| Neighborhood Outreach Access To Health | |
|
16251 N Cave Creek Rd Phoenix AZ 85032-2976 | |
| (480) 882-4545 | |
| Not Available |
| Full Name | Neighborhood Outreach Access To Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 16251 N Cave Creek Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Wendy Armendariz (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6027860003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neighborhood Outreach Access To Health 7500 N Dreamy Draw Dr Ste 145 Phoenix AZ 85020-4668 Ph: (480) 882-4545 | Neighborhood Outreach Access To Health 16251 N Cave Creek Rd Phoenix AZ 85032-2976 Ph: (480) 882-4545 |
| NPI Number | 1942518550 |
|---|---|
| Provider Enumeration Date | 09/16/2010 |
| Last Update Date | 02/03/2023 |
| Certification Date | 12/29/2022 |
| Medicare PECOS PAC ID | 3577743764 |
|---|---|
| Medicare Enrollment ID | O20110204000504 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942518550 | NPI | - | NPPES |
| 552822 | Medicaid | AZ |
| Provider Name | Constance Tucker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255391645 PECOS PAC ID: 3072508829 Enrollment ID: I20040420000191 |
| Provider Name | April L Estes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851356802 PECOS PAC ID: 8921096249 Enrollment ID: I20040505000437 |
| Provider Name | Melisa K Thesing |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649230566 PECOS PAC ID: 7618988601 Enrollment ID: I20060504000946 |
| Provider Name | Tamara S. Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538363254 PECOS PAC ID: 8729189733 Enrollment ID: I20070720000435 |
| Provider Name | Linda S Pachuta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851502165 PECOS PAC ID: 2365536885 Enrollment ID: I20070914000271 |
| Provider Name | Patricia A Avila |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225238827 PECOS PAC ID: 5092809707 Enrollment ID: I20070925000410 |
| Provider Name | Lynn L Maupin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902060080 PECOS PAC ID: 3072689751 Enrollment ID: I20080903000407 |
| Provider Name | Darlene E Moyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912181751 PECOS PAC ID: 3173682101 Enrollment ID: I20081106000119 |
| Provider Name | Lynn M Nunemacher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790920882 PECOS PAC ID: 0446308233 Enrollment ID: I20090505000400 |
| Provider Name | Andrea L Darby-stewart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750364980 PECOS PAC ID: 0446301261 Enrollment ID: I20090707000510 |
| Provider Name | Richard H Rutkowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588667042 PECOS PAC ID: 1658424171 Enrollment ID: I20090731000266 |
| Provider Name | Jacqueline I Doris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922090992 PECOS PAC ID: 5496899155 Enrollment ID: I20100218000277 |
| Provider Name | Cynthia L Kegowicz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063415529 PECOS PAC ID: 9032304860 Enrollment ID: I20101105001263 |
| Provider Name | Keira E Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396999272 PECOS PAC ID: 1052508512 Enrollment ID: I20101209000414 |
| Provider Name | Tanya C Cavallaro Moretti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265761399 PECOS PAC ID: 8325236250 Enrollment ID: I20101220000731 |
| Provider Name | Andres M Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083667810 PECOS PAC ID: 8921108564 Enrollment ID: I20110322001025 |
| Provider Name | Suganya J Karuppana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508066994 PECOS PAC ID: 0749333052 Enrollment ID: I20110325000149 |
| Provider Name | Susan Harrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760775837 PECOS PAC ID: 9739367483 Enrollment ID: I20110628000279 |
| Provider Name | Kristen Lyn Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447545645 PECOS PAC ID: 8527237569 Enrollment ID: I20110809000606 |
| Provider Name | Alethea Y Turner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891929733 PECOS PAC ID: 0143470534 Enrollment ID: I20121019000535 |
| Provider Name | Justin Richard White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538307897 PECOS PAC ID: 1456503218 Enrollment ID: I20121201000059 |
| Provider Name | Marilyn Yelder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689813032 PECOS PAC ID: 0244484251 Enrollment ID: I20130128000582 |
