WHITE MOUNTAIN MOBILE CARE (NPI# 1023627965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023627965 |
| Entity Type | Organization |
| Organization Name | WHITE MOUNTAIN MOBILE CARE |
| Practice Address |
650 N Penrod Rd # 533 Show Low AZ 85901-5284 |
| Practice Telephone | 9282665437 |
| Practice Fax Number | 6506818724 |
| Mailing Telephone | 9282665437 |
| Mailing Fax Number | 6506818724 |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |
| Authorized Official Name | MS. KAREN LILLIAN BISHOP (FNP) |
| Authorized Official Telephone | 9282665437 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
650 N PENROD RD # 533 |
| City | SHOW LOW |
| State | AZ |
| Zip Code | 85901-5284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811468804 | Summit Healthcare Association | Pharmacy | 4951 South White Mountain Road, Bldg A., Suite 1500, Show Low, AZ 85901 | 2018-12-17 |
| 1821446386 | Ivy L Loney | Social Worker | 580 E. Old Linden Rd #6, Show Low, AZ 85901 | 2016-05-25 |
| 1750749214 | Summit Healthcare | General Acute Care Hospital | 181 East Sylvester, Show Low, AZ 85901 | 2016-01-29 |
| 1194153916 | Alpha & Omega Physical Therapy Acc | Physical Therapist | 861 E Cooley St # B, Show Low, AZ 85901 | 2013-10-15 |
| 1033454707 | North Country Healthcare, Inc. | Family Medicine | 2600 E. Show Low Lake Rd., Show Low, AZ 85901 | 2012-12-06 |
| 1073740098 | North Country Healthcare, Inc. | Clinic/Center | 2650 E. Show Low Lake Rd, Suite 1, Show Low, AZ 85901 | 2009-06-17 |
| 1215174768 | Coast To Coast Air Ambulance, LLC | Ambulance | 3151 Airport Loop Ste 2, Show Low, AZ 85901 | 2009-01-20 |
| 1487899712 | Akdhc, LLC | Internal Medicine | 2051 Evergreen Lane, Ste D, Your Family Practice Team, Show Low, AZ 85901 | 2008-12-16 |
| 1851553192 | Health Angels Companion Care, Inc. | Technician | 1001 E. Huning, Show Low, AZ 85901 | 2008-06-27 |
| 1528231586 | Peggy Johnson | Occupational Therapist | Cusd# 24 Hwy 191, Chinle, AZ 85901 | 2008-04-10 |
| Find all providers in zip 85901 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972121861 | Jessica Dixon | Nurse Practitioner | 4951 S White Mountain Rd Bldg A3, Show Low, AZ 85901-7827 | 2020-07-08 |
| 1043673262 | Kelly Curiel | Nurse Practitioner | 2061 S Canyon Ridge Trl, Show Low, AZ 85901-6798 | 2016-04-04 |
| 1275962219 | Raedene Ann Hageman | Nurse Practitioner | 2621 Maple Lane, Show Low, AZ 85902-3526 | 2013-11-08 |
| 1093148991 | Brandie Dianna Griffin | Nurse Practitioner | 2500 E Hunt Dr Ste H, Show Low, AZ 85901-7954 | 2013-08-14 |
| 1780670398 | Debra L Bergstrom | Nurse Practitioner | 1500 S White Mountain Rd, Suite 401, Show Low, AZ 85901-7111 | 2005-09-20 |
| 1336705151 | Amber Luna | Nurse Practitioner | 320 E Deuce of Clubs, Show Low, AZ 85901-4808 | 2019-05-16 |
| 1598321481 | Ashley Marie Smith | Nurse Practitioner | 320 E Deuce of Clubs, Show Low, AZ 85901-4808 | 2019-05-15 |
| 1174187546 | Constance L Collman | Nurse Practitioner | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2019-04-30 |
| 1851870919 | Mary Jane Wild Sorenson | Nurse Practitioner | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2018-08-09 |
| 1235641382 | Nicolette Broby | Nurse Practitioner | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2017-10-30 |
| Find all providers in SHOW LOW | ||||
Please comment or provide details below to improve the information on WHITE MOUNTAIN MOBILE CARE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.