Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tara Creech

Individual provider Physician Assistant · NPI 1184275851

Tara Creech is a Physician Assistant in Flagstaff, Arizona. Qualified in 2020, 6 years ago. Practices with Greater Phoenix Collaborative Care PC, a 111-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona and California.

Years since qualifying
6
Licensed in
AZ, CA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

2001 N 4th St
Flagstaff, AZ 86004-4227
Phone: (928) 527-4325
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1501 S Yale St Ste 150, Flagstaff, AZ 86001-7337 — (928) 527-4325

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9010 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence PA58903 (CA)

Record details

NPI number1184275851
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 24, 2019
Last updated in NPPESNovember 19, 2024
Certification dateNovember 19, 2024
Mailing addressPo Box 35380, Las Vegas, NV 89133-5380

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Greater Phoenix Collaborative Care Pc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Flagstaff