| Healthy Life Corporation | |
|
10240 W Indian School Rd Suite 155 Phoenix AZ 85037-5904 | |
| (623) 385-7900 | |
| (623) 440-4360 |
| Full Name | Healthy Life Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 10240 W Indian School Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Vonnie L Williams (CREDENTIALING MANAGER) |
| Authorized Official Contact | 6233373925 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Life Corporation 10240 W Indian School Rd Suite 155 Phoenix AZ 85037-5904 Ph: (623) 385-7900 | Healthy Life Corporation 10240 W Indian School Rd Suite 155 Phoenix AZ 85037-5904 Ph: (623) 385-7900 |
| NPI Number | 1548510365 |
|---|---|
| Provider Enumeration Date | 09/19/2012 |
| Last Update Date | 11/20/2023 |
| Medicare PECOS PAC ID | 9739353061 |
|---|---|
| Medicare Enrollment ID | O20160524000616 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548510365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ethan O Kennedy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972679181 PECOS PAC ID: 1658353644 Enrollment ID: I20040603000546 |
| Provider Name | Kimberly Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447446471 PECOS PAC ID: 8426001793 Enrollment ID: I20050226000031 |
| Provider Name | Tisha K Schwartz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790764843 PECOS PAC ID: 6901835834 Enrollment ID: I20050810000822 |
| Provider Name | Christopher S Hiler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336133701 PECOS PAC ID: 5496780272 Enrollment ID: I20050929001064 |
| Provider Name | Leslie M Rach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629384284 PECOS PAC ID: 5395926182 Enrollment ID: I20110228000351 |
| Provider Name | Teresa M Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043593072 PECOS PAC ID: 0648431288 Enrollment ID: I20120409000376 |
| Provider Name | Kelly Lueck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578815809 PECOS PAC ID: 3779728043 Enrollment ID: I20130315000103 |
| Provider Name | Marisa I Rebeka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588066013 PECOS PAC ID: 4880917251 Enrollment ID: I20141217000015 |
| Provider Name | Helena In't Veld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982071429 PECOS PAC ID: 8426366063 Enrollment ID: I20151001001710 |
| Provider Name | Christine Rocks-lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639553548 PECOS PAC ID: 9335438050 Enrollment ID: I20160519001980 |
| Provider Name | Robert T Galey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093259640 PECOS PAC ID: 0345513974 Enrollment ID: I20170901003089 |
| Provider Name | Jonathan Chorney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235541269 PECOS PAC ID: 2365715489 Enrollment ID: I20170911002935 |
| Provider Name | Margaret Z. Pallo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801335823 PECOS PAC ID: 7911271028 Enrollment ID: I20170927003229 |
| Provider Name | Tammy Lynn Ericson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659819985 PECOS PAC ID: 4082986187 Enrollment ID: I20171113003269 |
| Provider Name | Noemi Pimentel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538643218 PECOS PAC ID: 5092068445 Enrollment ID: I20181101001433 |
| Provider Name | Naomi Nicole Jimenez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083189112 PECOS PAC ID: 2961743638 Enrollment ID: I20190405000820 |
| Provider Name | Francisca M Olibarria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649833716 PECOS PAC ID: 5698008076 Enrollment ID: I20190618001438 |
| Provider Name | Marcus C Rollins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487234522 PECOS PAC ID: 9931517281 Enrollment ID: I20210505001730 |
| Provider Name | Bethany Mainville-brooks |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1922620590 PECOS PAC ID: 7416357520 Enrollment ID: I20220321000737 |
| Provider Name | Carmela Marfori Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013633643 PECOS PAC ID: 2961870613 Enrollment ID: I20221130001666 |
| Provider Name | Caroline Mercedes Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295434454 PECOS PAC ID: 6608240544 Enrollment ID: I20230316001432 |
| Provider Name | Vanessa Porras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902505647 PECOS PAC ID: 2163897844 Enrollment ID: I20230411001893 |
| Provider Name | Kathryn Foryst Suess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427733658 PECOS PAC ID: 1254790538 Enrollment ID: I20230705001203 |
Richard A. Snider, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12010 S Warner Elliot Loop, Phoenix, AZ 85044 Phone: 480-893-2644 | |
Kelly H. Roy, Md, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1008 E Mcdowell Rd, Phoenix, AZ 85006 Phone: 602-358-8588 Fax: 602-688-6991 | |
My Family Doctor In The Valley Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11030 N Tatum Blvd, Ste 101, Phoenix, AZ 85028 Phone: 602-687-8265 | |
Deborah L Dykema Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20045 N 19th Ave Bldg 9-151, Phoenix, AZ 85027 Phone: 602-978-1555 | |
Scottsdale Housecall Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11030 N Tatum Blvd Ste 101, Phoenix, AZ 85028 Phone: 602-687-8265 | |
Wings Of Hope Medical Services, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11022 N 28th Dr Ste 205, Phoenix, AZ 85029 Phone: 602-971-0304 Fax: 602-971-0305 | |
Sheperd Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9150 W Indian School Rd Ste 111b, Phoenix, AZ 85037 Phone: 623-247-2300 Fax: 623-247-1939 |