| Provider Name | Katherine T Chuang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336376359 PECOS PAC ID: 9739333774 Enrollment ID: I20130129000272 |
| Provider Name | Natalie R Collier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760721120 PECOS PAC ID: 4789821216 Enrollment ID: I20130430000680 |
| Provider Name | Sangeeta M Manuel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831238823 PECOS PAC ID: 0648330373 Enrollment ID: I20130611000712 |
| Provider Name | Pilar M Hoffsten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386074284 PECOS PAC ID: 9032347075 Enrollment ID: I20140120000738 |
| Provider Name | Susan Flower |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750372199 PECOS PAC ID: 5193955193 Enrollment ID: I20140312001396 |
| Provider Name | Jennifer J Rosas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740296532 PECOS PAC ID: 6507867306 Enrollment ID: I20140620001257 |
| Provider Name | Linda M Eller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790058782 PECOS PAC ID: 5496997967 Enrollment ID: I20140903001976 |
| Provider Name | Rahsaan L Lindsey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245400928 PECOS PAC ID: 8123155710 Enrollment ID: I20150130001722 |
| Provider Name | Sarah Derubeis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912208430 PECOS PAC ID: 4284959503 Enrollment ID: I20150209001403 |
| Provider Name | Chyllia D Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174916472 PECOS PAC ID: 7719298033 Enrollment ID: I20150612000863 |
| Provider Name | Samantha A Esquivias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427438464 PECOS PAC ID: 0042524514 Enrollment ID: I20150729007418 |
| Provider Name | Kamala Vallabhaneni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912134305 PECOS PAC ID: 4486817400 Enrollment ID: I20150917000719 |
| Provider Name | Deborah Malcolm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770963654 PECOS PAC ID: 8729395157 Enrollment ID: I20150917002381 |
| Provider Name | Lindsay D Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467859256 PECOS PAC ID: 4587974753 Enrollment ID: I20151030002053 |
| Provider Name | Jennifer Vanyo-novak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962665497 PECOS PAC ID: 8729252747 Enrollment ID: I20160118000483 |
| Provider Name | Beverly W Kube |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669623922 PECOS PAC ID: 5496050114 Enrollment ID: I20160217002620 |
| Provider Name | Nicole T Valdez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447587613 PECOS PAC ID: 2264739101 Enrollment ID: I20160321002017 |
| Provider Name | Farrah M Lamoreux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962716746 PECOS PAC ID: 9234255068 Enrollment ID: I20160321002450 |
| Provider Name | Rachel Giroux De Armendariz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245643774 PECOS PAC ID: 5597082941 Enrollment ID: I20160718000842 |
| Provider Name | Dmitry Bisk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083059323 PECOS PAC ID: 4284951864 Enrollment ID: I20160928001569 |
| Provider Name | Angela Childs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366982449 PECOS PAC ID: 4587940606 Enrollment ID: I20170404000766 |
| Provider Name | Laura A Barket |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659614469 PECOS PAC ID: 7113216557 Enrollment ID: I20170503001314 |
| Provider Name | Joy Golden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104363183 PECOS PAC ID: 4486931730 Enrollment ID: I20170515001912 |
| Provider Name | Ralph S Whallon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962814491 PECOS PAC ID: 1658697677 Enrollment ID: I20170811000004 |
| Provider Name | Jason R Pawloski |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1952754277 PECOS PAC ID: 4587938147 Enrollment ID: I20170920001580 |
| Provider Name | Melissa S Molyneux |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053722686 PECOS PAC ID: 7012281637 Enrollment ID: I20170920003880 |
| Provider Name | Elena Y Kaitschuck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326589466 PECOS PAC ID: 2769757269 Enrollment ID: I20171010001158 |
| Provider Name | Paul Dillaway |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861805962 PECOS PAC ID: 3577889591 Enrollment ID: I20171012001502 |
| Provider Name | Amit Jain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043552706 PECOS PAC ID: 6002049699 Enrollment ID: I20171027000627 |
