Individual provider Active NPI

Lisa Laginess, NP

  • Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1245704667
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
258059 Issued in AZ
Practice address
4601 E Broadway Blvd
Tucson, AZ 85711-3511
Phone
(520) 399-6000
Fax
(520) 399-6002
NPI assigned
Jan 18, 2019
Last updated
Jun 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 64908 ID
Nurse Practitioner 363L00000X 0001368 CO
Nurse Practitioner 363L00000X 258059 AZ Primary

Addresses

Primary practice location

4601 E Broadway Blvd
Tucson, AZ 85711-3511

Mailing address

4601 E Broadway Blvd
Tucson, AZ 85711-3511
Phone (520) 399-6000

Other practice location 1

1304 N Grand Ave
Pueblo, CO 81003-2718
Phone (719) 562-2363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, ID, AZ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190218000245 CO Practitioner - Nurse Practitioner 9830437896
I20200708000768 ID Practitioner - Nurse Practitioner 9830437896 Reassigns benefits to 1 organization
I20210716001353 AZ Practitioner - Nurse Practitioner 9830437896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emil H Annabi MD PCGroup PAC ID 0941511109, 10 clinicians

Practice addresses (Care Compare)

4601 E Broadway Blvd
Tucson, AZ 85711-3511
Phone (520) 399-6000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0001368COMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emil H Annabi MD PC CurrentSince Jun 28, 2021 Accepting new patients
Poudre Valley Medical Group, LLC Past Accepting new patients
Focused Family Services LLC Past Accepting new patients
Emil H Annabi MD PC PastSince Feb 18, 2024 Accepting new patients
Emil H Annabi MD PC PastSince Feb 18, 2024 Accepting new patients

Locations

4485 S I 19 Frontage Rd
#100
Green Valley, AZ 85614
Phone (520) 399-6000

13395 N Marana Main St
Fl 2
Marana, AZ 85653
Phone (520) 399-0000

2158 N Gilbert Rd
Ste 121
Mesa, AZ 85203
Phone (480) 461-0150

1310 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 399-6000

2275 W Magee Rd
Ste 111
Tucson, AZ 85742
Phone (520) 399-6000

4601 E Broadway Blvd
Tucson, AZ 85711
Phone (520) 399-6000

6226 E Pima St
Ste 3
Tucson, AZ 85712
Phone (520) 323-1600

6840 E Broadway Blvd
Tucson, AZ 85710
Phone (520) 399-6000

7530 N Oracle Rd
Ste 200
Tucson, AZ 85704
Phone (520) 399-6000

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1245704667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 E BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113511",
            "telephone_number": "520-399-6000",
            "fax_number": "520-399-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 E BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113511",
            "telephone_number": "520-399-6000",
            "fax_number": "520-399-6002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1304 N Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810032718",
            "country_code": "US",
            "telephone_number": "719-562-2363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAGINESS",
        "first_name": "LISA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-18",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "64908",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "0001368",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "258059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.