Active NPI
Stephanie L Lesser, NP
- Pediatric Nurse Practitioner
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AP4599
- Practice address
- 1919 E Thomas Rd
Phoenix, AZ 85016-7710 - Phone
- (602) 933-3277
- Fax
- (602) 933-4326
- NPI assigned
- Sep 7, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN146373 | AZ | |
| Pediatric Nurse Practitioner | 363LP0200X | AP4599 | AZ | Primary |
Addresses
Primary practice location
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Mailing address
2702 North 3Rd Street
4020
Phoenix, AZ 85004-4608
Phone (602) 323-3407
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 749960 | Medicaid | AZ |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Children'S Medical Group | Current | Accepting new patients | |
| Phoenix Children'S Hospital | Current | Accepting new patients | |
| Mountain Park Health Center - Dental | Past | Accepting new patients | |
| Mountain Park Health Center | Past | Accepting new patients | |
| Mountain Park Health Center | Past | Accepting new patients |
Locations
6524 W Sack Dr
Ste 130
Glendale, AZ 85308
6524 W Sack Dr
Glendale, AZ 85308
2045 S Vineyard
Ste 137
Mesa, AZ 85210
1920 E Cambridge Ave
Ste 200
Phoenix, AZ 85006
Phone (602) 933-0965
1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777
1920 E Cambridge Ave
Ste 201
Phoenix, AZ 85006
Phone (602) 254-5561
Organizations & group practices 5
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.
-
- Pediatrics Physician
- Phoenix, AZ
- NPI 1922112044
-
- Multi-Specialty Clinic/Center
- Mesa, AZ
- NPI 1487814240
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1386741668
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1669878567
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1710146188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589414400000",
"number": "1376892141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2702 NORTH 3RD STREET",
"address_2": "4020",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850044608",
"telephone_number": "602-323-3407",
"fax_number": "602-323-3496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 E THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850167710",
"telephone_number": "602-933-3277",
"fax_number": "602-933-4326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESSER",
"first_name": "STEPHANIE",
"middle_name": "L",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-07",
"last_updated": "2020-05-14",
"certification_date": "2020-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "AZ",
"license": "RN146373",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "AZ",
"license": "AP4599",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "749960",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.