Active NPI
Laura Lucero, RN
- General Practice Registered Nurse
- Fort McDowell, AZ
National Provider Identifier
1518085356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- RN117392
- Practice address
- 16240 N Fort McDowell Rd
Fort McDowell, AZ 85264-3402 - Phone
- (480) 837-5074
- Fax
- (480) 816-7869
- NPI assigned
- Mar 27, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | RN117392 | AZ | Primary |
Addresses
Primary practice location
16240 N Fort McDowell Rd
Fort McDowell, AZ 85264-3402
Mailing address
PO Box 17779
Fountain Hills, AZ 85269-7779
Phone (480) 837-5074
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN117392 | AZ | MD | General Practice Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fort McDowell Yavapai Nation | 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.
-
- Primary Care Clinic/Center
- Fort McDowell, AZ
- NPI 1053418533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518085356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 17779",
"city": "FOUNTAIN HILLS",
"state": "AZ",
"postal_code": "852697779",
"telephone_number": "480-837-5074",
"fax_number": "480-816-7869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16240 N FORT MCDOWELL RD",
"city": "FORT MCDOWELL",
"state": "AZ",
"postal_code": "852643402",
"telephone_number": "480-837-5074",
"fax_number": "480-816-7869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCERO",
"first_name": "LAURA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "AZ",
"license": "RN117392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort McDowell, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.