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

Tracey Lynn Redish

Individual provider Family Nurse Practitioner · NPI 1942879465

Tracey Lynn Redish is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2021, 5 years ago. Practices with Privia Medical Group Arizona, LLC, a 96-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
5
Licensed in
AZ
In the registry since
2021
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Practice location Address checks out

14001 N 7th St Ste F111
Phoenix, AZ 85022-4382
Phone: (602) 633-3780
Fax: (602) 633-3782
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 111 W Cedar Ln Ste A, Payson, AZ 85541-5417 — (602) 633-3780
  • 19841 N 27th Ave Ste 403, Phoenix, AZ 85027-4007 — (602) 633-3780

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 259399 (AZ)

Record details

NPI number1942879465
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 19, 2021
Last updated in NPPESJanuary 20, 2023
Certification dateJanuary 20, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Privia Medical Group Arizona, Llc — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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