JOELLEN BEARD EMBRY (NPI# 1083703045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083703045 |
| Entity Type | Individual |
| Full Name | JOELLEN BEARD EMBRY |
| Credential | NP |
| Practice Address |
2204 S Dobson Rd Ste 203 Mesa AZ 85202 |
| Mailing Address |
3370 N Hayden Rd # 123-215 Scottsdale AZ 85251-6632 |
| Practice Telephone | 4803762170 |
| Practice Fax Number | 4806990056 |
| Mailing Telephone | 4803762170 |
| Mailing Fax Number | 4803762169 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2018-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN053123 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
AP7036 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
RN053123 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | ARIZONA STATE BOARD OF NURSING | AP7036 | 01 |
| AZ | 431130 | 05 |
| Street Address |
2204 S DOBSON RD STE 203 |
| City | MESA |
| State | AZ |
| Zip Code | 85202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134206691 | Barbara Lynne Lockwood | Nurse Practitioner | 2204 S Dobson Rd Ste 203, Mesa, AZ 85202 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
| Find all providers in zip 85202 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851707293 | Mi Doctora | Nurse Practitioner | 1142 E Southern Ave Ste C101, Mesa, AZ 85204-5055 | 2014-07-07 |
| 1659660041 | Wende Michele Scholzen | Nurse Practitioner | 1919 E Mckellips Rd Ste 106, Mesa, AZ 85203 | 2011-04-06 |
| 1538353560 | Judy Lee Morgan | Nurse Practitioner | 2919 S Ellsworth Rd Ste 125, Mesa, AZ 85212-2167 | 2007-09-03 |
| 1215553425 | Cypress Health and Wellness Spa, LLC | Nurse Practitioner | 605 N Gilbert Rd, Mesa, AZ 85203-6629 | 2020-06-23 |
| 1033428255 | Kelly Bilof | Nurse Practitioner | 1432 S Dobson Rd, Suite 509, Mesa, AZ 85202-4768 | 2010-10-05 |
| 1881804995 | Delia Deloris Bliss | Nurse Practitioner | 1039 N Country Club Dr, Mesa, AZ 85201-3300 | 2007-05-23 |
| 1134206691 | Barbara Lynne Lockwood | Nurse Practitioner | 2204 S Dobson Rd Ste 203, Mesa, AZ 85202 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962018952 | Marlene Hildegard Zeller | Nurse Practitioner | 16630 S 38th Pl, Phoenix, AZ 85048-7944 | 2020-09-16 |
| 1235750381 | Gilbert Family Birth Center, LLC | Nurse Practitioner | 246 S Gilbert Rd, Gilbert, AZ 85296-1600 | 2020-04-29 |
| 1962034355 | Jessica Lynn Contreras | Nurse Practitioner | 6704 N 10th Ave, Phoenix, AZ 85013-1008 | 2020-02-04 |
| 1861023921 | Courtney Ann Mackinnon | Nurse Practitioner | 5300 S Sutter Dr Ste 11, Show Low, AZ 85901-8055 | 2020-01-28 |
| 1851948699 | Nicole Marie Keeling | Nurse Practitioner | 3818 S. Val Vista Drive, Suite 101, Gilbert, AZ 85297-7309 | 2019-08-26 |
| 1144786591 | Modern Milk Gilbert | Nurse Practitioner | 3244 E Guadalupe Rd Ste 106, Gilbert, AZ 85234-9605 | 2019-02-11 |
| 1164988515 | Modern Milk | Nurse Practitioner | 13802 N Scottsdale Rd Ste 162, Scottsdale, AZ 85254-3437 | 2019-02-11 |
| 1538638028 | Mamie Elizabeth Ramchandani | Nurse Practitioner | 5750 E Highway 90 Ste 300, Sierra Vista, AZ 85635-9111 | 2018-11-14 |
| 1326565540 | Megan Nicole Spiekermeier | Nurse Practitioner | 3400 N Dysart Rd # 121, Avondale, AZ 85392-1003 | 2017-08-28 |
| 1023560885 | Danielle Marie Villatoro | Nurse Practitioner | 9731 S Camino De La Calinda, Vail, AZ 85641 | 2016-10-27 |
| Find all providers with the same taxonomy | ||||
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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.