Organization Active NPI

Lenicks Aesthetics LLC

  • Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1396662664
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
LENICKS AESTHETICS LLC
Practice address
2601 N 3Rd St Ste 212
Phoenix, AZ 85004-1145
Phone
(602) 245-6673
NPI assigned
Jun 29, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Authorized official

Name
Lea Nickolas, FNP-BCNPI 1306471644
Title
Owner/Ceo
Phone
(602) 888-6970

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

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

Mailing address

2601 N 3Rd St Ste 212
Phoenix, AZ 85004-1145
Phone (602) 888-6970

National Provider Directory

National Provider Directory

Locations

2601 N 3rd St
Ste 212
Phoenix, AZ 85004

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1782691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1396662664",
    "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": "602-245-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENICKS AESTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-29",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "NICKOLAS",
        "authorized_official_first_name": "LEA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "602-888-6970",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 30, 2026; 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.