Individual provider Active NPI

Debra Ann Lessner, FNP

  • Family Nurse Practitioner
  • Prescott, AZ
National Provider Identifier
1104153816
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP5566 Issued in AZ
Practice address
1434 Bankside LN
Prescott, AZ 86305-5833
Phone
(219) 771-5585
NPI assigned
Nov 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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 AP5566 AZ Primary

Addresses

Primary practice location

1434 Bankside LN
Prescott, AZ 86305-5833

Mailing address

1434 Bankside LN
Prescott, AZ 86305-5833
Phone (219) 771-5585

Other identifiers 1

IdentifierTypeStateIssuer
1104153816OtherAZVHA

Other names 1

  • Debra Ann Gaul Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address debra.lessner@va.gov Direct

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP5566AZMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1104153816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 BANKSIDE LN",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863055833",
            "telephone_number": "219-771-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1434 BANKSIDE LN",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863055833",
            "telephone_number": "219-771-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESSNER",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-17",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP5566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VHA",
            "identifier": "1104153816",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "debra.lessner@va.gov",
            "affiliation": "N",
            "endpointDescription": "VA email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1434 Bankside Ln",
            "city": "Prescott",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "863055833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "GAUL",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.