Individual provider Active NPI

Roxann G Lafferty, PA-C

  • Physician Assistant
  • Cottonwood, AZ
National Provider Identifier
1053306241
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2027 Issued in AZ
Practice address
450 S Willard St
Ste. 120
Cottonwood, AZ 86326-6743
Phone
(928) 634-2574
Fax
(928) 634-2841
NPI assigned
Sep 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2027 AZ Primary

Addresses

Primary practice location

450 S Willard St
Ste. 120
Cottonwood, AZ 86326-6743

Mailing address

2550 N Thunderbird Cir
Ste 303
Mesa, AZ 85215-1214
Phone (480) 435-9132

Other identifiers 1

IdentifierTypeStateIssuer
391201MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050524001295 AZ Practitioner - Physician Assistant 8426090077 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care of Arizona PAGroup PAC ID 5991886020, 20 clinicians

Practice addresses (Care Compare)

1110 E Route 66
Suite 100
Flagstaff, AZ 86001-4772
Phone (928) 773-9695

2005 W Ruthrauff Rd
Suite 111
Tucson, AZ 85705-4864
Phone (520) 293-7250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2027AZMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-City Express Care, PLLC CurrentSince Jan 5, 2020 Accepting new patients
Nextcare Arizona I JV LLC Current Accepting new patients
American Current Care of Arizona PA CurrentSince Oct 2, 2023 Accepting new patients
Saguaro Surgical, P C Past Accepting new patients
Whispering Palms Medical Inc Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Honorhealth Urgent Care, LLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients

Locations (25 of 41)

2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172

13075 W McDowell Rd
Ste D106
Avondale, AZ 85392
Phone (623) 547-0522

2875 W Ray Rd
Ste 8
Chandler, AZ 85224
Phone (480) 726-3440

450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574

1110 E Route 66
Ste 100
Flagstaff, AZ 86001
Phone (928) 527-1920

1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844

495 N Pinal Pkwy
Ste 106
Florence, AZ 85132
Phone (520) 568-0573

890 W Elliot Rd
Ste 103
Gilbert, AZ 85233
Phone (480) 241-7564

920 E Williams Field Rd
Ste 101
Gilbert, AZ 85295
Phone (480) 499-0201

3730 W Happy Valley Rd
Ste 100
Glendale, AZ 85310
Phone (623) 277-4140

1507 N Litchfield Rd
Ste 200
Goodyear, AZ 85395
Phone (623) 215-0040

1066 N Power Rd
Ste 101
Mesa, AZ 85205
Phone (480) 807-0130

1955 S Signal Butte Rd
Ste 103
Mesa, AZ 85209
Phone (480) 214-4466

1810 S Power Rd
Ste 101
Mesa, AZ 85206
Phone (480) 214-0045

415 N Val Vista Dr
Ste 101
Mesa, AZ 85213
Phone (480) 654-5661

835 W University Dr
Mesa, AZ 85201
Phone (480) 664-6007

2301 N 44th St
Phoenix, AZ 85008
Phone (602) 808-8786

5259 W Indian School Rd
Ste 100
Phoenix, AZ 85031
Phone (623) 888-5101

8260 W Indian School Rd
Ste 1
Phoenix, AZ 85033
Phone (623) 846-7122

5920 W McDowell Rd
Phoenix, AZ 85035
Phone (480) 455-2235

1701 E Thomas Rd
Ste A104
Phoenix, AZ 85016
Phone (602) 845-4445

2860 W Peoria Ave
Ste B
Phoenix, AZ 85029
Phone (602) 283-0595

20950 N Tatum Blvd
Ste 190
Phoenix, AZ 85050
Phone (480) 476-0021

4902 E Shea Blvd
Ste 101
Scottsdale, AZ 85254
Phone (480) 214-4468

7730 E McDowell Rd
Ste 101
Scottsdale, AZ 85257
Phone (480) 699-3314

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1053306241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 N THUNDERBIRD CIR",
            "address_2": "STE 303",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852151214",
            "telephone_number": "480-435-9132",
            "fax_number": "480-776-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S WILLARD ST",
            "address_2": "STE. 120",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863266743",
            "telephone_number": "928-634-2574",
            "fax_number": "928-634-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFFERTY",
        "first_name": "ROXANN",
        "middle_name": "G",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-14",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "2027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "391201",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood, AZ

Sources for this page

Verify at the official NPI Registry.