Individual provider Active NPI

Lauryn May, RN

  • Registered Nurse
  • Mesa, AZ
National Provider Identifier
1295579357
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
302101 Issued in AZ
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

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
302101AZMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Konkrete Rose Youth and Family Services LLC CurrentSince Jun 30, 2024 Accepting new patients
Konkrete Rose Youth and Family Services LLC CurrentSince Jun 30, 2024 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.

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.

Verify at the official NPI Registry.