Active NPI
Lana Louise Selby, F.N.P.
- Family Nurse Practitioner
- Safford, AZ
National Provider Identifier
1184650673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 259120
- Practice address
- 711 S 14TH Ave
Safford, AZ 85546-3337 - Phone
- (928) 424-2110
- NPI assigned
- Jun 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 259120 | AR | |
| Family Nurse Practitioner | 363LF0000X | 259120 | AZ | Primary |
Addresses
Primary practice location
711 S 14TH Ave
Safford, AZ 85546-3337
Mailing address
711 S 14TH Ave
Safford, AZ 85546-3337
Phone (928) 424-2110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11846506 | Medicaid | AZ |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | lselby@gilahealth.com | Health Information Exchange (HIE) | |
| CONNECT URL | lselby@gilahealth.com | Health Information Exchange (HIE) | |
| CONNECT URL | lselby@gilahealth.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200208000042 | CA | Order and Referring Only - Nurse Practitioner | 5890689590 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11511 | CA | MD | Acupuncturist |
| 259120 | AR | MD | Family Nurse Practitioner |
| 259120 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Joaquin Emergency Medical Associates | Past | Accepting new patients |
Interoperability endpoints
- selby.lana.1@33093.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Merced, CA
- NPI 1588960413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641513600000",
"number": "1184650673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 S 14TH AVE",
"city": "SAFFORD",
"state": "AZ",
"postal_code": "855463337",
"telephone_number": "928-424-2110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 S 14TH AVE",
"city": "SAFFORD",
"state": "AZ",
"postal_code": "855463337",
"telephone_number": "928-424-2110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELBY",
"first_name": "LANA",
"middle_name": "LOUISE",
"credential": "F.N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-25",
"last_updated": "2022-01-07",
"certification_date": "2022-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "259120",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "259120",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "11846506",
"state": "AZ"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "lselby@gilahealth.com",
"affiliation": "N",
"endpointDescription": "provider work email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1492 S 20th Ave",
"city": "Safford",
"state": "AZ",
"country_code": "US",
"postal_code": "855464052",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "lselby@gilahealth.com",
"affiliation": "N",
"endpointDescription": "provider work email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "save way",
"address_1": "711 S 14th Ave",
"city": "Safford",
"state": "AZ",
"country_code": "US",
"postal_code": "855463337",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "lselby@gilahealth.com",
"affiliation": "N",
"endpointDescription": "provider work email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "walmart",
"address_1": "711 S 14th Ave",
"city": "Safford",
"state": "AZ",
"country_code": "US",
"postal_code": "855463337",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Safford, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; 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.