Individual provider Active NPI

Lien Phuong Le, FNP-BC

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1750878526
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN163637 Issued in AZ
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

Updated by the provider on Nov 22, 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 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

LicenseStateTypeSpecialty
RN163637AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.