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

Organization subpart

No

Name

Lea E Way, C F N PNPI 1821096850

Title

Owner

Phone

(928) 427-3411

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lea E Way, C.F.N.P.

  • Family Medicine Physician
  • Yarnell, AZ
  • NPI 1821096850

  Nurse Practitioner

  NPD (past) Authorized official

• Yarnell Medical Clinic Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "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": "193400000X SINGLE SPECIALTY  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.

• All providers in Yarnell, AZ
• 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.