Individual provider Active NPI

Lisa Kay Dela Cruz, NP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1326471640
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP5453 Issued in AZ
Practice address
19646 N 27TH Ave
Suite 301
Phoenix, AZ 85027-4017
Phone
(623) 580-5390
Fax
(623) 580-5397
NPI assigned
Aug 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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 AP5453 AZ Primary

Addresses

Primary practice location

19646 N 27TH Ave
Suite 301
Phoenix, AZ 85027-4017

Mailing address

19646 N 27TH Ave
Suite 301
Phoenix, AZ 85027-4017
Phone (623) 580-5390

Other identifiers 1

IdentifierTypeStateIssuer
920058MedicaidAZ

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140806001270 AZ Practitioner - Nurse Practitioner 2466688163 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth Medical Group, LLCGroup PAC ID 1557274057, 338 clinicians
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

18404 N Tatum Blvd
Suite 101
Phoenix, AZ 85032-1511
Phone (602) 992-1900

19636 N 27TH Ave
Suite 408
Phoenix, AZ 85027-4021
Phone (623) 780-0100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Medical Group, LLC CurrentSince May 4, 2015 Accepting new patients
Minuteclinic LLC Nurse Practitioner CurrentSince Jun 26, 2014 Accepting new patients
Honorhealth Ambulatory CurrentSince Oct 1, 2020 Accepting new patients
John C. Lincoln, LLC CurrentSince May 4, 2015 Accepting new patients
Honorhealth Medical Group, LLC Current Accepting new patients
Honorhealth Medical Group, LLC Current Accepting new patients
Squaw Peak Family Physicians PC Current Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Ambulatory CurrentSince Oct 1, 2020 Accepting new patients

Locations

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

4712 E Dynamite Blvd
Cave Creek, AZ 85331
Phone (480) 342-8711

28138 N Tatum Blvd
Cave Creek, AZ 85331
Phone (480) 585-6097

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

19646 N 27th Ave
Ste 301
Phoenix, AZ 85027
Phone (623) 238-7700

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

33300 N 32nd Ave
Ste 205
Phoenix, AZ 85085
Phone (602) 962-0071

4131 N 24th St
Ste B102
Phoenix, AZ 85016
Phone (602) 955-6632

9327 N 3rd St
Ste 100
Phoenix, AZ 85020
Phone (602) 371-3100

18404 N Tatum Blvd
Ste 102
Phoenix, AZ 85032
Phone (602) 485-7421

19636 N 27th Ave
Ste 408
Phoenix, AZ 85027
Phone (623) 780-0100

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

1610 W Glendale Ave
#128
Phoenix, AZ 85021
Phone (623) 780-1999

18404 N Tatum Blvd
Ste 101
Phoenix, AZ 85032
Phone (602) 992-1900

9201 E Mountain View Rd
Ste 150
Scottsdale, AZ 85258

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

920 2nd Ave S
Ste 400
Minneapolis, MN 55402
Phone (612) 225-1512

Interoperability endpoints

  • Direct secure messaging: ldelacruz51047@direct.honorhealth.com

Organizations & group practices 9

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": "1376179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1326471640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19646 N 27TH AVE",
            "address_2": "SUITE 301",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274017",
            "telephone_number": "623-580-5390",
            "fax_number": "623-580-5397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19646 N 27TH AVE",
            "address_2": "SUITE 301",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274017",
            "telephone_number": "623-580-5390",
            "fax_number": "623-580-5397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELA CRUZ",
        "first_name": "LISA",
        "middle_name": "KAY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-11",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP5453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "920058",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.