Active NPI
Amy Jeannine Lenox, PA
- Physician Assistant
- Phoenix, AZ
National Provider Identifier
1457407256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3597
- Practice address
- 2640 W Baseline Rd
Suite 111
Phoenix, AZ 85041-6492 - Phone
- (480) 677-8282
- Fax
- (480) 677-8283
- NPI assigned
- Jan 25, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3597 | AZ | Primary |
| Medical Physician Assistant | 363AM0700X | 3597 | AZ | |
| Surgical Physician Assistant | 363AS0400X | 3597 | AZ |
Addresses
Primary practice location
2640 W Baseline Rd
Suite 111
Phoenix, AZ 85041-6492
Mailing address
4600 S Mill Av
Suite 280
Tempe, AZ 85282-6850
Phone (480) 305-2888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 242309 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3597 | AZ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Livn, P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Chandler, AZ
- NPI 1245759307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436918400000",
"number": "1457407256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 S MILL AV",
"address_2": "SUITE 280",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852826850",
"telephone_number": "480-305-2888",
"fax_number": "480-305-2889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2640 W BASELINE RD",
"address_2": "SUITE 111",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850416492",
"telephone_number": "480-677-8282",
"fax_number": "480-677-8283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENOX",
"first_name": "AMY",
"middle_name": "JEANNINE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-25",
"last_updated": "2015-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "3597",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AZ",
"license": "3597",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "AZ",
"license": "3597",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "242309",
"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 Jul 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.