Individual provider Active NPI

Lisa Ann Staiger

  • Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1528823259
Registry record updated May 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
306564 Issued in AZ
Practice address
2233 W Sequoia Dr
Phoenix, AZ 85027-4120
Phone
(602) 299-2722
NPI assigned
Feb 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X RN170486 AZ
Nurse Practitioner 363L00000X 306564 AZ Primary

Addresses

Primary practice location

2233 W Sequoia Dr
Phoenix, AZ 85027-4120

Mailing address

2233 W Sequoia Dr
Phoenix, AZ 85027-4120
Phone (602) 299-2272

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
I20240719002158 AZ Practitioner - Nurse Practitioner 0345784104 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN170486AZMDMedical-Surgical Registered Nurse
306564AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
High Risk Pregnancy Center of Arizona LLC CurrentSince Sep 1, 2024 Accepting new patients
Wings of Hope Medical Services, LLC Nurse Practitioner CurrentSince Jun 10, 2024 Accepting new patients
Family Medicine Healthcare PLLC PastSince Feb 1, 2024 Accepting new patients

Locations

4540 E Baseline Rd
Ste 120
Mesa, AZ 85206

8877 W Union Hills Dr
Ste 240
Peoria, AZ 85382
Phone (602) 584-5444

9250 N 3rd St
Ste 2007
Phoenix, AZ 85020
Phone (602) 331-5340

11022 N 28th Dr
Ste 270
Phoenix, AZ 85029
Phone (602) 971-0304

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25309/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/73278
  • Direct secure messaging: lisa.staiger.1@25309.direct.athenahealth.com

Organizations & group practices 3

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": "1708473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716595200000",
    "number": "1528823259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 W SEQUOIA DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274120",
            "telephone_number": "602-299-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 W SEQUOIA DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274120",
            "telephone_number": "602-299-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAIGER",
        "first_name": "LISA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-05-25",
        "certification_date": "2024-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "AZ",
            "license": "RN170486",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "306564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.