Active NPI
Laurie Lynn Williamson, ARNP
- Neonatal Nurse Practitioner
- Phoenix, AZ
National Provider Identifier
1790879880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- AP30003997
- Practice address
- 1661 E Camelback Rd Ste 200
Phoenix, AZ 85016-3913 - Phone
- (602) 858-6754
- Fax
- (602) 559-5641
- NPI assigned
- Oct 3, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 0024196600 | VA | |
| Neonatal Nurse Practitioner | 363LN0000X | AP30003997 | WA | Primary |
| Neonatal Nurse Practitioner | 363LN0000X | AP8310 | AZ |
Addresses
Primary practice location
1661 E Camelback Rd Ste 200
Phoenix, AZ 85016-3913
Mailing address
1661 E Camelback Rd Ste 200
Phoenix, AZ 85016-3913
Phone (602) 858-6754
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790879880 | Medicaid | WA |
Other names 1
- Laurie Kinney
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1625 N Campbell Ave
Tucson, AZ 85719-4330
525 W Brown Rd
Mesa, AZ 85201-3202
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP8310 | AZ | MD | Neonatal Nurse Practitioner |
| 0024196600 | VA | MD | Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner-University Medical Group | Current | Accepting new patients | |
| Banner-University Medical Group | Current | Accepting new patients | |
| Arizona OB GYN Affiliates PC | Past | Accepting new patients |
Locations
2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471
1625 N Campbell Ave
Tucson, AZ 85719
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1508809427
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1922820935
-
- Specialist
- Phoenix, AZ
- NPI 1750589404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772496000000",
"number": "1790879880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1661 E CAMELBACK RD STE 200",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850163913",
"telephone_number": "602-858-6754",
"fax_number": "602-559-5641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1661 E CAMELBACK RD STE 200",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850163913",
"telephone_number": "602-858-6754",
"fax_number": "602-559-5641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMSON",
"first_name": "LAURIE",
"middle_name": "LYNN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "VA",
"license": "0024196600",
"primary": false
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "WA",
"license": "AP30003997",
"primary": true
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "AZ",
"license": "AP8310",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1790879880",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAURIE",
"last_name": "KINNEY",
"credential": "ARNP",
"code": "1",
"type": "Former Name"
}
]
}
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 Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.