Active NPI
Carey Michelle Lennon, ND, WHNP-BC
- Women's Health Nurse Practitioner
- Sacaton, AZ
National Provider Identifier
1780672501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- RN106637
- Practice address
- 433 W. Seed Farm Road
Sacaton, AZ 85247-2175 - Phone
- (520) 562-5153
- NPI assigned
- Oct 6, 2005
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | RN106637 | AZ | Primary |
Addresses
Primary practice location
433 W. Seed Farm Road
Sacaton, AZ 85247-2175
Mailing address
1222 W Glenmere Dr
Chandler, AZ 85224-7544
Phone (480) 786-1177
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 |
|---|---|---|---|
| RN106637 | AZ | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fetal and Women'S Center of Arizona, LLC | 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 and National Provider Directory roles.
-
- Specialist
- Scottsdale, AZ
- NPI 1801822119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330387200000",
"number": "1780672501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1222 W GLENMERE DR",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852247544",
"telephone_number": "480-786-1177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "433 W. SEED FARM ROAD",
"city": "SACATON",
"state": "AZ",
"postal_code": "852472175",
"telephone_number": "520-562-5153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENNON",
"first_name": "CAREY",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "ND, WHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-06",
"last_updated": "2012-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "AZ",
"license": "RN106637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacaton, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.