Individual provider Active NPI

Lea E Way, C.F.N.P.

  • Family Medicine Physician
  • Yarnell, AZ
National Provider Identifier
1821096850
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
154 Issued in AZ
Practice address
22869 US Hwy 89
Yarnell, AZ 85362
Phone
(928) 427-3411
Fax
(928) 427-6541
NPI assigned
Jul 13, 2005
Last updated
Oct 25, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 154 AZ Primary

Addresses

Primary practice location

22869 US Hwy 89
Yarnell, AZ 85362

Mailing address

PO Box 728
Yarnell, AZ 85362-0728
Phone (928) 427-3411

Other identifiers 2

IdentifierTypeStateIssuer
860815386001OtherAZTRICARE
141317001OtherAZMERCYCALL

Other names 1

  • Mrs. Lea E Way Professional name

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
I20051101000947 AZ Practitioner - Nurse Practitioner 3870510571 Reassigns benefits to 2 organizations
Practice locations: Congress, AZ

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

519 Rose LN
Suite a
Wickenburg, AZ 85390-1448
Phone (928) 684-4365

523 Rose LN
Wickenburg, AZ 85390-1448

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
154AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital Association, Inc. CurrentSince Dec 10, 2023 Accepting new patients
Community Hospital Association, Inc. CurrentSince Dec 10, 2023 Accepting new patients
Community Hospital Association, Inc. Past Accepting new patients
Lea a Way Nurse Practitioner PastSince Jan 1, 1990 Accepting new patients
Community Hospital Association, Inc. Past Accepting new patients

Locations

520 Rose Ln
Wickenburg, AZ 85390
Phone (928) 666-1197

523 Rose Ln
Wickenburg, AZ 85390
Phone (928) 668-1833

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351123200000",
    "number": "1821096850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 728",
            "city": "YARNELL",
            "state": "AZ",
            "postal_code": "853620728",
            "telephone_number": "928-427-3411",
            "fax_number": "928-427-6541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22869 US HWY 89",
            "city": "YARNELL",
            "state": "AZ",
            "postal_code": "85362",
            "telephone_number": "928-427-3411",
            "fax_number": "928-427-6541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAY",
        "first_name": "LEA",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "C.F.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2012-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "860815386001",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCYCALL",
            "identifier": "141317001",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEA",
            "last_name": "WAY",
            "middle_name": "E",
            "prefix": "MRS.",
            "credential": "C.F.N.P.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Yarnell, AZ

Sources for this page

Verify at the official NPI Registry.