Individual provider Active NPI

Amanda Sarah Lernor, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Phoenix, AZ
National Provider Identifier
1861808917
Registry record updated Dec 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
853 Issued in AZ
Practice address
16841 N 31St Ave Ste 134
Phoenix, AZ 85053-3057
Phone
(623) 322-5501
Fax
(623) 322-8996
NPI assigned
Jul 9, 2014
Last updated
Dec 5, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 853 AZ Primary

Addresses

Primary practice location

16841 N 31St Ave Ste 134
Phoenix, AZ 85053-3057

Mailing address

16841 N 31St Ave Ste 134
Phoenix, AZ 85053-3057
Phone (623) 322-5501

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

NPI Registry JSON

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512432000000",
    "number": "1861808917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16841 N 31ST AVE STE 134",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850533057",
            "telephone_number": "623-322-5501",
            "fax_number": "623-322-8996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16841 N 31ST AVE STE 134",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850533057",
            "telephone_number": "623-322-5501",
            "fax_number": "623-322-8996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERNOR",
        "first_name": "AMANDA",
        "middle_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-09",
        "last_updated": "2017-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.