Active NPI
Lora Critser
- Licensed Practical Nurse
- Peoria, AZ
National Provider Identifier
1144423260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LP026712
- Practice address
- 10436 W Mariposa Grande
Peoria, AZ 85383-2710 - Phone
- (623) 210-4321
- NPI assigned
- Jun 6, 2007
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LP026712 | AZ | Primary |
Addresses
Primary practice location
10436 W Mariposa Grande
Peoria, AZ 85383-2710
Mailing address
10436 W Mariposa Grande
Peoria, AZ 85383-2710
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 922147 | Other | AZ | DSC PROVIDER # |
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 |
|---|---|---|---|
| LP026712 | AZ | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144423260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10436 W MARIPOSA GRANDE",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853832710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10436 W MARIPOSA GRANDE",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853832710",
"telephone_number": "623-210-4321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRITSER",
"first_name": "LORA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "AZ",
"license": "LP026712",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DSC PROVIDER #",
"identifier": "922147",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.