Individual provider Active NPI

Tamika Longbons, FNP

  • Family Nurse Practitioner
  • Green Valley, AZ
National Provider Identifier
1912505835
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
253659 Issued in AZ
Practice address
1131 S la Canada Dr Ste 201
Green Valley, AZ 85614-1944
Phone
(520) 207-8155
NPI assigned
Oct 13, 2020
Last updated
Oct 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 253659 AZ Primary
Registered Nurse 163W00000X RN175909 AZ

Addresses

Primary practice location

1131 S la Canada Dr Ste 201
Green Valley, AZ 85614-1944

Mailing address

1595 E River Rd Ste 201
Tucson, AZ 85718-5984
Phone (530) 293-5757

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
I20210302001817 AZ Practitioner - Nurse Practitioner 1153737945 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sheftel & Associates Dermatology, LLP CurrentSince Oct 4, 2021 Accepting new patients

Locations

2295 E Vistoso Commerce Loop
Oro Valley, AZ 85755
Phone 5202935757 ext. 7143

1595 E River Rd
Ste 201
Tucson, AZ 85718
Phone 52029357577141

Organizations & group practices 1

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": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1912505835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 E RIVER RD STE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185984",
            "telephone_number": "530-293-5757",
            "fax_number": "520-293-7358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 S LA CANADA DR STE 201",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856141944",
            "telephone_number": "520-207-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGBONS",
        "first_name": "TAMIKA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-13",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "253659",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN175909",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Valley, AZ

Sources for this page

Verify at the official NPI Registry.