Individual provider Active NPI

Victoria A Tynan, NP

  • Family Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1891773164
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP3947 Issued in AZ
Practice address
6700 S Lyon Dr
Gilbert, AZ 85298-4276
Phone
(928) 581-9684
NPI assigned
Jan 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 14662 CA
Family Nurse Practitioner 363LF0000X AP3947 AZ Primary

Addresses

Primary practice location

6700 S Lyon Dr
Gilbert, AZ 85298-4276

Mailing address

6700 S Lyon Dr
Gilbert, AZ 85298-4276
Phone (928) 581-9684

Other identifiers 1

IdentifierTypeStateIssuer
614020MedicaidAZ

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
I20110421000860 AZ Practitioner - Nurse Practitioner 7719969633 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Good Health Medical, PLLC CurrentSince Mar 18, 2020 Accepting new patients
East Valley Urgent Care,LLC Past Accepting new patients
Young Hearts of Yuma, Inc Past Accepting new patients
East Valley Urgent Care,LLC Past Accepting new patients
East Valley Urgent Care, LLC Past Accepting new patients
Livn, P.C. Past Accepting new patients
Pacific Coast Cardiology Medical Group Past Accepting new patients
East Valley Urgent Care, LLC Past Accepting new patients

Locations

3100 N Alma School Rd
Chandler, AZ 85224
Phone (480) 255-5983

1035 N Ellsworth Rd
Ste 108
Mesa, AZ 85207
Phone (480) 305-2888

2640 W Baseline Rd
Ste 111
Phoenix, AZ 85041
Phone 4803052888 ext. 1109

287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 667-8282

Interoperability endpoints

  • Direct secure messaging: vainsworth18833@mydrnow.gardenplot.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/2204/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1891773164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 S LYON DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852984276",
            "telephone_number": "928-581-9684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 S LYON DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852984276",
            "telephone_number": "928-581-9684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYNAN",
        "first_name": "VICTORIA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "14662",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP3947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "614020",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.