Individual provider Active NPI

Laura Hellenthal

  • Adult Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1164779310
Registry record updated Nov 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F306084-1 Issued in NY
Practice address
4400 N 32ND St
Suite 140
Phoenix, AZ 85018-3953
Phone
(602) 254-4424
NPI assigned
Aug 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F306084-1 NY Primary
Adult Health Nurse Practitioner 363LA2200X AP7443 AZ

Addresses

Primary practice location

4400 N 32ND St
Suite 140
Phoenix, AZ 85018-3953

Mailing address

1001 E Ocotillo Rd
Phoenix, AZ 85014-1054
Phone (406) 698-6648

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150106001049 AZ Practitioner - Nurse Practitioner 8527217173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

13640 N Plaza del Rio Blvd
Peoria, AZ 85381-4846
Phone (623) 876-3800

4375 E Irma LN
Phoenix, AZ 85050-4312
Phone (480) 890-5800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
306084NYMDLicensed Practical Nurse
AP7443AZMDAdult Health Nurse Practitioner
F306084-1NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Primary Care Physicians Arizona LLC Current Accepting new patients
Banner Primary Care Physicians Arizona LLC CurrentSince Dec 7, 2014 Accepting new patients
Banner Primary Care Physicians Arizona LLC CurrentSince Dec 7, 2014 Accepting new patients
Banner Primary Care Physicians Arizona LLC Past Accepting new patients

Locations

2225 W Southern Ave
Mesa, AZ 85202
Phone (480) 412-4101

13640 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 876-3800

4400 N 32nd St
Ste 200
Phoenix, AZ 85018
Phone (602) 522-1900

4720 E Greenway Rd
Phoenix, AZ 85032
Phone (602) 439-6000

4400 N 32nd St
Ste 140
Phoenix, AZ 85018
Phone (602) 254-1429

4375 E Irma Ln
Phoenix, AZ 85050
Phone (480) 890-5800

14416 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 583-5083

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416700800000",
    "number": "1164779310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E OCOTILLO RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850141054",
            "telephone_number": "406-698-6648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 N 32ND ST",
            "address_2": "SUITE 140",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183953",
            "telephone_number": "602-254-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLENTHAL",
        "first_name": "LAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-07",
        "last_updated": "2014-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F306084-1",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "AP7443",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.