| Provider Name | Thomas Knutson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003109745 PECOS PAC ID: 1759684939 Enrollment ID: I20171201002147 |
| Provider Name | Jennifer Gonzalez |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1417392754 PECOS PAC ID: 6507182615 Enrollment ID: I20171204002506 |
| Provider Name | Melissa M Eastep |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548614852 PECOS PAC ID: 6002176138 Enrollment ID: I20180208003021 |
| Provider Name | Danielle Barbaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194224493 PECOS PAC ID: 9537421813 Enrollment ID: I20180326002890 |
| Provider Name | Lou Sarrosa |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1700951357 PECOS PAC ID: 1456614171 Enrollment ID: I20180411001425 |
| Provider Name | Kanwar Singh Bhogal |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1396086575 PECOS PAC ID: 3971823063 Enrollment ID: I20180508001314 |
| Provider Name | Nicole James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053811976 PECOS PAC ID: 5799030540 Enrollment ID: I20180619000981 |
| Provider Name | Alyssa P Vivas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720460819 PECOS PAC ID: 8426306606 Enrollment ID: I20180803001303 |
| Provider Name | Andrea Klock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629575246 PECOS PAC ID: 2668721317 Enrollment ID: I20180814002315 |
| Provider Name | Diana L Dunnigan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033221387 PECOS PAC ID: 4587792627 Enrollment ID: I20181003000811 |
| Provider Name | Samantha L Currier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750735023 PECOS PAC ID: 1658624416 Enrollment ID: I20181024000780 |
| Provider Name | Deborah S Bauer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700152675 PECOS PAC ID: 1254649023 Enrollment ID: I20181210000766 |
| Provider Name | Christa L O'mara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003975012 PECOS PAC ID: 5092050450 Enrollment ID: I20181213001458 |
| Provider Name | Winfred J. Snell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568764934 PECOS PAC ID: 7214180702 Enrollment ID: I20190327003001 |
| Provider Name | Marta A Solano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053826636 PECOS PAC ID: 7012258171 Enrollment ID: I20190418000701 |
| Provider Name | Kathryn Lowery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508319278 PECOS PAC ID: 9537492905 Enrollment ID: I20190618001199 |
| Provider Name | Rey Jericoh Pureza Manalese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649835554 PECOS PAC ID: 4981931821 Enrollment ID: I20190814003686 |
| Provider Name | Samuel Oluwaseun Tytler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225423130 PECOS PAC ID: 8123331931 Enrollment ID: I20190928000005 |
| Provider Name | Mina Ariella Goodman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1568019974 PECOS PAC ID: 3072844539 Enrollment ID: I20191014003503 |
| Provider Name | Brandon Lee Bolton |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548811979 PECOS PAC ID: 2769814821 Enrollment ID: I20191112002094 |
| Provider Name | Stephanie K Olzinski |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1649832148 PECOS PAC ID: 5799118113 Enrollment ID: I20191125002661 |
| Provider Name | Heather Castonguay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033687314 PECOS PAC ID: 2567895014 Enrollment ID: I20191213001912 |
| Provider Name | Marissa K Jacobs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821522632 PECOS PAC ID: 2567885650 Enrollment ID: I20200708001084 |
| Provider Name | Hadass Fuerst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306370176 PECOS PAC ID: 6305262023 Enrollment ID: I20200812001931 |
| Provider Name | Daniel A Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487187910 PECOS PAC ID: 4981947488 Enrollment ID: I20200812003948 |
| Provider Name | Tahirah Abdur Rahman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477843316 PECOS PAC ID: 5193048528 Enrollment ID: I20201021000963 |
| Provider Name | Allyson Cynthia Sambach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750910337 PECOS PAC ID: 0648690032 Enrollment ID: I20201023002993 |
| Provider Name | Vivian Fajardo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407471543 PECOS PAC ID: 4385054428 Enrollment ID: I20201102000611 |
| Provider Name | Kenya S Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881279669 PECOS PAC ID: 1759798770 Enrollment ID: I20210318001148 |
