Active NPI
Lynne A Vigil, N.P.
- Nurse Practitioner
- Payson, AZ
National Provider Identifier
1912967704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 244
- Practice address
- 806 S Ponderosa St
Payson, AZ 85541-5541 - Phone
- (928) 468-8603
- Fax
- (928) 468-8625
- NPI assigned
- Mar 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 244 | AZ | Primary |
Addresses
Primary practice location
806 S Ponderosa St
Payson, AZ 85541-5541
Mailing address
806 S Ponderosa St
Payson, AZ 85541-5541
Phone (928) 468-8603
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 146507 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 244 | AZ | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1912967704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "806 S PONDEROSA ST",
"city": "PAYSON",
"state": "AZ",
"postal_code": "855415541",
"telephone_number": "928-468-8603",
"fax_number": "928-468-8625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "806 S PONDEROSA ST",
"city": "PAYSON",
"state": "AZ",
"postal_code": "855415541",
"telephone_number": "928-468-8603",
"fax_number": "928-468-8625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIGIL",
"first_name": "LYNNE",
"middle_name": "A",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-24",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "244",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "146507",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Payson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.