STEPHANIE LORRAINE JERNIGAN (NPI# 1093110314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093110314 |
| Entity Type | Individual |
| Full Name | STEPHANIE LORRAINE JERNIGAN |
| Practice Address |
12838 W Valentine Ave El Mirage AZ 85335-8206 |
| Practice Telephone | 6232663546 |
| Mailing Telephone | 6232663546 |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2014-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376G00000X | Nursing Home Administrator | AL8945H | AZ | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336180991 | Stephanie Mcgee Jernigan | Internal Medicine | 1428 Dunwoody Village Pkwy, Dunwoody, GA 30338 | 2006-06-08 |
| 1275504698 | Stephanie L Jernigan | Nurse Practitioner | 3901 Rainbow Blvd, Mail Stop 4044, Kansas City, KS 66160 | 2006-02-01 |
| Street Address |
12838 W VALENTINE AVE |
| City | EL MIRAGE |
| State | AZ |
| Zip Code | 85335-8206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780082826 | Jessica Jones | Social Worker | 15100 N B Circle, El Mirage, AZ 85335 | 2014-12-05 |
| 1700280740 | Honey Queen Magbago | Physical Therapy Assistant | 12501 W Ash St, El Mirage, AZ 85335 | 2014-10-20 |
| 1396158994 | Richard Glisson | Pharmacist | 2840 North Dysart Road, Goodyear, AZ 85335 | 2014-06-11 |
| 1508106642 | Care 4 U Group Homes, LLC #2 | Assisted Living Facility | 12706 W Boca Raton, El Mirage, AZ 85335 | 2013-02-27 |
| 1780859066 | Kalmed LLC | Non-emergency Medical Transport (VAN) | 12501 W. Sunnyside Dr., Same As Above, El Mirage, AZ 85335 | 2008-04-28 |
| 1184763823 | Jennifer Colleen Whitaker | Occupational Therapist | 11800 West Thompson Ranch, El Mirage, AZ 85335 | 2007-02-06 |
| 1447275292 | Christine C Briones | Obstetrics & Gynecology | 15235 N Dysart Rd, El Mirage, AZ 85335 | 2006-07-13 |
| 1134181332 | Little Smiles of Surprise | Dentist | 13915 N Dysart Rd, Ste A1, El Mirage, AZ 85335 | 2006-04-04 |
| 1215918107 | Salibus United Drug Pharmacy | Pharmacy | 11713 W Thunderbird Rd, El Mirage, AZ 85335 | 2005-11-08 |
| 1154886547 | Sarah Buggle | Nurse Practitioner | 12428 W Thunderbird Rd, El Mirage, AZ 85335 | 2019-02-10 |
| Find all providers in zip 85335 | ||||
| Taxonomy Code | 376G00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nursing Home Administrator |
| An individual, often licensed by the state, who is responsible for the management of a nursing home. |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations, and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL, 1994, p. 552. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710598420 | Estrella of Cascadia LLC | Nursing Home Administrator | 2020 N 95th Ave, Phoenix, AZ 85037-4334 | 2020-08-14 |
| 1801404298 | Elaines Residential Home | Nursing Home Administrator | 521 S Williams Pl, Chandler, AZ 85225-6455 | 2020-07-21 |
| 1346867231 | Floraeden Yerkovich | Nursing Home Administrator | 2102 N Chestnut Cir, Mesa, AZ 85213-2216 | 2020-06-26 |
| 1558903088 | Emil Usvat | Nursing Home Administrator | 7878 E Vista Bonita Dr, Scottsdale, AZ 85255-4123 | 2019-10-16 |
| 1013570753 | Helen Dike | Nursing Home Administrator | 320 E Oak St, Globe, AZ 85501-2145 | 2019-04-18 |
| 1861985277 | Aniisha Sarkissian | Nursing Home Administrator | 2043 M Cave Creek, Phoenix, AZ 85067-3171 | 2018-06-11 |
| 1871029090 | Carolyn Wanyama | Nursing Home Administrator | 44880 W Portabello Road, Maricopa, AZ 85139 | 2017-05-08 |
| 1003359696 | Tammy Mirkazemi | Nursing Home Administrator | 13039 W Cheery Lynn Rd, Avondale, AZ 85392-6775 | 2016-11-30 |
| 1124561410 | Arketa Zambakari | Nursing Home Administrator | 4123 N 21st St, Phoenix, AZ 85016-6109 | 2016-11-18 |
| 1841742806 | Ladywinnie Amoo Oulanyah | Nursing Home Administrator | 3230 N Craycroft Rd Apt 1, Tucson, AZ 85712-5246 | 2016-10-25 |
| 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.