| Provider Name | Amanda J Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487244562 PECOS PAC ID: 0446669931 Enrollment ID: I20210513001624 |
| Provider Name | Jennifer Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568808939 PECOS PAC ID: 0840610614 Enrollment ID: I20210723002013 |
| Provider Name | Sheila Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760808638 PECOS PAC ID: 5698908440 Enrollment ID: I20210729002438 |
| Provider Name | Katayoun N Paydar |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1447401211 PECOS PAC ID: 6709945298 Enrollment ID: I20210907003584 |
| Provider Name | Margaret Hensley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1255005732 PECOS PAC ID: 9032517842 Enrollment ID: I20211008001274 |
| Provider Name | Cassidy Brooking-lang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033512249 PECOS PAC ID: 3476941758 Enrollment ID: I20211020000595 |
| Provider Name | Terry Klemm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164914511 PECOS PAC ID: 3072901222 Enrollment ID: I20211021000821 |
| Provider Name | Erika Rivas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083297725 PECOS PAC ID: 7315337755 Enrollment ID: I20211129002278 |
| Provider Name | Heidy Margarita Tippetts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548925548 PECOS PAC ID: 5294125076 Enrollment ID: I20211209002711 |
| Provider Name | Hannah R Gammage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346811155 PECOS PAC ID: 5890186829 Enrollment ID: I20211229000862 |
| Provider Name | Daniel Colin Fedyszyn |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1992297071 PECOS PAC ID: 6709270226 Enrollment ID: I20220228001046 |
| Provider Name | Chelsea Elizabeth Manalese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033878921 PECOS PAC ID: 8022403989 Enrollment ID: I20220311002244 |
| Provider Name | Noel Ugarte |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1467047530 PECOS PAC ID: 3375930019 Enrollment ID: I20220427000640 |
| Provider Name | Anita Chekuru |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1801255203 PECOS PAC ID: 7214314038 Enrollment ID: I20220517002739 |
| Provider Name | Georgina Adjei |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164953147 PECOS PAC ID: 4486991551 Enrollment ID: I20220517003041 |
| Provider Name | Basma T. Adwan |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1639151566 PECOS PAC ID: 1658759089 Enrollment ID: I20220525002690 |
| Provider Name | Ashley Ann Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326784950 PECOS PAC ID: 1557741063 Enrollment ID: I20220630000246 |
| Provider Name | Marquita Lagarde |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902247570 PECOS PAC ID: 0749662567 Enrollment ID: I20220726002926 |
| Provider Name | Annie Beth Dodt |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1164159612 PECOS PAC ID: 3779966882 Enrollment ID: I20220822002291 |
| Provider Name | Mary Elizabeth Baum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225766975 PECOS PAC ID: 9638553316 Enrollment ID: I20220830000098 |
| Provider Name | Mozhgan H Kimble |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1205087228 PECOS PAC ID: 4981088507 Enrollment ID: I20220831002408 |
| Provider Name | Carolina Grant |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538896915 PECOS PAC ID: 3476937723 Enrollment ID: I20220906000447 |
| Provider Name | John Thomas Engel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679292064 PECOS PAC ID: 5496131542 Enrollment ID: I20220927003913 |
| Provider Name | Marianne Youssef |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1780644500 PECOS PAC ID: 7618347030 Enrollment ID: I20221229002287 |
| Provider Name | Madison R Huot |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1013622810 PECOS PAC ID: 0244601334 Enrollment ID: I20230127002840 |
| Provider Name | Taylor Ann Hoeg |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1922714047 PECOS PAC ID: 8022489962 Enrollment ID: I20230131003668 |
| Provider Name | Imelda Awuor Bonner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508140237 PECOS PAC ID: 6204209604 Enrollment ID: I20230306002492 |
| Provider Name | Caesar Fernando Rangel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093420804 PECOS PAC ID: 0446615090 Enrollment ID: I20230503002464 |
| Provider Name | Sharon Caravetta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619693223 PECOS PAC ID: 6406211879 Enrollment ID: I20230509000065 |
