Individual provider Active NPI

Lauren Faith Blitzer, NP

  • Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1902409824
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
248203 Issued in AZ
Practice address
4530 E Muirwood Dr
Phoenix, AZ 85048-7639
Phone
(480) 961-2303
Fax
(480) 961-2306
NPI assigned
Nov 21, 2020
Last updated
Jul 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 248203 AZ Primary

Addresses

Primary practice location

4530 E Muirwood Dr
Phoenix, AZ 85048-7639

Mailing address

4530 E Muirwood Dr
Phoenix, AZ 85048-7639
Phone (480) 961-2303

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
I20210222002065 AZ Practitioner - Nurse Practitioner 8820403033 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Traditions Health Palliative Care of Arizona, LLC CurrentSince Nov 1, 2022 Accepting new patients
Access Wellness Resources Family CurrentSince Jun 1, 2024 Accepting new patients
Sun Lakes Family Physicians LLC CurrentSince May 1, 2023 Accepting new patients

Locations

333 N Dobson Rd
Ste 15
Chandler, AZ 85224
Phone (480) 282-8336

5355 W Chandler Blvd
Ste 3
Chandler, AZ 85226
Phone (602) 283-7474

5355 W Chandler Blvd
Ste 3B
Chandler, AZ 85226
Phone (602) 283-7474

7400 S Power Rd
Ste 140
Gilbert, AZ 85297
Phone (480) 590-1442

4545 E Southern Ave
Ste 103
Mesa, AZ 85206
Phone (480) 827-9945

7525 E Broadway Rd
Ste 2
Mesa, AZ 85208
Phone (480) 981-9800

4600 E Shea Blvd
Ste 100
Phoenix, AZ 85028
Phone (602) 955-8700

36543 N Gantzel Rd
Ste 102
San Tan Valley, AZ 85140
Phone (480) 401-1811

3501 N Scottsdale Rd
Ste 231
Scottsdale, AZ 85251
Phone (480) 945-3873

10450 E Riggs Rd
Ste 114
Sun Lakes, AZ 85248
Phone (480) 505-2450

8150 N Central Expy
Ste 1800
Dallas, TX 75206
Phone (469) 501-1602

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27041/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lauren.blitzer.1@27041.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1605916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1902409824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 E MUIRWOOD DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487639",
            "telephone_number": "480-961-2303",
            "fax_number": "480-961-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 E MUIRWOOD DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487639",
            "telephone_number": "480-961-2303",
            "fax_number": "480-961-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLITZER",
        "first_name": "LAUREN",
        "middle_name": "FAITH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-21",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "248203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.