Active NPI
Annette J Lennon, LPN
- Licensed Practical Nurse
- Phoenix, AZ
National Provider Identifier
1013154269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LP037298
- Practice address
- 4212 N. 16TH Street
Pimc
Phoenix, AZ 85016 - Phone
- (602) 263-1200
- Fax
- (602) 263-1631
- NPI assigned
- Jan 9, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LP037298 | AZ | Primary |
Addresses
Primary practice location
4212 N. 16TH Street
Pimc
Phoenix, AZ 85016
Mailing address
P.O.Box 31001-0698
PNC
Pasadena, CA 91110-0001
Phone (602) 263-1200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP037298 | AZ | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231459200000",
"number": "1013154269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O.BOX 31001-0698",
"address_2": "PNC",
"city": "PASADENA",
"state": "CA",
"postal_code": "911100001",
"telephone_number": "602-263-1200",
"fax_number": "602-263-1631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4212 N. 16TH STREET",
"address_2": "PIMC",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85016",
"telephone_number": "602-263-1200",
"fax_number": "602-263-1631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENNON",
"first_name": "ANNETTE",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-09",
"last_updated": "2009-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "AZ",
"license": "LP037298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.