| Provider Name | Alexander Blake Clabourne |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1285303172 PECOS PAC ID: 7113383795 Enrollment ID: I20230524002014 |
| Provider Name | Colleen A Novota |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1295426237 PECOS PAC ID: 8022475409 Enrollment ID: I20230530001736 |
| Provider Name | Kreena Karishma Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285189464 PECOS PAC ID: 0547683419 Enrollment ID: I20230712001722 |
| Provider Name | Cynthia Marie Knowlton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629768197 PECOS PAC ID: 6901267657 Enrollment ID: I20230728000546 |
| Provider Name | Briana Garcia |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1114606571 PECOS PAC ID: 5597126177 Enrollment ID: I20230728002330 |
| Provider Name | Clay Justin Crockett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164120150 PECOS PAC ID: 8527420116 Enrollment ID: I20230814003231 |
| Provider Name | Megan Cathleen Kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093334112 PECOS PAC ID: 9830512870 Enrollment ID: I20230815001211 |
| Provider Name | Tulsi Lala |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1558517961 PECOS PAC ID: 8123480431 Enrollment ID: I20230818001153 |
| Provider Name | Jordan Alyse Reuter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295411288 PECOS PAC ID: 9234592130 Enrollment ID: I20230824003617 |
| Provider Name | Rachel Patrice Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902580913 PECOS PAC ID: 6709249634 Enrollment ID: I20230825000649 |
| Provider Name | Kari Shane Lahoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316623614 PECOS PAC ID: 1759744410 Enrollment ID: I20230828003607 |
| Provider Name | Stephen James Glaze |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1760840300 PECOS PAC ID: 5193005213 Enrollment ID: I20230912002479 |
| Provider Name | Kara Kristin Marie Everhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891476693 PECOS PAC ID: 3476917972 Enrollment ID: I20230918001482 |
| Provider Name | Sarah Estelle Huber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124803499 PECOS PAC ID: 3173977857 Enrollment ID: I20230928003355 |
| Provider Name | Bobbi Jo Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669259164 PECOS PAC ID: 1052765609 Enrollment ID: I20230929002877 |
| Provider Name | Kaylee Lin Wai Akemi Wada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689459224 PECOS PAC ID: 0446605430 Enrollment ID: I20231011001793 |
| Provider Name | Antika Tongyoo Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467231001 PECOS PAC ID: 7012362767 Enrollment ID: I20231016001901 |
| Provider Name | Chelsea Dawn Apperson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144828187 PECOS PAC ID: 6002262789 Enrollment ID: I20231101001727 |
| Provider Name | Victoria Jane Stinson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396233888 PECOS PAC ID: 5496102550 Enrollment ID: I20231110000812 |
| Provider Name | Angela Radford |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619595782 PECOS PAC ID: 8921458134 Enrollment ID: I20240102000247 |
| Provider Name | Sarah Schultz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205387479 PECOS PAC ID: 2860842994 Enrollment ID: I20240102001242 |
| Provider Name | Kyra Castillo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750993234 PECOS PAC ID: 5294185260 Enrollment ID: I20240103002369 |
| Provider Name | Graceanne Carew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306620182 PECOS PAC ID: 7012368897 Enrollment ID: I20240105001108 |
| Provider Name | Ashlie Larriva |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922707322 PECOS PAC ID: 7719338458 Enrollment ID: I20240108003539 |
| Provider Name | Dennette D Ward |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285757302 PECOS PAC ID: 5698151884 Enrollment ID: I20240108004169 |
| Provider Name | Honora Marie Bullock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568175248 PECOS PAC ID: 6305297946 Enrollment ID: I20240109001120 |
| Provider Name | Kristina Ward Deshler |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1811652167 PECOS PAC ID: 9234523739 Enrollment ID: I20240109002248 |
| Provider Name | Joy Mrowiec |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831846526 PECOS PAC ID: 0648621847 Enrollment ID: I20240112000590 |
