Active NPI
Lien Phuong Le, FNP-BC
- Family Nurse Practitioner
- Phoenix, AZ
National Provider Identifier
1750878526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN163637
- Practice address
- 3019 N 35TH Ave
Phoenix, AZ 85017-5206 - Phone
- (602) 269-7797
- Fax
- (602) 269-2329
- NPI assigned
- Apr 17, 2018
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN163637 | AZ | Primary |
Addresses
Primary practice location
3019 N 35TH Ave
Phoenix, AZ 85017-5206
Mailing address
14747 N Northsight Blvd Ste 111 #311
Scottsdale, AZ 85260-2633
Phone (602) 269-7797
Other practice location 1
3806 N 3rd St Ste 100
Phoenix, AZ 85012-2016
Phone (602) 277-1088
Other practice location 2
5141 W Thunderbird Rd
Glendale, AZ 85306-4836
Phone (602) 863-1913
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN163637 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weldon Dental Care | Past | Accepting new patients |
Organizations & group practices 1
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.
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- Dentist
- Phoenix, AZ
- NPI 1467625152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700611200000",
"number": "1750878526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14747 N NORTHSIGHT BLVD STE 111 #311",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852602633",
"telephone_number": "602-269-7797",
"fax_number": "602-269-2329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3019 N 35TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850175206",
"telephone_number": "602-269-7797",
"fax_number": "602-269-2329"
}
],
"practiceLocations": [
{
"address_1": "3806 N 3rd St Ste 100",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850122016",
"country_code": "US",
"telephone_number": "602-277-1088",
"fax_number": "602-277-0019",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5141 W Thunderbird Rd",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "AZ",
"postal_code": "853064836",
"country_code": "US",
"telephone_number": "602-863-1913",
"fax_number": "602-863-1914",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LE",
"first_name": "LIEN",
"middle_name": "PHUONG",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-17",
"last_updated": "2023-11-22",
"certification_date": "2023-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "RN163637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.