Lea a Way

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

154 Issued in AZ

Legal business name

LEA A WAY

Practice address

22869 US Hwy 89
Yarnell, AZ 85362

Phone

(928) 427-3411

Fax

(928) 427-6541

NPI assigned

Jun 1, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lea E Way, C F N PNPI 1821096850

Title

Owner

Phone

(928) 427-3411

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Yarnell Medical Clinic Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lea E Way, C.F.N.P.

  • Family Medicine Physician
  • Yarnell, AZ
  • NPI 1821096850

  Nurse Practitioner

  NPD (past) Authorized official

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720280837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 728",
            "city": "YARNELL",
            "state": "AZ",
            "postal_code": "853620728",
            "telephone_number": "928-427-3411",
            "fax_number": "928-427-6541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22869 US HWY 89",
            "city": "YARNELL",
            "state": "AZ",
            "postal_code": "85362",
            "telephone_number": "928-427-3411",
            "fax_number": "928-427-6541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEA A WAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAY",
        "authorized_official_first_name": "LEA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-427-3411",
        "authorized_official_credential": "C F N P"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141317",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yarnell Medical Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Colleen Louise Foote-Derango, MA, LISAC, SEP
• Krystina Marie Jones-Norvell, LMFT
• Lea E Way, C.F.N.P.

• Nurse Practitioner in Yarnell, AZ
• Providers in Yarnell, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.