DR. TAMMY LEA GRAGG D.N.P. FNP-C PMHNP NPI 1174604946

NPI Information

  • NPI: 1174604946
  • Provider Name: DR. TAMMY LEA GRAGG, D.N.P., FNP-C, PMHNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 4212 NORTH 16TH ST
    PIMC
    PHOENIX, AZ
    ZIP 85016
  • Phone: (602) 263-1200

Map and Directions

Get Directions

NPI Details

DR. Tammy Lea Gragg, D.N.P., FNP-C, PMHNP is a family nurse practitioner in Phoenix, AZ. DR. Tammy Lea Gragg, D.N.P., FNP-C, PMHNP NPI is 1174604946. 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:

4212 NORTH 16TH ST
PIMC
PHOENIX, AZ
ZIP 85016-319
Phone: (602) 263-1200

The enumeration date for this NPI number is 10/18/2006 and was last updated on 8/20/2015.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthAPRN001724NEVADANo
2363LF0000XNurse PractitionerFamily671878TEXASYes

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: 3/30/2025

NPI Synchronization or Removal

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.