Individual provider Active NPI

Laura B Fleming, CPNP

  • Pediatric Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1770731507
Registry record updated Mar 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP3137 Issued in AZ
Practice address
1432 S Dobson Rd
Suite 501
Mesa, AZ 85202-4768
Phone
(480) 412-7474
Fax
(480) 412-7475
NPI assigned
Sep 4, 2008
Last updated
Mar 27, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X AP3137 AZ Primary

Addresses

Primary practice location

1432 S Dobson Rd
Suite 501
Mesa, AZ 85202-4768

Mailing address

1432 S Dobson Rd
Suite 501
Mesa, AZ 85202-4768
Phone (480) 412-7474

Other identifiers 1

IdentifierTypeStateIssuer
505255MedicaidAZ

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
I20100512000624 AZ Practitioner - Nurse Practitioner 5698803666 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc CurrentSince Dec 8, 2018 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Banner Physician Super Specialists Arizona LLC CurrentSince Jul 1, 2012 Accepting new patients
District Medical Group, Inc CurrentSince Dec 8, 2018 Accepting new patients
Banner Physician Super Specialists Arizona LLC CurrentSince Jul 1, 2012 Accepting new patients

Locations

1811 E McMurray Blvd
Casa Grande, AZ 85122
Phone (520) 374-2090

155 E Warner Rd
Gilbert, AZ 85296
Phone (480) 649-6600

1920 N Higley Rd
Ste 308
Gilbert, AZ 85234
Phone (480) 543-6600

1432 S Dobson Rd
Ste 301
Mesa, AZ 85202
Phone (480) 412-7120

1432 S Dobson Rd
Ste 501
Mesa, AZ 85202
Phone (480) 412-7474

1432 S Dobson Rd
Ste 509
Mesa, AZ 85202
Phone (480) 412-6970

1450 S Dobson Rd
Ste B221
Mesa, AZ 85202
Phone (480) 461-1161

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

21772 S Ellsworth Loop Rd
Queen Creek, AZ 85142
Phone (480) 512-3700

37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000

37100 N Gantzel Rd
Ste 214
San Tan Valley, AZ 85140
Phone (480) 321-8267

Organizations & group practices 5

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": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427414400000",
    "number": "1770731507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 S DOBSON RD",
            "address_2": "SUITE 501",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024768",
            "telephone_number": "480-412-7474",
            "fax_number": "480-412-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 S DOBSON RD",
            "address_2": "SUITE 501",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024768",
            "telephone_number": "480-412-7474",
            "fax_number": "480-412-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "LAURA",
        "middle_name": "B",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2015-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AZ",
            "license": "AP3137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "505255",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.