Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lea Nickolas, FNP-BC

Individual provider Registered Nurse · NPI 1306471644

Lea Nickolas, FNP-BC is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2020, 6 years ago. Practices with Tl Family Nurse Practice LLC, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona and Wisconsin.

Years since qualifying
6
Licensed in
AZ, WI
In the registry since
2020
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2601 N 3rd St Ste 212
Phoenix, AZ 85004-1145
Phone: (602) 888-6970
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 256708 (AZ)
Registered Nurse Taxonomy 163W00000X · Licence 183839-30 (WI)

Record details

NPI number1306471644
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedMarch 6, 2020
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026
Mailing address2601 N 3rd St Ste 212, Phoenix, AZ 85004-1145

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Tl Family Nurse Practice Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Phoenix