Lauren Michelle Nivison, FNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP11301 Issued in AZ

Practice address

3825 N 24TH St
Phoenix, AZ 85016-6512

Phone

(602) 955-7997

NPI assigned

Jun 25, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Community Medical Services Arizona-Private, LLC

  • Methadone Clinic
  • Glendale, AZ
  • NPI 1053474148
  NPD (past)
• Community Medical Services Arizona-Private, LLC

  • Methadone Clinic
  • Phoenix, AZ
  • NPI 1942892856
  NPD (past)
• Community Medical Services Montana Private LLC

  • Methadone Clinic
  • Minneapolis, MN
  • NPI 1033804653
  NPD (past)
• Community Medical Services Montana-Private, LLC

  • Methadone Clinic
  • Roseville, MN
  • NPI 1053069005
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1609361492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 N 24TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166512",
            "telephone_number": "602-955-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 N 24TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166512",
            "telephone_number": "602-955-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIVISON",
        "first_name": "LAUREN",
        "middle_name": "MICHELLE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "AZ",
            "license": "RN177811",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP11301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lahav Nissim, M.D.
• Esther Nisssel
• Matthew David Nitz, M.D., PH.D.
• Lori Nitzsche, RD
• Martin Gene Nivens Jr.
• Allee Marie Nix, MD
• Stephanie Ann Nix, LCSW
• Teresa Nix, MSW
• Benny Edward Nixon II, D.C.
• Katherine Elizabeth Nixon, MD

• Psychiatric/Mental Health Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.