Individual provider Active NPI

Ashley Lautar, NP

  • Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1558771352
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
283134 Issued in AZ
Practice address
3202 E Greenway Rd
Phoenix, AZ 85032-4548
Phone
(602) 325-5577
NPI assigned
May 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 6951 MN
Nurse Practitioner 363L00000X CNP.15677 OH
Family Nurse Practitioner 363LF0000X COA 15677-NP OH
Nurse Practitioner 363L00000X 283134 AZ Primary

Addresses

Primary practice location

3202 E Greenway Rd
Phoenix, AZ 85032-4548

Mailing address

3202 E Greenway Rd
Phoenix, AZ 85032-4548
Phone (602) 325-5577

Other practice location 1

2139 Auburn Ave
Cincinnati, OH 45219-2906
Phone (513) 585-2000

Other practice location 2

200 1st St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

Other practice location 3

7691 5 Mile Rd
Cincinnati, OH 45230-4348
Phone (513) 246-9700

Other practice location 4

4310 Cooper Rd
Cincinnati, OH 45242-5613
Phone (513) 246-9373

Other practice location 5

5343 Hamilton Ave Fl 2
Cincinnati, OH 45224-3130
Phone (513) 246-5360

Other practice location 6

3202 E Greenway Rd
Phoenix, AZ 85032-4548
Phone (602) 325-5577

Other identifiers 1

IdentifierTypeStateIssuer
0215521MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
283134AZMDNurse Practitioner
CNP.15677OHMDNurse Practitioner
COA 15677-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bethesda Hospital Inc Past Accepting new patients
Iora Health Massachusetts, P.C. Past Accepting new patients
Iora Health, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: alautar628716@ehrdirect.mayoclinicmsg.org

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": "1398902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1558771352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 E GREENWAY RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324548",
            "telephone_number": "602-325-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 E GREENWAY RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324548",
            "telephone_number": "602-325-5577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2139 Auburn Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452192906",
            "country_code": "US",
            "telephone_number": "513-585-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 1st St SW",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559050001",
            "country_code": "US",
            "telephone_number": "507-284-2511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7691 5 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452304348",
            "country_code": "US",
            "telephone_number": "513-246-9700",
            "fax_number": "513-246-9505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4310 Cooper Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452425613",
            "country_code": "US",
            "telephone_number": "513-246-9373",
            "fax_number": "513-246-9121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5343 Hamilton Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452243130",
            "country_code": "US",
            "telephone_number": "513-246-5360",
            "fax_number": "513-246-9121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3202 E Greenway Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850324548",
            "country_code": "US",
            "telephone_number": "602-325-5577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAUTAR",
        "first_name": "ASHLEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-01",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "6951",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "CNP.15677",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA 15677-NP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "283134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0215521",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.