Provider Type Icon

TERA CRISALIDA PA NPI 1720167950


NPI Information

NPI: 1720167950
Provider Name: TERA CRISALIDA, PA
Classification: Physician Assistant - 363A00000X
Entity Type: Individual
Address:
1006 E GUADALUPE RD
TEMPE, AZ
ZIP 85283
Phone: (480) 838-4296
Get Directions

Tera Crisalida, PA is a physician assistant in Tempe, AZ. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Tera Crisalida, PA NPI is 1720167950. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1006 E GUADALUPE RD
TEMPE, AZ
ZIP 85283-047
Phone: (480) 838-4296
Fax: (480) 820-1275

The enumeration date for this NPI number is 11/6/2006 and was last updated on 7/13/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician AssistantPA-530IDAHONo
2363A00000XPhysician Assistant3834ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1341903MEDICAIDARIZONA
2S90253MEDICARE UPINIDAHO
3Z122727MEDICARE PINARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.