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Tanisha Lawrence

Physician β€’ Glendale, AZ

Active NPI 1881863579 Individual Practitioner Female Practitioner
Practice location in NPPES

8705 W Morten Ave
Glendale, AZ 853053944

Call 6232105169 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

8705 W Morten Ave

Glendale, AZ 853053944

Telephone 6232105169
Fax 6024554624
Organization at the Same NPPES Address or Phone
Avid Support Resources Llc Facility NPI 1275277667

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2008

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-03-19
Foster Care Agency Primary Specialty

NUCC Taxonomy Code: 253J00000X

License # reported to NPPES AZ 571686

A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.

Respite Care - Respite Care, Mental Illness, Child

NUCC Taxonomy Code: 385HR2055X

License # reported to NPPES AZ 571686

A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location March 19, 2020

Registered at 8705 W MORTEN AVE, GLENDALE, AZ 853053944 (Tel: 6232105169)

βœ…
NPI Profile Active February 27, 2008

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 27, 2008

Registered at 8030 W OREGON AVE, GLENDALE, AZ 853035547 (Tel: 6232105169)

πŸ“
Business Mailing Address (Initial Record) February 27, 2008

Registered at 8030 W OREGON AVE, GLENDALE, AZ 853035547 (Tel: 6232105169)

πŸ‘€
Provider Name / Credentials (Initial Record) February 27, 2008

Recorded as TANISHA LAWRENCE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2008

Respite Care (license number reported to NPPES: AZ 571686)

🟒
Initial NPI Registration & Enumeration February 27, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1881863579
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 27, 2008
Last Update: March 19, 2020
Sole Proprietor: Yes

Mailing Address

8030 W Oregon Ave

Glendale, AZ 853035547

Phone: 6232105169

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.