Tatianna Nichole Alvarado, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Scottsdale, AZ
NPI 1942016803 · NPPES record last updated Dec 5, 2024
Key facts
- NPI
- 1942016803
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- RNP316903 (AZ)
- Practice address
- 4383 N 75TH St Ste 101
Scottsdale, AZ 85251-3583 - Phone
- (888) 792-3001
- NPI assigned
- Dec 5, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Intensive Treatment Systems LLC
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251027003948 | AZ | Practitioner - Nurse Practitioner | 7315436755 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RNP316903 | AZ | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonoran Sun Wellness, LLC | Single Specialty | Current |
Accepting new patients |
| Intensive Treatment Systems LLC | Single Specialty | Current | Accepting new patients |
Locations
4136 N 75th Ave
Ste 116
Phoenix, AZ 85033
Phone (602) 903-7774
19401 N Cave Creek Rd
Ste 18
Phoenix, AZ 85024
Phone (602) 996-0099
651 W Coolidge St
Phoenix, AZ 85013
Phone (602) 248-0550
36375 N Gantzel Rd
Ste 101
San Tan Valley, AZ 85140
Phone (602) 666-1902
4383 N 75th St
Ste 101
Scottsdale, AZ 85251
Phone (602) 962-9809
Interoperability endpoints
- tatianna.alvarado.p1@direct.itsofaz.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician |
2084P0800X | RNP316903 | AZ | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RNP316903 | AZ | Yes |
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
Other providers in Scottsdale, AZ
- Alternative Education Solutions LLC
- Alternative Healthcare Associates Inc
- Shem Altman
- Emma Michelle Altrichter
- Julio Enrique Alvarado
- Linda Alvarez-Thull
- Krizol Alvarez
- Richard Alverson
- Mari Alvig
- Alvin B. Elisco, MD PC
All providers in Scottsdale, AZ · Psychiatric/Mental Health Nurse Practitioner in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.