Individual provider Active NPI

Laura Siegel, FNP-C

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1861885469
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
226823 Issued in AZ
Practice address
1740 E Fort Lowell Rd Ste 100
Tucson, AZ 85719-2384
Phone
(520) 613-0001
Fax
(520) 504-6482
NPI assigned
Mar 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R264273 MD
Family Nurse Practitioner 363LF0000X 226823 AZ Primary

Addresses

Primary practice location

1740 E Fort Lowell Rd Ste 100
Tucson, AZ 85719-2384

Mailing address

102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250
Phone (615) 706-8357

Other practice location 1

1111 N Charles St
Baltimore, MD 21201-5505
Phone (410) 837-2050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200309000583 AZ Practitioner - Nurse Practitioner 1557798964 Reassigns benefits to 1 organization
I20220523001594 MD Practitioner - Nurse Practitioner 1557798964 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R264273MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Archwell Health Professional Services of Arizona, LLC CurrentSince Aug 5, 2025 Accepting new patients
Chase Brexton Health Services, Inc. CurrentSince Jun 21, 2022 Accepting new patients
Absolutecare of Baltimore, LLC CurrentSince Aug 5, 2024 Accepting new patients
Chase Brexton Health Services, Inc. CurrentSince Jun 21, 2022 Accepting new patients

Locations

4315 E Main St
Mesa, AZ 85205
Phone (480) 654-0260

1740 E Fort Lowell Rd
Ste 100
Tucson, AZ 85719
Phone (520) 613-0001

1111 N Charles St
Baltimore, MD 21201
Phone (410) 486-5991

1040 Park Ave
Ste 200
Baltimore, MD 21201
Phone (443) 738-0300

10175 Little Patuxent Pkwy
Ste 800
Columbia, MD 21044

102 Woodmont Blvd
Ste 600
Nashville, TN 37205

Organizations & group practices 5

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": "1425600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1861885469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055250",
            "telephone_number": "615-706-8357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 E FORT LOWELL RD STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192384",
            "telephone_number": "520-613-0001",
            "fax_number": "520-504-6482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 N Charles St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212015505",
            "country_code": "US",
            "telephone_number": "410-837-2050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "LAURA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-06",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R264273",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "226823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.