TERA CRISALIDA PA
NPI 1720167950
Physician Assistant in Tempe, AZ

Active since November 06, 2006
1006 E GUADALUPE RD, TEMPE, AZ 85283(480) 838-4296(480) 820-1275 Get Directions Write a Review

NPPES record last updated: July 13, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tera Crisalida Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TERA CRISALIDA PA (NPI 1720167950) is an individual physician assistant in Tempe, Arizona, licensed in Arizona (3834) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1720167950
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTERA CRISALIDACredential: PA
Location Address1006 E GUADALUPE RDTempe, AZ 85283-3047
Mailing Address3055 N Red Mtn Unit 220Mesa, AZ 85207-1059 · (208) 201-5111
Fax(480) 820-1275
Sole ProprietorNo
Enumeration DateNovember 6, 2006
Last NPPES UpdateJuly 13, 2010
NPI 1720167950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in AZ · 3834 Licensed in ID · PA-530
Definition
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.
1006 E GUADALUPE RD, Tempe, AZ 85283

Other Identifiers 3

Medicaid341903AZ
Medicare UPINS90253ID
Medicare PINZ122727AZ

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Allergy & Immunology (Allergy)
1006 E GUADALUPE RD
TEMPE, AZ 85283
Allergy & Immunology
1006 E GUADALUPE RD
TEMPE, AZ 85283
Physician Assistant
1006 E GUADALUPE RD
TEMPE, AZ 85283
Physician Assistant (Medical)
1006 E GUADALUPE RD
TEMPE, AZ 85283

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tera Crisalida's NPI number?

The NPI number for Tera Crisalida is 1720167950. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Tera Crisalida located?

Tera Crisalida practices at 1006 E Guadalupe Rd, Tempe, AZ 85283. The listed phone number is (480) 838-4296.

What is Tera Crisalida's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Tera Crisalida was last updated on July 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.