Mary Elizabeth Lavalley, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

AP1091 Issued in AZ

Practice address

5501 N 19TH Ave Ste 400
Phoenix, AZ 85015-2456

Phone

(602) 249-9161

Fax

(602) 246-2853

NPI assigned

Sep 26, 2005

Last updated

Nov 25, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• NP-Private Practice Assoc, LLC

  • Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1326215401
  NPD (past)
• Valley of the Sun Pediatrics, P.C.

  • Pediatrics Physician
  • Peoria, AZ
  • NPI 1801162854
  NPD (past)
• Wee Care Family Clinic Corp

  dba Wee Care Pediatrics

  • Pediatrics Physician
  • Mesa, AZ
  • NPI 1356496020
  NPD (past)

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1609862531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 N 19TH AVE STE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152456",
            "telephone_number": "602-249-9161",
            "fax_number": "602-246-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 N 19TH AVE STE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152456",
            "telephone_number": "602-249-9161",
            "fax_number": "602-246-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVALLEY",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AZ",
            "license": "AP1091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie McDonald Nutrition, LLC
• Laurie Riley P.L.C.
• Debra Marie Laurie, MSW, LISAC
• Graeme Lauriston, P.T., D.P.T
• Ashley Lautar, NP
• Jackie Kay Lave', MSN, APRN
• Laveen Behavioral Health LLC
• Laveen Lasik
• Laveen Medical Pavillion
• Laveen Sunsets Residential Homes LLC

• Pediatric Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pediatric Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.