Individual provider Active NPI

Lauren King, FNP-C

  • Family Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1093188054
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP8293 Issued in AZ
Practice address
3530 S Val Vista Dr # C202
Gilbert, AZ 85297-7318
Phone
(480) 633-6868
Fax
(480) 633-6996
NPI assigned
Nov 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP8293 AZ Primary

Addresses

Primary practice location

3530 S Val Vista Dr # C202
Gilbert, AZ 85297-7318

Mailing address

PO Box 748860
Atlanta, GA 30374-8860
Phone (480) 237-3040

Other practice location 1

105 S Delaware Dr
Apache Junction, AZ 85120-6511
Phone (480) 646-1001

Other practice location 2

5304 E Southern Ave Ste 110
Mesa, AZ 85206-3623
Phone (480) 237-3040

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
I20160318001875 AZ Practitioner - Nurse Practitioner 8527365592 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP8293AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aim Healthcare Providers, LLC CurrentSince Jan 8, 2024 Accepting new patients
Women's Care Arizona, LLC CurrentSince Apr 4, 2022 Accepting new patients
Total Health Clinic LLC Past Accepting new patients
Prescott Healthcare Solutions LLC Family Past Accepting new patients

Locations

10815 W McDowell Rd
Ste 301
Avondale, AZ 85392
Phone (623) 433-0106

161 E Rivulon Blvd
Ste 210
Gilbert, AZ 85297
Phone (480) 244-1724

3530 S Val Vista Dr
#C202
Gilbert, AZ 85297
Phone (480) 633-6868

5304 E Southern Ave
Ste 110
Mesa, AZ 85206
Phone (480) 237-3040

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1093188054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748860",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748860",
            "telephone_number": "480-237-3040",
            "fax_number": "480-237-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 S VAL VISTA DR # C202",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977318",
            "telephone_number": "480-633-6868",
            "fax_number": "480-633-6996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 S Delaware Dr",
            "address_purpose": "LOCATION",
            "city": "Apache Junction",
            "state": "AZ",
            "postal_code": "851206511",
            "country_code": "US",
            "telephone_number": "480-646-1001",
            "fax_number": "480-646-1002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5304 E Southern Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852063623",
            "country_code": "US",
            "telephone_number": "480-237-3040",
            "fax_number": "480-237-3049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "LAUREN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-12",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.