Individual provider Active NPI

Fatima Ayodele Lah, FNP

  • Family Nurse Practitioner
  • Laveen, AZ
National Provider Identifier
1477053338
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
242454 Issued in AZ
Practice address
17487 S Healthcare Dr
Laveen, AZ 85339-8500
Phone
(520) 550-6000
Fax
(520) 550-6027
NPI assigned
Feb 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 883859 TX
Family Nurse Practitioner 363LF0000X 242454 AZ Primary
Family Nurse Practitioner 363LF0000X AP144807 TX

Addresses

Primary practice location

17487 S Healthcare Dr
Laveen, AZ 85339-8500

Mailing address

PO Box 38
Sacaton, AZ 85147-0001
Phone (602) 528-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230126000445 TX Practitioner - Nurse Practitioner 1052782224 Reassigns benefits to 1 organization
I20231013003073 AZ Practitioner - Nurse Practitioner 1052782224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gila River Health Care CorporationGroup PAC ID 0648174185, 245 clinicians
Desert Senita Community Health CenterGroup PAC ID 3476441866, 12 clinicians

Practice addresses (Care Compare)

17487 S Health Care Dr
Hu Hu Kam Memorial Hospital
Laveen, AZ 85339-0038
Phone (520) 550-6000

410 N Malacate St
Ajo, AZ 85321-2254
Phone 52038756513007

Hospital & facility affiliations

  • Huhu Kam Memorial Hospital Hospital, Sacaton, AZ, CCN 031308

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
883859TXMDRegistered Nurse
242454AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gila River Health Care CurrentSince Dec 6, 2022 Accepting new patients
Gila River Health Care Corporation Current Accepting new patients
Gila River Health Care Corporation CurrentSince Dec 6, 2022 Accepting new patients
Gila River Health Care Corporation Current Accepting new patients
Desert Senita Community Health Center CurrentSince Aug 30, 2023 Accepting new patients
Desert Senita Community Health Center CurrentSince Aug 30, 2023 Accepting new patients
Desert Senita Community Health Center PastSince Sep 1, 2024 Accepting new patients
Desert Senita Community Health Center Past Accepting new patients
Desert Senita Community Health Center PastSince Nov 26, 2023 Accepting new patients

Locations

410 N Malacate St
Bldg B
Ajo, AZ 85321
Phone (520) 387-4500

410 N Malacate St
Ajo, AZ 85321
Phone (520) 387-5651

13060 S Sunland Gin Rd
Arizona City, AZ 85123
Phone (520) 350-7011

1269 N Promenade Pkwy
Ste C3
Casa Grande, AZ 85194
Phone (833) 444-5040

1435 N Arizona Blvd
Coolidge, AZ 85128
Phone (520) 387-5651

17487 S Healthcare Dr
#H
Laveen, AZ 85339
Phone (520) 550-6000

17487 S Healthcare Dr
Laveen, AZ 85339
Phone (520) 550-6000

48203 W Farrell Rd
#H
Maricopa, AZ 85139
Phone (520) 568-3881

515 S Stanfield Rd
Bldg O
Stanfield, AZ 85172
Phone (520) 387-5651

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1518825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1477053338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38",
            "city": "SACATON",
            "state": "AZ",
            "postal_code": "851470001",
            "telephone_number": "602-528-1200",
            "fax_number": "602-528-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17487 S HEALTHCARE DR",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853398500",
            "telephone_number": "520-550-6000",
            "fax_number": "520-550-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAH",
        "first_name": "FATIMA",
        "middle_name": "AYODELE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-17",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "883859",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "242454",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP144807",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laveen, AZ

Sources for this page

Verify at the official NPI Registry.