

Apr 8, 2025By 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 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

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Changepoint Integrated HealthGroup PAC ID 8123004587, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

Practice roles

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.

• Changepoint Integrated Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Holbrook, AZ
  • NPI 1205877610
  Medicare reassignment Care Compare group
• Changepoint Integrated Health

  • Community/Behavioral Health Agency
  • Show Low, AZ
  • NPI 1518202100
  NPD (past)
• Smith Psychiatry LLC

  dba Smith Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
  • NPI 1023870763
  NPD (past)

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1881380913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 996",
            "city": "SNOWFLAKE",
            "state": "AZ",
            "postal_code": "859370996",
            "telephone_number": "623-418-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W DEUCE OF CLUBS STE 100",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859012704",
            "telephone_number": "928-368-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESENDEZ",
        "first_name": "TAMMIE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-12",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "RNP290447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Recruital LLC
• Leland K Reeck, MD
• Regency Medical Equipment Inc (Sentry Home Health)
• Jessica Reissner, LPC
• Renal Care Group Arizona, LLC (Renal Care Group - Show Low)
• Rest Assured Anesthesia Inc
• Tammy Ricci
• Benjamin Russell Richardson, D.O.
• Robert J Casey DO PC
• Robins Nest Pediatrics, PLLC

• Psychiatric/Mental Health Nurse Practitioner in Show Low, AZ
• Providers in Show Low, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.