CHARLOTTE MARIE TACK DEMOTT NP-C NPI 1982072211

NPI Information

  • NPI: 1982072211
  • Provider Name: CHARLOTTE MARIE TACK DEMOTT, NP-C
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9201 E MOUNTAIN VIEW RD
    SUITE 220
    SCOTTSDALE, AZ
    ZIP 85258
  • Phone: (480) 862-1721

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NPI Details

Charlotte Marie Tack Demott, NP-C is an adult health nurse practitioner in Scottsdale, AZ. Charlotte Marie Tack Demott, NP-C NPI is 1982072211. 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:

9201 E MOUNTAIN VIEW RD
SUITE 220
SCOTTSDALE, AZ
ZIP 85258-199
Phone: (480) 862-1721

The NPI 1982072211 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/3/2015 and was last updated on 4/26/2023.

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
1363LA2200XNurse PractitionerAdult Health306786NEW YORKYes

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

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