LAKEISHA COLTER PA-C
NPI 1174935100
Physician Assistant - Medical in Phoenix, AZ

Active since May 26, 2014PECOS Enrolled
1108 W INDIAN SCHOOL RD, STE B, PHOENIX, AZ 85013(602) 773-5600(602) 773-5600 Get Directions Write a Review

NPPES record last updated: October 1, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lakeisha Colter Pa-c NPPES

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

LAKEISHA COLTER PA-C (NPI 1174935100) is an individual medical provider in Phoenix, Arizona, licensed in Arizona (5716) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174935100
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLAKEISHA COLTERCredential: PA-C
Location Address1108 W INDIAN SCHOOL RD, STE BPhoenix, AZ 85013-3107
Mailing Address1108 W Indian School Rd, Ste BPhoenix, AZ 85013-3107 · (602) 773-5600 · Fax (602) 773-5600
Fax(602) 773-5600
Sole ProprietorNo
Enumeration DateMay 26, 2014
Last NPPES UpdateOctober 1, 2015
NPI 1174935100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in AZ · 5716
1108 W INDIAN SCHOOL RD, Phoenix, AZ 85013

Other Identifiers 2

OtherZ177769AZ · Ptan
Medicaid980599AZ

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lakeisha Colter Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 8

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

Physician Assistant (Medical)
1108 W INDIAN SCHOOL RD, STE B
PHOENIX, AZ 85013
Physician Assistant
1108 W INDIAN SCHOOL RD, SUITE B
PHOENIX, AZ 85013
Obstetrics & Gynecology
1108 W INDIAN SCHOOL RD, SUITE A
PHOENIX, AZ 85013
Nurse Practitioner (Family)
1108 W INDIAN SCHOOL RD, STE B
PHOENIX, AZ 85013
Obstetrics & Gynecology
1108 W INDIAN SCHOOL RD, SUITE A
PHOENIX, AZ 85013
Physician Assistant
1108 W INDIAN SCHOOL RD
PHOENIX, AZ 85013
Physician Assistant (Medical)
1108 W INDIAN SCHOOL RD, STE B
PHOENIX, AZ 85013
Nurse Practitioner (Primary Care)
1108 W INDIAN SCHOOL RD
PHOENIX, AZ 85013

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakeisha Colter's NPI number?

The NPI number for Lakeisha Colter is 1174935100. It was assigned to this individual provider in the NPPES registry on May 26, 2014.

Where is Lakeisha Colter located?

Lakeisha Colter practices at 1108 W Indian School Rd Ste B, Phoenix, AZ 85013. The listed phone number is (602) 773-5600.

What is Lakeisha Colter's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Lakeisha Colter enrolled in Medicare?

Yes. Lakeisha Colter is registered in the Medicare PECOS enrollment system.

What insurance does Lakeisha Colter accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Lakeisha Colter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lakeisha Colter was last updated on October 1, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.