| Provider Name | Andres Jaramillo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861764466 PECOS PAC ID: 6305297466 Enrollment ID: I20240112002713 |
| Provider Name | Nicole Zahri |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942854393 PECOS PAC ID: 2264883347 Enrollment ID: I20240112003603 |
| Provider Name | Nanette M Klaus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003682303 PECOS PAC ID: 9032561162 Enrollment ID: I20240115000159 |
| Provider Name | Kristin Johnston |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376056473 PECOS PAC ID: 4385096429 Enrollment ID: I20240115000272 |
| Provider Name | Jessica Raena Camano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831595206 PECOS PAC ID: 6800248949 Enrollment ID: I20240115000360 |
| Provider Name | Mary E Pals |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639777220 PECOS PAC ID: 2163522780 Enrollment ID: I20240115000817 |
| Provider Name | Danielle Maffetone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528483575 PECOS PAC ID: 5294187233 Enrollment ID: I20240116001597 |
| Provider Name | Reynaldo Carlos Cruz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922684026 PECOS PAC ID: 6406208313 Enrollment ID: I20240116004254 |
| Provider Name | Sofia Softas-nall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154028926 PECOS PAC ID: 4284086067 Enrollment ID: I20240117001955 |
| Provider Name | Jeffrey S Jirak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063565455 PECOS PAC ID: 6103278940 Enrollment ID: I20240117004055 |
| Provider Name | Joan Elizabeth Grussing |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588937643 PECOS PAC ID: 8426401928 Enrollment ID: I20240131004414 |
| Provider Name | Jacob Roger Schott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659926665 PECOS PAC ID: 8022451376 Enrollment ID: I20240204000027 |
| Provider Name | Eric Thiss |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740865328 PECOS PAC ID: 2668815408 Enrollment ID: I20240208001043 |
| Provider Name | Alyssa L Fagan-clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154754943 PECOS PAC ID: 6901249713 Enrollment ID: I20240208003040 |
| Provider Name | Megan Ann Christopher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508390840 PECOS PAC ID: 3577814128 Enrollment ID: I20240209000576 |
| Provider Name | Tharakesh Palanisamy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588952741 PECOS PAC ID: 2163866997 Enrollment ID: I20240220001534 |
| Provider Name | Shockie M Dersno |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154961464 PECOS PAC ID: 9032554878 Enrollment ID: I20240301003529 |
| Provider Name | Susan Barnes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720138654 PECOS PAC ID: 3375988025 Enrollment ID: I20240304002522 |
| Provider Name | Demetress Hall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306603139 PECOS PAC ID: 3476999467 Enrollment ID: I20240313000772 |
| Provider Name | Jillian Irwin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1679908685 PECOS PAC ID: 8527418615 Enrollment ID: I20240325004075 |
| Provider Name | Diana Kim |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1679171151 PECOS PAC ID: 4789026162 Enrollment ID: I20240530002977 |
| Provider Name | Laverne Lynn Adams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053727180 PECOS PAC ID: 4284176702 Enrollment ID: I20240611003991 |
| Provider Name | Jacquelyn Emma Bahling |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427555200 PECOS PAC ID: 1759824097 Enrollment ID: I20240614003036 |
Amra Stafford, Psyd, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 67 E Weldon Ave, Suite 320, Phoenix, AZ 85012 Phone: 602-456-7565 Fax: 602-266-0234 | |
Pro Iom Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 Phone: 602-482-2282 | |
Liberty Care Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8111 N 19th Ave Apt 2038, Phoenix, AZ 85021 Phone: 602-367-7916 | |
Insight-therapy Az Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4545 E Shea Blvd Ste 235, Phoenix, AZ 85028 Phone: 602-315-4068 Fax: 602-675-2705 | |
White Tiger Integrated Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 67 E Weldon Ave Ste 220, Phoenix, AZ 85012 Phone: 603-637-7361 | |
Eden Recovery Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2538 E University Dr Ste 180, Phoenix, AZ 85034 Phone: 480-390-3375 | |
Native Country Healthcare Systems Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4805 W Thomas Rd, Phoenix, AZ 85031 Phone: 602-706-8741 |