Individual provider Active NPI

Vanessa Lissette Lara, FNP-C

  • Family Nurse Practitioner
  • Chandler, AZ
National Provider Identifier
1861033912
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
230762 Issued in AZ
Practice address
1125 S Alma School Rd Ste 210
Chandler, AZ 85286-2811
Phone
(480) 256-4900
Fax
(602) 388-8948
NPI assigned
Sep 30, 2019
Last updated
Nov 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 230762 AZ Primary

Addresses

Primary practice location

1125 S Alma School Rd Ste 210
Chandler, AZ 85286-2811

Mailing address

1125 S Alma School Rd Ste 210
Chandler, AZ 85286-2811
Phone (480) 256-4900

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
I20191218003106 AZ Practitioner - Nurse Practitioner 4385078658 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

Practice addresses (Care Compare)

1125 S Alma School Rd
Suite 210
Chandler, AZ 85286-2811
Phone (480) 733-7300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Physician Specialists Arizona LLC CurrentSince Jan 23, 2026 Accepting new patients
Advanced Nuclear Cardiology PLLC Current Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Jan 23, 2026 Accepting new patients
M Zuhdi Jasser MD PC CurrentSince Dec 16, 2019 Accepting new patients

Locations

1125 S Alma School Rd
Ste 210
Chandler, AZ 85286
Phone (480) 256-4900

9165 W Thunderbird Rd
Ste 200
Peoria, AZ 85381
Phone (623) 285-1120

1010 E McDowell Rd
Ste 300
Phoenix, AZ 85006
Phone (602) 251-3122

9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000

9305 W Thomas Rd
Ste 380
Phoenix, AZ 85037
Phone (623) 327-4144

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCDCDA

Organizations & group practices 4

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 2

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": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1861033912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 S ALMA SCHOOL RD STE 210",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852862811",
            "telephone_number": "480-256-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 S ALMA SCHOOL RD STE 210",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852862811",
            "telephone_number": "480-256-4900",
            "fax_number": "602-388-8948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARA",
        "first_name": "VANESSA",
        "middle_name": "LISSETTE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "230762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.