Active NPI
Lovejoy Tulusan Arriesgado, FNP-C
- Family Medicine Physician
- Surprise, AZ
National Provider Identifier
1861968794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- APRN218353
- Practice address
- 14780 W Mountain View Blvd Ste 110
Surprise, AZ 85374-7280 - Phone
- (623) 374-7774
- Fax
- (855) 420-6361
- NPI assigned
- Oct 18, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 218353 | AZ | |
| Family Medicine Physician | 207Q00000X | APRN218353 | AZ | Primary |
Addresses
Primary practice location
14780 W Mountain View Blvd Ste 110
Surprise, AZ 85374-7280
Mailing address
14780 W Mountain View Blvd Ste 110
Surprise, AZ 85374-7280
Phone (602) 374-7774
Other practice location 1
1041 E Meadow Ln
Phoenix, AZ 85022-4334
Phone (602) 774-4234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 218353 | Other | AZ | APRN-RNP |
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 |
|---|---|---|---|
| APRN218353 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marcus Clinic LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Phoenix, AZ
- NPI 1295506590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565740800000",
"number": "1861968794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14780 W MOUNTAIN VIEW BLVD STE 110",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853747280",
"telephone_number": "602-374-7774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14780 W MOUNTAIN VIEW BLVD STE 110",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853747280",
"telephone_number": "623-374-7774",
"fax_number": "855-420-6361"
}
],
"practiceLocations": [
{
"address_1": "1041 E Meadow Ln",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850224334",
"country_code": "US",
"telephone_number": "602-774-4234",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ARRIESGADO",
"first_name": "LOVEJOY",
"middle_name": "TULUSAN",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-18",
"last_updated": "2019-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "218353",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "APRN218353",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN-RNP",
"identifier": "218353",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.