Lari Michelle Jennings, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

26551 Issued in AZ

Practice address

1125 E Southern Ave
Suite 300
Mesa, AZ 85204-5045

Phone

(480) 545-8119

Fax

(480) 892-6805

NPI assigned

Oct 14, 2005

Last updated

Oct 26, 2016By the provider in NPPES

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

Other names 1

• L. Michelle Jennings Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Associated Radiologists LTD

  • Radiology Clinic/Center
  • Mesa, AZ
  • NPI 1780696609
  NPD (past)
• Desert Open MRI LLC

  • Radiology Clinic/Center
  • Mesa, AZ
  • NPI 1568474401
  NPD (past)
• East Valley Diagnostic Imaging LLC

  dba EVDI Medical Imaging, LLC

  • Mammography Clinic/Center
  • Mesa, AZ
  • NPI 1164434098
  NPD (past)

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1285623090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S ALMA SCHOOL RD",
            "address_2": "SUITE 14000",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852102008",
            "telephone_number": "480-545-8119",
            "fax_number": "480-892-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 E SOUTHERN AVE",
            "address_2": "SUITE 300",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045045",
            "telephone_number": "480-545-8119",
            "fax_number": "480-892-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "LARI",
        "middle_name": "MICHELLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-14",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "26551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "436502",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "L.",
            "last_name": "JENNINGS",
            "middle_name": "MICHELLE",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lauren Taylor Jenkins
• Sue Jenkins, RN
• Zoe Mackenzie Jenkins
• Jennifer Jones, Psy.D., LLC
• Jennifer R Leach Precisionpt LLC
• Shannon Marie Jennings, AGACNP-BC
• Shelby Thomas Jennings, DDS
• Benjamin Jenny, M.D.
• Amy Jensen, MS, CCC-SLP
• Ann Marie W Jensen, LPC, LISAC

• Diagnostic Radiology Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Diagnostic Radiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.