JOHN ANDREW PROSSER JR. (NPI# 1053746503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053746503 |
| Entity Type | Individual |
| Full Name | JOHN ANDREW PROSSER JR. |
| Credential | MSN, FNP-C |
| Practice Address |
2640 W Baseline Rd Suite 111 Phoenix AZ 85041-6492 |
| Mailing Address |
4600 S Mill Ave Ste 280 Tempe AZ 85282-6850 |
| Practice Telephone | 4806778282 |
| Practice Fax Number | 4806778283 |
| Mailing Telephone | 4803052888 |
| Mailing Fax Number | 4803052889 |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2016-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP5143 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578873923 | John B. Prosser | Psychologist | 1013 Lakecrest St, Grand Prairie, TX 75051-3446 | 2010-10-19 |
| 1942462627 | John Drew Prosser | Otolaryngology | 1120 15th St, Augusta, GA 30912-0004 | 2008-06-25 |
| 1033207733 | John R Prosser | Family Medicine | 6510 E Spring St, Long Beach, CA 90815-1554 | 2006-10-10 |
| Street Address |
2640 W BASELINE RD SUITE 111 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85041-6492 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841216884 | Kristen Thomsen | Family Medicine | 2640 W Baseline Rd, Ste 111, Phoenix, AZ 85041-6492 | 2006-07-14 |
| 1881032670 | Good Health Medical, P.C. | Family Medicine | 2640 W Baseline Rd, Suite 111, Phoenix, AZ 85041-6492 | 2013-06-13 |
| 1821376526 | Wendy Lynn Rynes | Clinical Nurse Specialist | 2640 W Baseline Rd, Phoenix, AZ 85041-6492 | 2011-07-28 |
| 1154621381 | Nicolas Snyder | Physician Assistant | 2640 W Baseline Rd, Phoenix, AZ 85041-6492 | 2010-10-21 |
| 1124296298 | Sandra K Long | Nurse Practitioner | 2640 W Baseline Rd, 111, Phoenix, AZ 85041-6492 | 2008-02-12 |
| 1457407256 | Amy Jeannine Lenox | Physician Assistant | 2640 W Baseline Rd, Suite 111, Phoenix, AZ 85041-6492 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558915843 | Our Home of Unity LLC | Counselor | 6804 S 21st Dr, Phoenix, AZ 85041 | 2019-07-25 |
| 1447816590 | Mbong Jerry Ngwese | Physical Therapist | 2546 West Bloch Rd, Phoenix, AZ 85041 | 2019-05-14 |
| 1588228373 | Arizona Dental Management | Dentist | 3515 West Southern Avenue, Suite #152, Phoenix, AZ 85041 | 2019-04-26 |
| 1447780135 | Mesa Dental Arizona LLC | Dentist | 3320 W Southern Ave #111, Phoenix, AZ 85041 | 2017-06-14 |
| 1932564697 | Job Elliott | Counselor | 4105 W Saint Charles Ave, Phoenix, AZ 85041 | 2015-12-23 |
| 1376914739 | Black Family and Child Services Inc | Community/Behavioral Health | 6811 West 33rd Ave, Phoenix, AZ 85041 | 2015-10-12 |
| 1972900983 | Love Living Life | Assisted Living Facility | 5737 S. 34th Ave, Phoenix, AZ 85041 | 2014-11-20 |
| 1891114641 | Maricopa County Special Health Care District | General Acute Care Hospital | 5650 S 35th Ave, Phoenix, AZ 85041 | 2014-04-09 |
| 1265616213 | Southern Dental | Dentist | 3320 W. Southern Avenue, Suite # 108, Phoenix, AZ 85041 | 2007-12-27 |
| 1518140086 | Arizona Cvs Stores,l.l.c. | Durable Medical Equipment & Medical Supplies | 7550 South 19th Ave, Phoenix, AZ 85041 | 2007-12-07 |
| Find all providers in zip 85041 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407456783 | Brenna Michelle Clements | Nurse Practitioner | 3226 W Donatello Dr, Phoenix, AZ 85086-2200 | 2020-10-27 |
| 1932712825 | Grace Wanjiru Karanja Adams | Nurse Practitioner | 200 E Thomas Rd Unit 217, Phoenix, AZ 85012-1182 | 2020-08-28 |
| 1649895574 | Jozzette Elaine Rubio | Nurse Practitioner | 1924 E Vineyard Rd, Phoenix, AZ 85042-5793 | 2020-06-16 |
| 1396360749 | Ulivvo Inc. | Nurse Practitioner | 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 | 2020-06-11 |
| 1568087955 | Christa Ann Colvin | Nurse Practitioner | 6800 E Mayo Blvd Apt 1211, Phoenix, AZ 85054-5619 | 2020-06-10 |
| 1497378541 | Sharon Uchechi Joshua | Nurse Practitioner | 9117 W Virginia Ave, Phoenix, AZ 85037-4233 | 2020-05-23 |
| 1992326102 | Ashley Elizabeth Hall | Nurse Practitioner | 15810 N 18th St, Phoenix, AZ 85022-3302 | 2020-04-28 |
| 1750916797 | Sebastian Freeman Smith | Nurse Practitioner | 2716 W Cedarwood Ln, Phoenix, AZ 85045-2224 | 2020-03-10 |
| 1295365724 | Jessica Veasy | Nurse Practitioner | 7251 N 23rd Ave, Phoenix, AZ 85021-7714 | 2020-01-23 |
| 1568092526 | Anuradha Lingamneni | Nurse Practitioner | 2313 E Dry Wood Rd, Phoenix, AZ 85024-8688 | 2020-01-18 |
| 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.