Individual provider Active NPI

Luz Maria Wiley, NP

  • Adult Health Nurse Practitioner
  • Yuma, AZ
National Provider Identifier
1487701512
Registry record updated Jul 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP2595 Issued in AZ
Practice address
1220 W 24TH St
Suite 1
Yuma, AZ 85364-8705
Phone
(928) 329-8331
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP2595 AZ Primary

Addresses

Primary practice location

1220 W 24TH St
Suite 1
Yuma, AZ 85364-8705

Mailing address

2451S Avenue a A104
Yuma, AZ 85364-7189
Phone (928) 336-2170

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
I20071220000050 AZ Practitioner - Nurse Practitioner 7618067133 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP2595AZMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Yuma Regional Medical Center CurrentSince Sep 1, 2015 Accepting new patients

Locations

2451 S Avenue A
Ste 104
Yuma, AZ 85364
Phone (928) 336-2165

2460 S Parkview Loop
Ste 203
Yuma, AZ 85364
Phone (928) 336-2619

2451 S Avenue A
Ste A104
Yuma, AZ 85364
Phone (928) 336-2164

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

2851 S Avenue B
Bldg 25
Yuma, AZ 85364
Phone (928) 336-7020

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.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436054400000",
    "number": "1487701512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451S AVENUE A A104",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647189",
            "telephone_number": "928-336-2170",
            "fax_number": "928-336-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 W 24TH ST",
            "address_2": "SUITE 1",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648705",
            "telephone_number": "928-329-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "LUZ",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2015-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "AP2595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.