Active NPI
Lise G. Cote, ARNP C
- Family Nurse Practitioner
- Sun City West, AZ
National Provider Identifier
1851373070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP3479
- Practice address
- 14520 W Granite Valley Dr
Suite 210
Sun City West, AZ 85375-5855 - Phone
- (623) 537-5600
- Fax
- (866) 939-2673
- NPI assigned
- Nov 15, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP3479 | AZ | Primary |
Addresses
Primary practice location
14520 W Granite Valley Dr
Suite 210
Sun City West, AZ 85375-5855
Mailing address
18444 N 25TH Ave
Suite 310
Phoenix, AZ 85023-1261
Phone (623) 537-5600
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 061379 | Other | ANTHEM | |
| 5550830007 | Other | AZ | MEDICARE NSC DV |
| 5550830006 | Other | AZ | MEDICARE NSC ANTHEM |
| 5550830010 | Other | AZ | MEDICARE NSC GILBERT |
| 5550830001 | Other | AZ | MEDICARE NSC SCW |
| 5550830008 | Other | AZ | MEDICARE NSC SWV |
| 5550830003 | Other | AZ | MEDICARE NSC PEORIA |
| 5550830009 | Other | AZ | MEDICARE NSC AZ NORTH |
| 5550830004 | Other | AZ | MEDICARE NSC PV |
Other names 1
- Lise Gourdeau
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP3479 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Orthopedic Research and Education Inc | Past | Accepting new patients | |
| Joseph J Arena MD PA | Past | Accepting new patients |
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.
-
dba The CORE Institute
- Durable Medical Equipment & Medical Supplies
- Prescott, AZ
- NPI 1447490321
-
- Internal Medicine Physician
- Deerfield Beach, FL
- NPI 1568435600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389916800000",
"number": "1851373070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18444 N 25TH AVE",
"address_2": "SUITE 310",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850231261",
"telephone_number": "623-537-5600",
"fax_number": "866-939-2673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14520 W GRANITE VALLEY DR",
"address_2": "SUITE 210",
"city": "SUN CITY WEST",
"state": "AZ",
"postal_code": "853755855",
"telephone_number": "623-537-5600",
"fax_number": "866-939-2673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTE",
"first_name": "LISE",
"middle_name": "G.",
"name_prefix": "Mrs.",
"credential": "ARNP C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-15",
"last_updated": "2014-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP3479",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "061379",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NSC DV",
"identifier": "5550830007",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NSC ANTHEM",
"identifier": "5550830006",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NSC GILBERT",
"identifier": "5550830010",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NSC SCW",
"identifier": "5550830001",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NSC SWV",
"identifier": "5550830008",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NSC PEORIA",
"identifier": "5550830003",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NSC AZ NORTH",
"identifier": "5550830009",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NSC PV",
"identifier": "5550830004",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LISE",
"last_name": "GOURDEAU",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sun City West, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.