Individual provider Active NPI

Anna Lavette Lee

  • Psychiatric/Mental Health Nurse Practitioner
  • Goodyear, AZ
National Provider Identifier
1801594890
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1110946 Issued in AZ
Practice address
2105 N Citrus Rd
Goodyear, AZ 85395-9204
Phone
(623) 853-0304
NPI assigned
Feb 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1110946 AZ Primary

Addresses

Primary practice location

2105 N Citrus Rd
Goodyear, AZ 85395-9204

Mailing address

2105 N Citrus Rd
Goodyear, AZ 85395-9204
Phone (330) 209-7586

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
I20230424001611 AZ Practitioner - Nurse Practitioner 5395100556 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Bridges IncGroup PAC ID 2062699721, 106 clinicians

Practice addresses (Care Compare)

824 N 99TH Ave
Suite 107And108
Avondale, AZ 85323-5324
Phone (623) 907-1457

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1110946AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mind 247 Practice LLC Current Accepting new patients
Community Bridges, Inc CurrentSince Jul 1, 2024 Accepting new patients
Mind 247 Practice LLC CurrentSince Mar 13, 2023 Accepting new patients
Community Bridges, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Community Bridges, Inc Current Accepting new patients
Mind 247 Practice LLC CurrentSince Mar 13, 2023 Accepting new patients
Community Bridges, Inc. Current Accepting new patients
Community Bridges, Inc. Current Accepting new patients
Community Bridges, Inc. Past Accepting new patients

Locations

824 N 99th Ave
Ste 107108
Avondale, AZ 85323
Phone (623) 907-1457

824 N 99th Ave
Ste 108
Avondale, AZ 85323
Phone (602) 907-6520

824 N 99th Ave
Ste 109
Avondale, AZ 85323
Phone (623) 907-1457

1220 S Higley Rd
Ste 201
Mesa, AZ 85206
Phone (480) 529-7125

1138 S Higley Rd
Mesa, AZ 85206
Phone (480) 325-3876

1855 W Baseline Rd
Ste 101
Mesa, AZ 85202

9675 W Camelback Rd
Phoenix, AZ 85037
Phone (623) 849-8000

10046 N Metro Pkwy W
Phoenix, AZ 85051
Phone (602) 894-2880

2728 N 24th St
Phoenix, AZ 85008
Phone (480) 482-7020

2728 N 24th St
Ste 2
Phoenix, AZ 85008
Phone (602) 900-1793

10046 N Metro Pkwy W
Ste 115
Phoenix, AZ 85051
Phone (602) 674-5515

2770 E Van Buren St
Rm Abd
Phoenix, AZ 85008
Phone (602) 273-9999

1465 N Scottsdale Rd
Ste 400
Scottsdale, AZ 85257

250 S Toole Ave
Ste A
Tucson, AZ 85701
Phone (520) 323-1312

3180 E 40th St
Yuma, AZ 85365
Phone (928) 341-0335

Interoperability endpoints

  • Direct secure messaging: anna.leenp.p1@direct.cbridges.nextgenshare.com

Organizations & group practices 9

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": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1801594890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 N CITRUS RD",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853959204",
            "telephone_number": "330-209-7586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 N CITRUS RD",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853959204",
            "telephone_number": "623-853-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ANNA",
        "middle_name": "LAVETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "1110946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.