Individual provider Active NPI

Tatianna Nichole Alvarado, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1942016803
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RNP316903 Issued in AZ
Practice address
4383 N 75TH St Ste 101
Scottsdale, AZ 85251-3583
Phone
(888) 792-3001
NPI assigned
Dec 5, 2024
Last updated
Dec 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X RNP316903 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RNP316903 AZ Primary

Addresses

Primary practice location

4383 N 75TH St Ste 101
Scottsdale, AZ 85251-3583

Mailing address

4383 N 75TH St Ste 101
Scottsdale, AZ 85251-3583
Phone (888) 792-3001

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
I20251027003948 AZ Practitioner - Nurse Practitioner 7315436755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

19401 N Cave Creek Rd
Suite 18
Phoenix, AZ 85024-1825
Phone (602) 996-0099

36375 N Gantzel Rd
Suite 101
San Tan Valley, AZ 85140-7334
Phone (602) 666-1902

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RNP316903AZMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoran Sun Wellness, LLC Single Specialty CurrentSince Dec 8, 2024 Accepting new patients
Intensive Treatment Systems LLC Single Specialty Current Accepting new patients

Locations

19401 N Cave Creek Rd
Ste 18
Phoenix, AZ 85024
Phone (602) 996-0099

4136 N 75th Ave
Ste 116
Phoenix, AZ 85033
Phone (602) 903-7774

4383 N 75th St
Ste 101
Scottsdale, AZ 85251
Phone (480) 729-1205

Interoperability endpoints

  • Direct secure messaging: tatianna.alvarado.p1@direct.itsofaz.nextgenshare.com

Organizations & group practices 2

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": "1733356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1942016803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4383 N 75TH ST STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513583",
            "telephone_number": "888-792-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4383 N 75TH ST STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513583",
            "telephone_number": "888-792-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVARADO",
        "first_name": "TATIANNA",
        "middle_name": "NICHOLE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "RNP316903",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "RNP316903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.