Individual provider Active NPI

Lana Diane Keesler, FNP

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1750537353
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP3041 Issued in AZ
Practice address
1951 N Wilmot Rd BLDG 4
Tucson, AZ 85712-8001
Phone
(520) 318-1114
Fax
(520) 318-4693
NPI assigned
Aug 14, 2008
Last updated
Dec 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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 AP3041 AZ Primary

Addresses

Primary practice location

1951 N Wilmot Rd BLDG 4
Tucson, AZ 85712-8001

Mailing address

PO Box 31235
Tucson, AZ 85751-1235
Phone (520) 324-2308

Other practice location 1

3005 W Ina Rd
Suite 123
Tucson, AZ 85741-2377
Phone (520) 797-7656

Other identifiers 1

IdentifierTypeStateIssuer
363008OtherAZARIZONA HEALTH CARE COST CONTAINMENT SYSTEM

Other names 1

  • Miss Lana Diane King Former name

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
I20090602000562 AZ Practitioner - Nurse Practitioner 7517027030 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMC Medical NetworkGroup PAC ID 9638457013, 276 clinicians
TmconeGroup PAC ID 9234604877, 60 clinicians

Practice addresses (Care Compare)

1951 N Wilmot Rd
BLDG 4
Tucson, AZ 85712-8001
Phone (520) 318-1114

5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (520) 324-2308

603 N Wilmot Rd
Suite 151
Tucson, AZ 85711-2701
Phone (520) 420-2560

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP3041AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Community Physicians PC Nurse Practitioner CurrentSince Jul 1, 2010 Accepting new patients
TMC Medical Network CurrentSince Aug 1, 2023 Accepting new patients
Arizona Community Physician PC CurrentSince Jul 1, 2010 Accepting new patients

Locations

1951 N Wilmot Rd
Bldg 4
Tucson, AZ 85712
Phone (520) 318-1114

1951 N Wilmot Rd
Ste 1
Tucson, AZ 85712
Phone (520) 722-3210

2055 W Hospital Dr
Tucson, AZ 85704
Phone (520) 547-5725

2141 N Beverly Ave
Ste 101
Tucson, AZ 85712
Phone (520) 324-6290

2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010

5055 E Broadway Blvd
Ste A100
Tucson, AZ 85711
Phone (520) 327-0460

5880 N La Cholla Blvd
Ste 180
Tucson, AZ 85741
Phone (520) 751-3695

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1750537353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31235",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857511235",
            "telephone_number": "520-324-2308",
            "fax_number": "520-324-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 N WILMOT RD BLDG 4",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857128001",
            "telephone_number": "520-318-1114",
            "fax_number": "520-318-4693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3005 W Ina Rd",
            "address_2": "Suite 123",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857412377",
            "country_code": "US",
            "telephone_number": "520-797-7656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEESLER",
        "first_name": "LANA",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-14",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP3041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM",
            "identifier": "363008",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LANA",
            "last_name": "KING",
            "middle_name": "DIANE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.