Individual provider Active NPI

Kelly A Lapa, FNP-C

  • Family Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1255856803
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP10464 Issued in AZ
Practice address
4700 S McClintock Dr Ste 140
Tempe, AZ 85282-7375
Phone
(480) 210-3407
Fax
(573) 240-9791
NPI assigned
Aug 4, 2017
Last updated
Jun 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP10464 AZ Primary

Addresses

Primary practice location

4700 S McClintock Dr Ste 140
Tempe, AZ 85282-7375

Mailing address

907 N Mountain Rd
Mesa, AZ 85207-2309
Phone (480) 789-2571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, WA, TX3 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
I20171120000626 AZ Practitioner - Nurse Practitioner 6305103797 Reassigns benefits to 6 organizations
I20220613001599 WA Practitioner - Nurse Practitioner 6305103797 Reassigns benefits to 1 organization
I20230308001161 TX Practitioner - Nurse Practitioner 6305103797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Medical Group Arizona LLCGroup PAC ID 3173872835, 152 clinicians

Practice addresses (Care Compare)

1760 E Pecos Rd
Suite 102
Gilbert, AZ 85295-3201
Phone (888) 698-6727

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Good Health Medical, PLLC Family Medicine CurrentSince Oct 3, 2017 Accepting new patients
Summit Medical Group Arizona LLC Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Good Health Medical, PLLC Family Medicine CurrentSince Oct 3, 2017 Accepting new patients
Good Health Medical, PLLC Family Medicine Current Accepting new patients
Revive Community Health Family Medicine CurrentSince May 1, 2025 Accepting new patients
Yadwinder S Dhillon MD PC Family Medicine CurrentSince Dec 16, 2017 Accepting new patients
Gila River Health Care Corporation Current Accepting new patients
Multicare Health System CurrentSince May 17, 2022 Accepting new patients
Multicare Health System CurrentSince May 17, 2022 Accepting new patients
Leading Healthcare Specialist PLLC Family Medicine CurrentSince Oct 1, 2021 Accepting new patients
Multicare Health System Current Accepting new patients
Gila River Health Care CurrentSince Jan 2, 2023 Accepting new patients
Gila River Health Care Corporation CurrentSince Jan 2, 2023 Accepting new patients
Leading Healthcare Clinic of Goodyear LLC Family Medicine CurrentSince Sep 13, 2022 Accepting new patients
Nayef T. Resk MD Inc. CurrentSince Apr 26, 2024 Accepting new patients
Livn, P.C. Family Medicine Past Accepting new patients

Locations

3003 Highway 95
Ste 35
Bullhead City, AZ 86442
Phone (928) 704-0400

261 N Roosevelt Ave
Chandler, AZ 85226
Phone (480) 305-2888

1760 E Pecos Rd
Ste 102
Gilbert, AZ 85295
Phone (480) 690-8412

428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 632-7400

13555 W McDowell Rd
Ste 205
Goodyear, AZ 85395
Phone (623) 535-0740

14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599

1450 S Dobson Rd
Ste B122
Mesa, AZ 85202
Phone (480) 580-2001

1012 E Willetta St
Phoenix, AZ 85006
Phone (602) 239-6040

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 667-8282

4700 S McClintock Dr
Ste 140
Tempe, AZ 85282
Phone (480) 420-6622

2502 N Dodge Blvd
Ste 130
Tucson, AZ 85716
Phone (480) 851-6309

7140 E Rosewood St
Ste 110
Tucson, AZ 85710
Phone (480) 210-3407

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Interoperability endpoints

  • FHIR API: https://epicproxy.et4001.epichosted.com/APIProxyPRD/MDN/api/FHIR/R4
  • Direct secure messaging: kelly.lapa.1@19654.direct.athenahealth.com

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1255856803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 N MOUNTAIN RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852072309",
            "telephone_number": "480-789-2571",
            "fax_number": "573-240-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 S MCCLINTOCK DR STE 140",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827375",
            "telephone_number": "480-210-3407",
            "fax_number": "573-240-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAPA",
        "first_name": "KELLY",
        "middle_name": "A",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-04",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.