LAUREN DOUGLAS FNP
NPI 1063138204
Nurse Practitioner in Mesa, AZ

Q: What is Lauren Douglas's NPI number?

The NPI number for Lauren Douglas is 1063138204. It was assigned to this individual provider in the NPPES registry on October 19, 2022.

Q: What is Lauren Douglas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Lauren Douglas was last updated on May 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 19, 2022

7525 E BROADWAY RD STE 9, MESA, AZ 85208(480) 786-5000 Get Directions Write a Review

NPPES record last updated: May 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 30, 2023, Dec 17, 2022, Nov 28, 2022 and 1 more (4 updates tracked since 2022).

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About Lauren Douglas Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAUREN DOUGLAS FNP (NPI 1063138204) is an individual nurse practitioner in Mesa, Arizona, licensed in Arizona (284981) and active in the NPI registry since October 2022. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1063138204

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameLAUREN DOUGLASCredential: FNP

Location Address7525 E BROADWAY RD STE 9Mesa, AZ 85208-1156

Mailing AddressPo Box 20610Mesa, AZ 85277-0610 · (833) 584-1347

Phone(480) 786-5000

Sole ProprietorNo

Enumeration DateOctober 19, 2022

Last NPPES UpdateMay 30, 20234 updates tracked since enumeration

NPPES CertifiedMay 30, 2023

✔ NPI 1063138204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in AZ · 284981

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License 208245 (AZ)

7525 E BROADWAY RD STE 9, Mesa, AZ 85208

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Secondary Practice Locations 3

Location 1845 E Warner Rd Ste 101Chandler, AZ 85225-1058 · Phone (480) 786-5000

Location 2534 E Sherri DrGilbert, AZ 85296-3830 · Phone (602) 653-8776

Location 32745 S Alma School Rd Ste 3Chandler, AZ 85286-4405 · Phone (602) 919-0345

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc..Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLIED MEDICAL ASSOCIATES PLC

Internal Medicine