Active NPI
Autumn Lemke, DNP, FNP-BC
- Nurse Practitioner
- Mesa, AZ
National Provider Identifier
1114744992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RNP225682
- Practice address
- 2132 W Isthmus Loop
Mesa, AZ 85202-5518 - Phone
- (480) 570-1047
- NPI assigned
- May 9, 2019
- Reactivated
- Sep 24, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RNP225682 | AZ | Primary |
Addresses
Primary practice location
2132 W Isthmus Loop
Mesa, AZ 85202-5518
Mailing address
2132 W Isthmus Loop
Mesa, AZ 85202-5518
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RNP225682 | AZ | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1114744992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2132 W ISTHMUS LOOP",
"city": "MESA",
"state": "AZ",
"postal_code": "852025518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2132 W ISTHMUS LOOP",
"city": "MESA",
"state": "AZ",
"postal_code": "852025518",
"telephone_number": "480-570-1047"
}
],
"practiceLocations": [],
"basic": {
"replacement_npi": "1114744992",
"last_name": "LEMKE",
"first_name": "AUTUMN",
"credential": "DNP, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-09",
"last_updated": "2024-09-24",
"deactivation_date": "2024-09-17",
"reactivation_date": "2024-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "RNP225682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.