MS. ADLENE JOSEPH (NPI# 1063958676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063958676 |
Entity Type | Individual |
Full Name | MS. ADLENE JOSEPH |
Credential | FNP-BC |
Practice Address |
1896 E Babbitt Ln San Luis AZ 85349 |
Mailing Address |
Po Box 1669 San Luis AZ 85349-1669 |
Practice Telephone | 9287226112 |
Practice Fax Number | 9287226113 |
Mailing Telephone | (928) 722-6112 |
Mailing Fax Number | 9287226113 |
Enumeration Date | 2017-01-06 |
Last Update Date | 2017-08-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN204570 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP9770 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 258331 | 05 |
Street Address |
1896 E BABBITT LN |
City | SAN LUIS |
State | AZ |
Zip Code | 85349 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851413231 | Steven Lee Covington | Nurse Practitioner | 1896 E Babbitt Ln, San Luis, AZ 85349 | 2007-04-04 |
1801375126 | Gwendolyn Terrazas | Nurse Practitioner | 1896 E Babbitt Ln, San Luis, AZ 85349 | 2018-08-08 |
1619462009 | Edgar Mayorquin | Nurse Practitioner | 1896 E Babbitt Ln, San Luis, AZ 85349 | 2018-06-27 |
1528500576 | Victoria Lasala | Pediatrics | 1896 E Babbitt Ln, San Luis, AZ 85349 | 2016-11-08 |
1194277103 | Regional Center for Border Health, Inc Mobile Unit | Counselor | 1896 E Babbitt Ln, San Luis, AZ 85349 | 2016-10-26 |
1659823664 | Regional Center for Border Health, Inc. | Counselor | 1896 E Babbitt Ln, San Luis, AZ 85349 | 2016-10-26 |
1053862300 | Nathaniel Spencer Harriman | Physician Assistant | 1896 E Babbitt Ln, San Luis, AZ 85349 | 2016-10-21 |
1356894240 | Clarisse Ngueha-nana | Nurse Practitioner | 1896 E Babbitt Ln, San Luis, AZ 85349-7613 | 2016-07-27 |
1215396650 | Adrian Gutierrez | Nurse Practitioner | 1896 E Babbitt Ln, San Luis, AZ 85349 | 2016-02-13 |
1366677247 | Carolina Prieto | Counselor | 1896 E Babbitt Ln, San Luis, AZ 85349 | 2009-05-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598391351 | Bryson Lee Wandling | Physician Assistant | 815 E. Cesar Chavez Blvd., San Luis, AZ 85349 | 2020-03-12 |
1306482377 | Cecilia Denise Zepeda | Registered Nurse | 1250 N. 8th Avenue, San Luis, AZ 85349 | 2019-11-25 |
1184142317 | Rosenda Uribe | Specialist/Technologist | 337 Adobe St, San Luis, AZ 85349 | 2017-09-08 |
1033644372 | Lourens Rasmus Botha | Pharmacist | 1613 N Main Street, San Luis, AZ 85349 | 2017-04-24 |
1205389988 | Miriam Gonzalez | Dentist | 801 North 2nd Ave, San Luis, AZ 85349 | 2016-07-28 |
1386016269 | Isabel M Arias | Dental Hygienist | 1896 E. Babbitt Ln., San Luis, AZ 85349 | 2015-10-30 |
1801262308 | Rosario Alejandra Morales Villegas | Specialist/Technologist | 1657 E. B Street, San Luis, AZ 85349 | 2015-08-19 |
1598142291 | Manuel Angel Salcido | Specialist/Technologist, Other | 1959 E Georgina St, San Luis, AZ 85349 | 2015-05-01 |
1508269465 | Christina Mclean | Registered Nurse | 1250 N. 8 Ave., San Luis, AZ 85349 | 2014-10-06 |
1134542921 | Gerardo Garcia | Pharmacist | 1613 N Main St, San Luis, AZ 85349 | 2014-01-29 |
Find all providers in zip 85349 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386287753 | San Jose Integrated Clinic LLC | Nurse Practitioner | 2000 E Juan Sanchez Blvd, San Luis, AZ 85336-0481 | 2019-10-17 |
1992160329 | Patricia Rodriguez, Fnp-c & Associates | Nurse Practitioner | 1950 Juan Sanchez Blvd, Suite F, San Luis, AZ 85349-6805 | 2015-12-30 |
1699904334 | Fsp Health Ministries | Nurse Practitioner | 1914 E. Juan Sanchez Blvd, Suite 2, San Luis, AZ 85349 | 2009-07-02 |
1154546810 | Fsp Health Ministries | Nurse Practitioner | 780 N Cesar Chavez St, San Luis, AZ 85349 | 2007-04-16 |
1851413231 | Steven Lee Covington | Nurse Practitioner | 1896 E Babbitt Ln, San Luis, AZ 85349 | 2007-04-04 |
1740367374 | Rodolfo Valenzuela Iv | Nurse Practitioner | 1914 E. Juan Sanchez Blvd., 2, San Luis, AZ 85349-6805 | 2006-11-01 |
1578536892 | Gregory Allen Larson | Nurse Practitioner | 1233 N Main St, Ste 1a, San Luis, AZ 85349 | 2006-02-08 |
1790775567 | Emelin Martinez | Nurse Practitioner | North Highway 159, San Luis, CO 81152 | 2005-10-24 |
1356894240 | Clarisse Ngueha-nana | Nurse Practitioner | 1896 E Babbitt Ln, San Luis, AZ 85349-7613 | 2016-07-27 |
1770917429 | Gina Botello | Nurse Practitioner | 1896 E Babbit Ln, San Luis, AZ 85349 | 2013-08-29 |
Find all providers in SAN LUIS |
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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.