Individual provider Active NPI

Stephenie Ann Lechuga, FNP-C

  • Pediatric Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1083258354
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
233823 Issued in AZ
Practice address
3415 W Glendale Ave Ste 32a
Phoenix, AZ 85051-8485
Phone
(602) 246-7462
Fax
(602) 995-6800
NPI assigned
Oct 30, 2019
Last updated
Oct 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 233823 AZ Primary

Addresses

Primary practice location

3415 W Glendale Ave Ste 32a
Phoenix, AZ 85051-8485

Mailing address

2033 E Warner Rd Ste 109
Tempe, AZ 85284-3417
Phone (480) 825-5525

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL HappyKidsPediatrics Health Information Exchange (HIE)
Other URL HappyKidsPediatrics Health Information Exchange (HIE)

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
I20210617002547 AZ Practitioner - Nurse Practitioner 4688074206 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Feliz Family Care PLLCGroup PAC ID 3274838586, 8 clinicians

Practice addresses (Care Compare)

1345 E Main St
Suite 100
Mesa, AZ 85203-8950
Phone (480) 264-3711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
233823AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Feliz Family Care, PLLC Family CurrentSince Mar 16, 2021 Accepting new patients
Happy Kids Pediatrics P.C. Family CurrentSince Mar 16, 2021 Accepting new patients
Happy Kids Pediatrics P.C. Family CurrentSince Mar 16, 2021 Accepting new patients
Happy Kids Pediatrics P.C. Family CurrentSince Jul 23, 2023 Accepting new patients

Locations

1033 N Arizona Ave
Chandler, AZ 85225
Phone (480) 855-8829

5104 N 67th Ave
Glendale, AZ 85301
Phone (602) 773-1234

6710 W Camelback Rd
#A
Glendale, AZ 85303
Phone (480) 659-9696

6710 W Camelback Rd
Ste A
Glendale, AZ 85303

1157 S Crismon Rd
Unit 102
Mesa, AZ 85208

1345 E Main St
Ste 100
Mesa, AZ 85203
Phone (480) 264-3711

1345 E Main St
Ste 103
Mesa, AZ 85203
Phone (480) 223-0290

1345 E Main St
Ste 104
Mesa, AZ 85203
Phone (480) 300-4741

1345 E Main St
Ste 205
Mesa, AZ 85203

1311 E Thomas Rd
Phoenix, AZ 85014
Phone (602) 322-1315

3306 W Roosevelt St
Phoenix, AZ 85009
Phone (602) 826-2634

3415 W Glendale Ave
Ste 32A
Phoenix, AZ 85051
Phone (602) 246-7462

6707 N 19th Ave
Ste 222
Phoenix, AZ 85015
Phone (602) 283-3668

825 W Southern Ave
Ste 100
Phoenix, AZ 85041
Phone (602) 243-3429

825 W Southern Ave
Ste 106
Phoenix, AZ 85041
Phone (602) 243-3429

2033 E Warner Rd
Ste 109
Tempe, AZ 85284
Phone (480) 820-5525

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CFFIDD/Endpoint/CFFIDD
  • Direct secure messaging: stephenie.lechuga.1@30399.direct.athenahealth.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1083258354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 E WARNER RD STE 109",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843417",
            "telephone_number": "480-825-5525",
            "fax_number": "480-831-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 W GLENDALE AVE STE 32A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850518485",
            "telephone_number": "602-246-7462",
            "fax_number": "602-995-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECHUGA",
        "first_name": "STEPHENIE",
        "middle_name": "ANN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-30",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AZ",
            "license": "233823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "HappyKidsPediatrics",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3415 W Glendale Ave Ste 32A",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850518485",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "HappyKidsPediatrics",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3415 W Glendale Ave Ste 32A",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850518485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.