Individual provider Active NPI

Laura Diane Fletcher, BC-FNP, C-ENP

  • Nurse Practitioner
  • Surprise, AZ
National Provider Identifier
1396434114
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
322417 Issued in AZ
Practice address
13733 N Prasada Pkwy Ste 100
Surprise, AZ 85388-8014
Phone
(623) 444-7100
NPI assigned
May 8, 2023
Last updated
Sep 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 322417 AZ Primary
Emergency Registered Nurse 163WE0003X 107622 SC

Addresses

Primary practice location

13733 N Prasada Pkwy Ste 100
Surprise, AZ 85388-8014

Mailing address

13733 N Prasada Pkwy Ste 100
Surprise, AZ 85388-8014
Phone (843) 492-1306

Other practice location 1

5182 Horry Dr Unit C
Murrells Inlet, SC 29576-5240
Phone (843) 652-5678

Other practice location 2

208 N Forth St
Buckeye, AZ 85326
Phone (602) 761-9355

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
I20250818001357 AZ Practitioner - Nurse Practitioner 6608375639 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prasada Health Center LLCGroup PAC ID 8628460672, 7 clinicians

Practice addresses (Care Compare)

13733 N Prasada Pkwy
Suite 100
Surprise, AZ 85388-8007
Phone 4809267800119

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
107622SCMDEmergency Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Prasada Health Center LLC CurrentSince Aug 1, 2025 Accepting new patients
West Valley Medical LLC Family Medicine Past Accepting new patients

Locations

13733 N Prasada Pkwy
Ste 100
Surprise, AZ 85388
Phone (480) 497-4506

Interoperability endpoints

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

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1396434114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13733 N PRASADA PKWY STE 100",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853888014",
            "telephone_number": "843-492-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13733 N PRASADA PKWY STE 100",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853888014",
            "telephone_number": "623-444-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5182 Horry Dr Unit C",
            "address_purpose": "LOCATION",
            "city": "Murrells Inlet",
            "state": "SC",
            "postal_code": "295765240",
            "country_code": "US",
            "telephone_number": "843-652-5678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "208 N Forth St",
            "address_purpose": "LOCATION",
            "city": "Buckeye",
            "state": "AZ",
            "postal_code": "85326",
            "country_code": "US",
            "telephone_number": "602-761-9355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "LAURA",
        "middle_name": "DIANE",
        "credential": "BC-FNP, C-ENP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "322417",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "SC",
            "license": "107622",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.