Lindsey Purcelley, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP5400 Issued in AZ

Practice address

3410 N 4TH Ave
Phoenix, AZ 85013-3905

Phone

(602) 358-8588

Fax

(602) 688-6991

NPI assigned

Jan 22, 2014

Last updated

Dec 16, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450224000000",
    "number": "1174946420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 N 4TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133905",
            "telephone_number": "602-358-8588",
            "fax_number": "602-688-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 N 4TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133905",
            "telephone_number": "602-358-8588",
            "fax_number": "602-688-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURCELLEY",
        "first_name": "LINDSEY",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-22",
        "last_updated": "2015-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP5400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pura Vida Mind and Body PLLC (Pura Vida Mind & Body)
• Jasper Lao Puracan, MD MPH
• Erika Michelle Purcell, DMD
• Ralph N Purcell, MD
• Stefani Purcell, DMD
• Beth A Purdy, MD
• Christopher Purdy, OTR/L
• Kimberly S Purdy
• Pure Care Behavioral Health LLC
• Pure Choices LLC

• Family Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.