Tracey Lynn Redish

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

259399 Issued in AZ

Practice address

14001 N 7TH St Ste F111
Phoenix, AZ 85022-4382

Phone

(602) 633-3780

Fax

(602) 633-3782

NPI assigned

Jun 19, 2021

Last updated

Jan 20, 2023By 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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Privia Medical Group Arizona, LLCGroup PAC ID 1052328408, 94 clinicians

Kmtrask PLLCGroup PAC ID 8921386483, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Banner Payson Medical Center Hospital, Payson, AZ, CCN 031318

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tracey.redish.2@33227.direct.athenahealth.com
• Direct secure messaging: tracey.redish@71082555932676.direct.elationemr.com

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.

• Kmtrask, PLLC

  • Nurse Practitioner
  • Gilbert, AZ
  • NPI 1518413962
  Medicare reassignment Care Compare group NPD
• Privia Medical Group Arizona, LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1760441141
  Medicare reassignment Care Compare group NPD
• Last Minute Health Check PLLC

  • Primary Care Nurse Practitioner
  • Mesa, AZ
  • NPI 1427895838
  Medicare reassignment NPD
• Privia Medical Group Arizona, LLC

  • Neurology Physician
  • Phoenix, AZ
  • NPI 1245876705
  NPD
• Privia Medical Group Arizona, LLC

  • Family Medicine Physician
  • Payson, AZ
  • NPI 1740459700
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Banner Health

  dba Banner Payson Medical Center

  • Critical Access Hospital
  • Payson, AZ
  • NPI 1063923340
  Care Compare affiliation

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

{
    "created_epoch": "1624060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1942879465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 E BELL RD STE 2200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322139",
            "telephone_number": "602-633-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14001 N 7TH ST STE F111",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850224382",
            "telephone_number": "602-633-3780",
            "fax_number": "602-633-3782"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19841 N 27th Ave Ste 403",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850274007",
            "country_code": "US",
            "telephone_number": "602-633-3780",
            "fax_number": "602-633-3782",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 W Cedar Ln Ste A",
            "address_purpose": "LOCATION",
            "city": "Payson",
            "state": "AZ",
            "postal_code": "855415417",
            "country_code": "US",
            "telephone_number": "602-633-3780",
            "fax_number": "602-633-3782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDISH",
        "first_name": "TRACEY",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-19",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "259399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandhya Reddy, M.D.
• Redeem Counseling LLC
• Wendy Redford, NP
• Rachel Ana Reding
• Redirect PBM, LLC
• Michael Joseph Redivo, PH.D.
• Melissa Redlon, APRN: FNP
• Andrew Redman, NP
• Andrea Dianne Redmon, DNP, NNP
• Darius Redmond, OTR/L

• Family Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.