Individual provider Active NPI

Lisa M Gazia, FNP-C

  • Nurse Practitioner
  • Peoria, AZ
National Provider Identifier
1851345490
Registry record updated Oct 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN060508 Issued in AZ
Practice address
13640 N Plaza del Rio Blvd
Ste 240
Peoria, AZ 85381-4846
Phone
(623) 876-3840
Fax
(623) 876-6909
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN060508 AZ Primary

Addresses

Primary practice location

13640 N Plaza del Rio Blvd
Ste 240
Peoria, AZ 85381-4846

Mailing address

13640 N Plaza del Rio Blvd
Peoria, AZ 85381-4846
Phone (623) 876-3800

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
I20050503001273 AZ Practitioner - Nurse Practitioner 2567402118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13240 N Tatum Blvd
Phoenix, AZ 85032-6466
Phone (480) 489-4342

13825 N Cave Creek Rd
Phoenix, AZ 85022-6178
Phone (480) 718-5986

13835 N Tatum Blvd
Suite 9120
Phoenix, AZ 85032-5581

15048 W Young St
Surprise, AZ 85374-7484
Phone (480) 718-5986

15436 N 64TH St
Scottsdale, AZ 85254-2064
Phone (480) 718-5986

2124 E Colgate Dr
Tempe, AZ 85283-2406
Phone (480) 718-5986

7325 E Princess Blvd
Scottsdale, AZ 85255-5991
Phone (480) 718-5986

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
An NP for Me LLC Nurse Practitioner CurrentSince Nov 21, 2024 Accepting new patients
Banner Arizona Medical Clinic LTD Past Accepting new patients
Arizona Gastroenterology and Liver Clinic,P.C. Past Accepting new patients

Locations

13835 N Tatum Blvd
Ste 9120
Phoenix, AZ 85032

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.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287100800000",
    "number": "1851345490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13640 N PLAZA DEL RIO BLVD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814846",
            "telephone_number": "623-876-3800",
            "fax_number": "623-972-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13640 N PLAZA DEL RIO BLVD",
            "address_2": "STE 240",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814846",
            "telephone_number": "623-876-3840",
            "fax_number": "623-876-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAZIA",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2010-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "RN060508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.