Individual provider Active NPI

Lianna Templeton, PA-C

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1801326392
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6805 Issued in AZ
Practice address
5251 W Campbell Ave Ste 105
Phoenix, AZ 85031-1718
Phone
(623) 547-5235
Fax
(623) 533-6271
NPI assigned
Jun 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 6805 AZ Primary

Addresses

Primary practice location

5251 W Campbell Ave Ste 105
Phoenix, AZ 85031-1718

Mailing address

5251 W Campbell Ave Ste 105
Phoenix, AZ 85031-1718
Phone (623) 547-5235

Other practice location 1

9150 W Indian School Rd Ste 118
Phoenix, AZ 85037-2387
Phone (623) 247-5700

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
I20170919002181 AZ Practitioner - Physician Assistant 0648544338 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1801326392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5251 W CAMPBELL AVE STE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850311718",
            "telephone_number": "623-547-5235",
            "fax_number": "623-533-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5251 W CAMPBELL AVE STE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850311718",
            "telephone_number": "623-547-5235",
            "fax_number": "623-533-6271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9150 W Indian School Rd Ste 118",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850372387",
            "country_code": "US",
            "telephone_number": "623-247-5700",
            "fax_number": "623-849-0717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEMPLETON",
        "first_name": "LIANNA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "6805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.