LARISSA NICOLE ANTHONY PA-C NPI 1093099855

NPI Information

  • NPI: 1093099855
  • Provider Name: LARISSA NICOLE ANTHONY, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2550 W UNION HILLS DR STE 390
    PHOENIX, AZ
    ZIP 85027
  • Phone: (602) 443-4068

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NPI Details

Larissa Nicole Anthony, PA-C is a medical physician assistant in Phoenix, AZ with 14 years of experience. Larissa Nicole Anthony, PA-C NPI is 1093099855. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2550 W UNION HILLS DR STE 390
PHOENIX, AZ
ZIP 85027-197
Phone: (602) 443-4068
Fax: (623) 434-8310

The NPI 1093099855 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Test to examine how well the lungs exchange gases (HCPCS:94729)
  • Test to measure expiratory airflow and volume changes before and after medication administration (HCPCS:94060)
  • Test to determine lung volumes using sensors (HCPCS:94726)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Test for exercise-induced lung stress (HCPCS:94618)

The enumeration date for this NPI number is 9/28/2011 and was last updated on 9/19/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical4993ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1339667MEDICAIDARIZONA
24993OTHERARIZONALICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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