Active NPI
Lerizza D Nunag, APRN
- Gerontology Nurse Practitioner
- Gould, AR
National Provider Identifier
1679012504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- A005047
- Practice address
- 2540 State Highway 388
Gould, AR 71643-9634 - Phone
- (870) 850-8673
- NPI assigned
- Feb 13, 2017
- Last updated
- Apr 28, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | A005047 | AR | Primary |
Addresses
Primary practice location
2540 State Highway 388
Gould, AR 71643-9634
Mailing address
2540 State Highway 388
Gould, AR 71643-9634
Phone (870) 850-8673
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A005047 | AR | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493337600000",
"number": "1679012504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2540 STATE HIGHWAY 388",
"city": "GOULD",
"state": "AR",
"postal_code": "716439634",
"telephone_number": "870-850-8673",
"fax_number": "870-850-7938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2540 STATE HIGHWAY 388",
"city": "GOULD",
"state": "AR",
"postal_code": "716439634",
"telephone_number": "870-850-8673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNAG",
"first_name": "LERIZZA",
"middle_name": "D",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-13",
"last_updated": "2017-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "AR",
"license": "A005047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gould, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.