Jodi Lyn Lay, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP10016 Issued in AZ

Practice address

5700 W Olive Ave Ste 102
Glendale, AZ 85302-3147

Phone

(623) 387-3705

Fax

(866) 941-5662

NPI assigned

Apr 9, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Ceb Capital LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1750754982
  Medicare reassignment NPD
• The Wellness and Prevention Center, LLC

  • Family Nurse Practitioner
  • Glendale, AZ
  • NPI 1881974731
  Medicare reassignment NPD
• Lay Family Practice LLC

  • Clinic/Center
  • Glendale, AZ
  • NPI 1538700059
  NPD (past) Authorized official
• Ceb Capital LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1073986212
  NPD
• Clinical Associates of Arizona LLC

  • Multi-Specialty Clinic/Center
  • Glendale, AZ
  • NPI 1265037485
  NPD (past)

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

{
    "created_epoch": "1491696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1114450962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4494 W PEORIA AVE STE 115A",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853022020",
            "telephone_number": "602-509-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 W OLIVE AVE STE 102",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853023147",
            "telephone_number": "623-387-3705",
            "fax_number": "866-941-5662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4494 W Peoria Ave Ste 115A",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "85302",
            "country_code": "US",
            "telephone_number": "480-431-5067",
            "fax_number": "480-666-6287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAY",
        "first_name": "JODI",
        "middle_name": "LYN",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-09",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10016",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "AZ",
            "license": "AP10016",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Lawson, LMFT; LIAC
• Michele Lawson
• Nicholas Lawson, M.S., BCBA, LBA
• Suzan Lawton
• Lay Family Practice LLC
• Zachary Scott Laymon, LMT
• Layne Sandridge MD, PLC
• Gabriel Lazarin, MS
• Dariene V Lazore, DMD
• Amy Lazzaro

• Family Nurse Practitioner in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.