Individual provider Active NPI

Chanda L Lashay, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1497264972
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP10634 Issued in AZ
Practice address
111 W Monroe St Ste 300
Phoenix, AZ 85003-1718
Phone
(205) 536-8400
NPI assigned
Sep 27, 2017
Last updated
Jun 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP10634 AZ Primary

Addresses

Primary practice location

111 W Monroe St Ste 300
Phoenix, AZ 85003-1718

Mailing address

111 W Monroe St Ste 300
Phoenix, AZ 85003-1718
Phone (205) 536-8400

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
I20171017003759 AZ Practitioner - Nurse Practitioner 6103192232 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP10634AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Effideen Ameerally MD PC CurrentSince Jan 30, 2018 Accepting new patients

Locations

7436 E Main St
Mesa, AZ 85207
Phone (480) 832-2600

7436 E Main St
Ste 1
Mesa, AZ 85207
Phone (405) 921-2503

7436 E Main St
Ste 2
Mesa, AZ 85207
Phone (480) 983-5111

10115 E Bell Rd
Ste 107
Scottsdale, AZ 85260

8997 E Desert Cove Ave
Fl 1
Scottsdale, AZ 85260
Phone (480) 664-3317

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, 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": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1497264972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W MONROE ST STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850031718",
            "telephone_number": "205-536-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W MONROE ST STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850031718",
            "telephone_number": "205-536-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASHAY",
        "first_name": "CHANDA",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.