Active NPI
Lisa Laginess, NP
- Nurse Practitioner
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 258059
- 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, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0001368 | CO | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emil H Annabi MD PC | Current | 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 | Past | Accepting new patients | |
| Emil H Annabi MD PC | Past | 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.
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1679901136
-
dba UCHealth Medical Group
- General Practice Physician
- Loveland, CO
- NPI 1225356868
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.