Laura Patricia Bly

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

166696 Issued in AZ

Practice address

8449 W Ross Ave
Peoria, AZ 85382-7424

Phone

(928) 231-2662

NPI assigned

Mar 25, 2024

Last updated

Mar 25, 2024By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1124878921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8449 W ROSS AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853827424",
            "telephone_number": "928-231-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8449 W ROSS AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853827424",
            "telephone_number": "928-231-2662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8449 W Ross Ave",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853827424",
            "country_code": "US",
            "telephone_number": "928-231-2662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLY",
        "first_name": "LAURA",
        "middle_name": "PATRICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gastroenterology",
            "state": "AZ",
            "license": "166696",
            "primary": false
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "166696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordon Bleau, PT, DPT
• Carolyn E Bledsoe, MS CCC-SLP
• Sarah Blevins
• Adam Preston Block, DDS
• Brian A Bloom, R.PH.
• Samantha Mae Boartfield, PHARMD
• Cindy L Bock, MA, LMHC, NCC
• Kevin M Boesel, MD
• Patrishia Bogan, PMHNP
• Nairy Skender Boghossian

• School Registered Nurse in Peoria, AZ
• Providers in Peoria, AZ by specialty
• School Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.

Verify at the official NPI Registry.