Active NPI
Lauryn May, RN
- Registered Nurse
- Mesa, AZ
National Provider Identifier
1295579357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 302101
- Practice address
- 3707 E Southern Ave Ste 2054
Mesa, AZ 85206-6217 - Phone
- (602) 552-2381
- NPI assigned
- Jun 24, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 302101 | AZ | Primary |
Addresses
Primary practice location
3707 E Southern Ave Ste 2054
Mesa, AZ 85206-6217
Mailing address
929 N Val Vista Dr Ste 109-1197
Gilbert, AZ 85234-3706
Phone (602) 552-2381
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 302101 | AZ | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Konkrete Rose Youth and Family Services LLC | Current | Accepting new patients | |
| Konkrete Rose Youth and Family Services LLC | Current | Accepting new patients |
Locations
929 N Val Vista Dr
Ste 1091197
Gilbert, AZ 85234
Phone (602) 552-2381
3707 E Southern Ave
Ste 2054
Mesa, AZ 85206
Phone (484) 705-9321
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Gilbert, AZ
- NPI 1225743099
-
- Community/Behavioral Health Agency
- Mesa, AZ
- NPI 1306604475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719187200000",
"number": "1295579357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "929 N VAL VISTA DR STE 109-1197",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852343706",
"telephone_number": "602-552-2381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3707 E SOUTHERN AVE STE 2054",
"city": "MESA",
"state": "AZ",
"postal_code": "852066217",
"telephone_number": "602-552-2381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAY",
"first_name": "LAURYN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-24",
"last_updated": "2024-06-24",
"certification_date": "2024-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "302101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.