FATIMA CABAL TAGLE (NPI# 1033201405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033201405 |
Entity Type | Individual |
Full Name | FATIMA CABAL TAGLE |
Other Name | FATIMA CASTANAR CABAL |
Credential | NP |
Practice Address |
3202 E Greenway Rd Phoenix AZ 85032-4548 |
Mailing Address |
21618 N 44th Pl Phoenix AZ 85050-6934 |
Practice Telephone | 6023255577 |
Mailing Telephone | 4805130793 |
Mailing Fax Number | 4805130793 |
Enumeration Date | 2006-09-29 |
Last Update Date | 2020-04-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 4704203126 | MI | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AP3316 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 470247810 | 05 | |
MI | 470246910 | 05 | |
MI | RR MEDICARE | P00231988 | 01 |
MI | BLUE SHIELD | FC203126 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
3003 N 3rd St, Suite 800, Phoenix, AZ 850123031 | 6024621132 | 6024621131 |
Street Address |
3202 E GREENWAY RD |
City | PHOENIX |
State | AZ |
Zip Code | 85032-4548 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407899842 | Richard P Kratche | Family Medicine | 3202 E Greenway Rd, Phoenix, AZ 85032-4548 | 2006-06-14 |
1326543364 | Taneyea Cooley | Social Worker | 3202 E Greenway Rd, Phoenix, AZ 85032-4548 | 2018-03-29 |
1720454887 | Iora Senior Health Inc. | Internal Medicine | 3202 E Greenway Rd, Phoenix, AZ 85032-4548 | 2015-08-12 |
1386070076 | Pww Health Center LLC | Case Manager/Care Coordinator | 3202 E Greenway Rd, Suite 1619, Phoenix, AZ 85032-4548 | 2013-09-25 |
1487915294 | Rupa Krishna Low | Family Medicine | 3202 E Greenway Rd, Phoenix, AZ 85032-4548 | 2012-06-07 |
1922255850 | Ew Healthcare, LLC | Chiropractor | 3202 E Greenway Rd, Suite 1619, Phoenix, AZ 85032-4548 | 2008-08-21 |
1013182856 | Erin Lee Waychoff | Chiropractor | 3202 E Greenway Rd, #1619, Phoenix, AZ 85032-4548 | 2008-04-23 |
1316111057 | General Dentistry for Kids-greenway Pllc | Dentist | 3202 E Greenway Rd, Ste 1287, Phoenix, AZ 85032-4548 | 2008-04-14 |
1053582684 | Pierce West Waychoff | Chiropractor | 3202 E Greenway Rd, Ste. 1619, Phoenix, AZ 85032-4548 | 2008-03-24 |
1073631628 | Antonietta Cortese Waybright | Dentist | 3202 E Greenway Rd, Ste 1287, Phoenix, AZ 85032-4548 | 2007-03-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689298838 | Eboni Nicole Morris | Psychologist | 166001 N. 40th St., Suite 210, Phoenix, AZ 85032 | 2020-06-03 |
1326688573 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3227 E Bell Road, Suite 170, Room P1, Phoenix, AZ 85032 | 2020-01-15 |
1740836642 | Integrated Medical Services Inc | Internal Medicine | 3815 W Bell Rd, Ste 3200, Phoenix, AZ 85032 | 2019-08-15 |
1639739576 | Sarah Martin | Physical Therapy Assistant | Ridgecrest Healthcare, 16640 North 38th Street, Phoenix, AZ 85032 | 2019-06-13 |
1750846168 | Conte Sport Performance Therapy LLC | Physical Therapist | 18413 N. Cave Creed Rd, Suite 8, Phoenix, AZ 85032 | 2019-02-11 |
1659848208 | Pacific Dental Services Foundation | Physician Assistant | 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032 | 2018-10-31 |
1083100812 | Phoenix Interventional Pain Management, Pllc | Anesthesiology | 3815 E Bell Rd Ste 3500a, Phoenix, AZ 85032 | 2018-07-04 |
1770074635 | Np Professional LLC | Clinic/Center | 3329 E Bell Rd Ste A1, Phoenix, AZ 85032 | 2018-05-25 |
1932600020 | North Phoenix Asc LLC | Clinic/Center | 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 | 2018-02-23 |
1396263307 | Cheryl Anne Miller | Registered Nurse | 15002 N. 32nd St., Phoenix, AZ 85032 | 2017-08-30 |
Find all providers in zip 85032 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013552124 | Alliance With The Covenant of The Trinity Arizona Inc | Nurse Practitioner | 2 N Central Ave Fl 18, Phoenix, AZ 85004-2322 | 2019-11-12 |
1023222551 | Mary L Froehlich | Nurse Practitioner | 2930 E Camelback Rd, Phoenix, AZ 85016-4411 | 2007-05-10 |
1396898458 | The Elderly Advocate Inc. | Nurse Practitioner | 4040 E Mcdowell Rd, Suite # 214, Phoenix, AZ 85008-4414 | 2007-01-19 |
1245231042 | Sharolyn Liane Mcclurg | Nurse Practitioner | 2025 N 3rd St, Suite 170, Phoenix, AZ 85004-1471 | 2005-08-03 |
1417518564 | David S. Farrow | Nurse Practitioner | 4350 E Camelback Rd Ste F100, Phoenix, AZ 85018-8313 | 2019-06-27 |
1427542927 | William Fox Jr. | Nurse Practitioner | 9520 W Palm Ln, Phoenix, AZ 85037-4403 | 2018-06-18 |
1629519335 | Helen Tagormacon Ferrer-irwin | Nurse Practitioner | 2510 W Dunlap Ave, Ste 290, Phoenix, AZ 85021-2737 | 2017-03-14 |
1518411313 | Susanne Uhrig | Nurse Practitioner | 20040 N 19th Ave Ste A, Phoenix, AZ 85027-4256 | 2016-08-09 |
1881055291 | Carrie Jean Peterson | Nurse Practitioner | 625 N 6th St, Phoenix, AZ 85004 | 2016-03-11 |
1568829554 | Anne Bourgeois | Nurse Practitioner | 4550 E Bell Rd Ste 170, Phoenix, AZ 85032 | 2016-01-21 |
Find all providers in PHOENIX |
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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.