Individual provider Active NPI

Lauren Preble, RN

  • Registered Nurse
  • Paradise Valley, AZ
National Provider Identifier
1558196576
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
230531 Issued in AZ
Practice address
10599 N Tatum Blvd Ste F151
Paradise Valley, AZ 85253-1053
Phone
(480) 991-9271
NPI assigned
Sep 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 230531 AZ Primary

Addresses

Primary practice location

10599 N Tatum Blvd Ste F151
Paradise Valley, AZ 85253-1053

Mailing address

1630 E Culver St
Phoenix, AZ 85006-3021
Phone (520) 270-4090

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

LicenseStateTypeSpecialty
230531AZMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Southwellness Medical LLC Current Accepting new patients

Locations

10599 N Tatum Blvd
Ste F151
Paradise Vly, AZ 85253
Phone (480) 991-9271

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23931/brand/1/csg/1/fhir/r4

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": "1725840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1558196576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 E CULVER ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850063021",
            "telephone_number": "520-270-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10599 N TATUM BLVD STE F151",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852531053",
            "telephone_number": "480-991-9271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREBLE",
        "first_name": "LAUREN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "230531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paradise Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.