Paulette Leguizamon, CFNP

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

AP1677AZ Issued in AZ

Practice address

14973 W Bell Rd
Suite #100
Surprise, AZ 85374-3202

Phone

(623) 815-2900

Fax

(623) 583-1319

NPI assigned

Aug 30, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Surprise Health Center, PLLC

  • Family Medicine Physician
  • Surprise, AZ
  • NPI 1467563718
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231718400000",
    "number": "1245340165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19560 N CANYON WHISPER DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853874403",
            "telephone_number": "623-815-2900",
            "fax_number": "623-583-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14973 W BELL RD",
            "address_2": "SUITE #100",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743202",
            "telephone_number": "623-815-2900",
            "fax_number": "623-583-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGUIZAMON",
        "first_name": "PAULETTE",
        "name_prefix": "Ms.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2009-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "AZ",
            "license": "AP1677AZ",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870362",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Makula Nuwo Lee
• Michelle M Lee
• Iris Auralea Leek
• Molly Swann Leeuwenburg, SLP
• Derek Legg, DC
• Douglas J Lehman, PT
• Brittney S Leis, MOT, OTR/L
• Leisure Times Home
• Leisure Times Home LLC
• Deborah Ann Leisure, LPN

• General Practice Registered Nurse in Surprise, AZ
• Providers in Surprise, AZ by specialty
• General Practice Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.