Individual provider Active NPI

Lesley Myrick

  • Women's Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1134868193
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
303923 Issued in AZ
Practice address
1008 E McDowell Rd Ste a
Phoenix, AZ 85006-2603
Phone
(602) 358-8588
Fax
(602) 688-6991
NPI assigned
May 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 303923 AZ Primary

Addresses

Primary practice location

1008 E McDowell Rd Ste a
Phoenix, AZ 85006-2603

Mailing address

7330 N 16TH St
Phoenix, AZ 85020-5237
Phone (770) 317-9651

Other practice location 1

1520 Clifton Rd NE
Atlanta, GA 30322-4201
Phone (404) 727-7980

Other practice location 2

1151 N Gilbert Rd
Mesa, AZ 85203-5127
Phone (602) 358-8588

Other practice location 3

2222 E Highland Ave Ste 205
Phoenix, AZ 85016-4876
Phone (602) 358-8588

Other practice location 4

702 E Bell Rd Ste 119
Phoenix, AZ 85022-6639
Phone (602) 358-8588

Other practice location 5

10585 N Tatum Blvd Ste D130
Paradise Valley, AZ 85253-1073
Phone (602) 358-8588

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240422001771 AZ Practitioner - Obstetrics/Gynecology 7315386430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kelly H Roy MD PC 28 clinicians

Practice addresses (Care Compare)

1008 E McDowell Rd
Suite a
Phoenix, AZ 85006-2603
Phone (602) 358-8588

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
303923AZMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly H. Roy, MD, PC CurrentSince Mar 1, 2024 Accepting new patients
WD Recovery and Wellness Center, LLC Past Accepting new patients

Locations

1151 N Gilbert Rd
Mesa, AZ 85203
Phone (480) 469-3891

10585 N Tatum Blvd
Ste D130
Paradise Vly, AZ 85253
Phone (602) 559-9966

7330 N 16th St
Phoenix, AZ 85020
Phone (602) 279-0000

2222 E Highland Ave
Ste 205
Phoenix, AZ 85016
Phone (600) 235-8588

1008 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 258-7003

1008 E McDowell Rd
Ste A
Phoenix, AZ 85006
Phone (602) 241-1944

7330 N 16th St
Ste B101
Phoenix, AZ 85020
Phone 60235885882004

702 E Bell Rd
Ste 119
Phoenix, AZ 85022
Phone (600) 358-8588

9201 E Mountain View Rd
Ste 210
Scottsdale, AZ 85258

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2541/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lesley.myrick.1@2541.direct.athenahealth.com

Organizations & group practices 2

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": "1653696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1134868193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7330 N 16TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205237",
            "telephone_number": "770-317-9651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 E MCDOWELL RD STE A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062603",
            "telephone_number": "602-358-8588",
            "fax_number": "602-688-6991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 Clifton Rd NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303224201",
            "country_code": "US",
            "telephone_number": "404-727-7980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1151 N Gilbert Rd",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852035127",
            "country_code": "US",
            "telephone_number": "602-358-8588",
            "fax_number": "602-688-6991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2222 E Highland Ave Ste 205",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850164876",
            "country_code": "US",
            "telephone_number": "602-358-8588",
            "fax_number": "602-688-6991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "702 E Bell Rd Ste 119",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850226639",
            "country_code": "US",
            "telephone_number": "602-358-8588",
            "fax_number": "602-688-6991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10585 N Tatum Blvd Ste D130",
            "address_purpose": "LOCATION",
            "city": "Paradise Valley",
            "state": "AZ",
            "postal_code": "852531073",
            "country_code": "US",
            "telephone_number": "602-358-8588",
            "fax_number": "602-688-6991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYRICK",
        "first_name": "LESLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-28",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AZ",
            "license": "303923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.