Individual provider Active NPI

Lawanda Wheat, FNP-C

  • Family Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1609541333
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F08210427 Issued in AZ
Practice address
1910 E Southern Ave
Tempe, AZ 85282-7592
Phone
(480) 712-4600
Fax
(602) 428-7045
NPI assigned
Aug 13, 2021
Reactivated
Oct 20, 2021
Last updated
Oct 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F08210427 AZ Primary

Addresses

Primary practice location

1910 E Southern Ave
Tempe, AZ 85282-7592

Mailing address

PO Box 20216
Phoenix, AZ 85036-0216
Phone (480) 712-4600

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
I20211006000906 AZ Practitioner - Nurse Practitioner 3577961515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Native HealthGroup PAC ID 4385738418, 21 clinicians

Practice addresses (Care Compare)

4041 N Central Ave
BLDG C
Phoenix, AZ 85012-3313
Phone (602) 279-5262

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F08210427AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Services Arizona-Private, LLC CurrentSince Feb 9, 2026 Accepting new patients
Native Health CurrentSince May 3, 2025 Accepting new patients
Native Health CurrentSince May 3, 2025 Accepting new patients

Locations

4041 N Central Ave
Bldg C
Phoenix, AZ 85012
Phone (602) 279-5351

Interoperability endpoints

  • Direct secure messaging: lawanda.wheat.p1@direct.nachci.nextgenshare.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1609541333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20216",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850360216",
            "telephone_number": "480-712-4600",
            "fax_number": "602-428-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 E SOUTHERN AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827592",
            "telephone_number": "480-712-4600",
            "fax_number": "602-428-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEAT",
        "first_name": "LAWANDA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-13",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "deactivation_date": "2021-09-30",
        "reactivation_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "F08210427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.