Active NPI
Larayne Annette Ness, ARNP
- Family Nurse Practitioner
- Prescott, AZ
National Provider Identifier
1972769388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP3075
- Practice address
- 1000 Willow Creek Rd
Suite G
Prescott, AZ 86301-1645 - Phone
- (928) 458-7343
- Fax
- (928) 257-4422
- NPI assigned
- Aug 5, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP60143760 | WA | |
| Family Nurse Practitioner | 363LF0000X | AP3075 | AZ | Primary |
Addresses
Primary practice location
1000 Willow Creek Rd
Suite G
Prescott, AZ 86301-1645
Mailing address
511 Hale St
Eaton Rapids, MI 48827-1829
Phone (586) 531-8882
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 364981 | Medicaid | AZ |
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 |
|---|---|---|---|
| AP60143760 | WA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371686400000",
"number": "1972769388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 HALE ST",
"city": "EATON RAPIDS",
"state": "MI",
"postal_code": "488271829",
"telephone_number": "586-531-8882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 WILLOW CREEK RD",
"address_2": "SUITE G",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863011645",
"telephone_number": "928-458-7343",
"fax_number": "928-257-4422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NESS",
"first_name": "LARAYNE",
"middle_name": "ANNETTE",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-05",
"last_updated": "2013-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60143760",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP3075",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "364981",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.