Individual provider Active NPI

Laura K Cook-Gongora

  • Acute Care Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1821622465
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
RNP236347 Issued in AZ
Practice address
19636 N 27TH Ave Ste 306
Phoenix, AZ 85027-4019
Phone
(480) 246-3000
NPI assigned
Feb 22, 2020
Last updated
Mar 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X RNP236347 AZ Primary
Adult Health Nurse Practitioner 363LA2200X RNP236347 AZ
Gerontology Nurse Practitioner 363LG0600X RNP236347 AZ

Addresses

Primary practice location

19636 N 27TH Ave Ste 306
Phoenix, AZ 85027-4019

Mailing address

19636 N 27TH Ave Ste 306
Phoenix, AZ 85027-4019
Phone (480) 773-9279

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
I20200317000618 AZ Practitioner - Nurse Practitioner 1658709175 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

33423 N 32ND Ave
Suite 2200
Phoenix, AZ 85085-8874
Phone (602) 861-1168

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RNP236347AZMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brian S Page DO LLC CurrentSince Mar 15, 2020 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Scottsdale Healthcare Corporation CurrentSince Aug 17, 2020 Accepting new patients
Brian S Page DO LLC CurrentSince Mar 15, 2020 Accepting new patients
Honorhealth Ambulatory CurrentSince Aug 17, 2020 Accepting new patients
Honorhealth Ambulatory Acute Care Past Accepting new patients

Locations

20325 N 51st Ave
Ste 160
Glendale, AZ 85308
Phone (602) 865-5466

19636 N 27th Ave
Ste 306
Phoenix, AZ 85027
Phone (480) 882-7465

19636 N 27th Ave
Ste 401
Phoenix, AZ 85027
Phone (602) 298-8888

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

3233 W Peoria Ave
Ste 106
Phoenix, AZ 85029
Phone (480) 462-6628

33300 N 32nd Ave
Ste 205
Phoenix, AZ 85085
Phone (602) 962-0071

33423 N 32nd Ave
Ste 101
Phoenix, AZ 85085

33423 N 32nd Ave
Ste 2200
Phoenix, AZ 85085
Phone (480) 398-1550

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

Interoperability endpoints

  • Direct secure messaging: lcookgongora156491@direct.honorhealth.com

Organizations & group practices 6

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 3

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": "1582329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1821622465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19636 N 27TH AVE STE 306",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274019",
            "telephone_number": "480-773-9279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19636 N 27TH AVE STE 306",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274019",
            "telephone_number": "480-246-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK-GONGORA",
        "first_name": "LAURA",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-22",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "RNP236347",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "RNP236347",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "RNP236347",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.