Lea Nickolas, FNP-BC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

256708 Issued in AZ

Practice address

2601 N 3Rd St Ste 212
Phoenix, AZ 85004-1145

Phone

(602) 888-6970

NPI assigned

Mar 6, 2020

Last updated

Jun 30, 2026By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

TL Family Nurse Practice LLCGroup PAC ID 4880013846, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BAFJCA

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.

• TL Family Nurse Practice LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1659998292
  Medicare reassignment Care Compare group NPD
• Prisma Community Care

  dba Southwest Center

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
  • NPI 1104929504

  Registered Nurse

  Medicare reassignment NPD
• Lenicks Aesthetics LLC

  • Nurse Practitioner
  • Phoenix, AZ
  • NPI 1396662664
  NPD (past) Authorized official
• Planned Parenthood Arizona

  • Obstetrics & Gynecology Physician
  • Phoenix, AZ
  • NPI 1083694160
  NPD (past)

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1306471644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 N 3RD ST STE 212",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041145",
            "telephone_number": "602-888-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 N 3RD ST STE 212",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041145",
            "telephone_number": "602-888-6970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKOLAS",
        "first_name": "LEA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-06",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "183839-30",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "256708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Helene Nicholson, M.D.
• Tamara Gerry Nicholson, DPT
• Austin Lee Nickell, MD
• Alissa Lauren Nickerson, AUD
• Dustin Duane Nickerson, FNP-C
• Noelle M Nicolas, SLP
• Kyrie Jae Nicolds, PA-C
• Nicole Lazorwitz PSYD LLC
• Nicolex LLC (Moon Valley Eyecare)
• Nicolex LLC Dba Moon Valley Eyecare

• Primary Care Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Primary Care Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.

Verify at the official NPI Registry.