DR. AUDREY A KANWISCHER (NPI# 1093791568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093791568 |
| Entity Type | Individual |
| Full Name | DR. AUDREY A KANWISCHER |
| Credential | D.O. |
| Practice Address |
483 W. Seed Farm Rd. Sacaton AZ 85247 |
| Mailing Address |
Po Box 115 Sacaton AZ 85247-0115 |
| Practice Telephone | 6025281340 |
| Practice Fax Number | 6025281296 |
| Mailing Telephone | 6025281340 |
| Mailing Fax Number | 6025281296 |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2012-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
3744 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
483 W. SEED FARM RD. |
| City | SACATON |
| State | AZ |
| Zip Code | 85247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316941867 | Ronald Eugene Morehouse | Physician Assistant | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2005-06-10 |
| 1154808780 | Brady Glenn Lybbert | Dentist | 483 W. Seed Farm Rd., Sacaton, AZ 85147 | 2018-07-26 |
| 1598257248 | Corinne C Ciuris | Dietitian, Registered | 483 W. Seed Farm Rd., Sacaton, AZ 85043 | 2018-05-30 |
| 1598256398 | Phil Armando Sanchez | Social Worker | 483 W. Seed Farm Rd., Icm - Behavioral Health, Sacaton, AZ 85147 | 2018-05-29 |
| 1710414503 | Vicki Stevenson | Social Worker | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2017-05-11 |
| 1124569892 | Dustin Akina | Physical Therapist | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2017-03-15 |
| 1346791571 | Emily Perkins | Dietitian, Registered | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2016-10-24 |
| 1861852329 | Christine Waite | Dietitian, Registered | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2016-02-26 |
| 1912366980 | Rosalinda Sigarroba | Counselor | 483 W. Seed Farm Rd., Sacaton, AZ 85147 | 2016-02-18 |
| 1447619523 | Manny Athans | Counselor | 483 W. Seed Farm Rd., Sacaton, AZ 85147 | 2016-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669956157 | Lisa Marlene Valletta | Occupational Therapist | 338 S. Ocotillo Dr., Sacaton, AZ 85247 | 2018-09-20 |
| 1780831313 | Catherine Colella | Speech-Language Pathologist | Skill Center Road, Sacaton, AZ 85247 | 2008-08-26 |
| 1447428206 | Janet M Carpentier | Counselor | 483 W Seedfarm Road, New Beginnings Bldg, Sacaton, AZ 85247 | 2008-02-14 |
| 1962680470 | Donald A. Arntsen | Counselor | 483 W. Seedf Farm Rd, Sacaton, AR 85247 | 2008-02-06 |
| 1508044223 | Ted Whitney Allison | Counselor | 483 Seed Farm Road, Sacaton, AZ 85247 | 2008-02-05 |
| 1821206855 | Ashley Anderson | Pharmacist | 483 West Farm Seed Road, Sacaton, AZ 85247 | 2007-05-21 |
| 1295957256 | Judy Ann Banta | Psychologist | 98 South Skill Center Road, Sacaton, AZ 85247 | 2007-05-02 |
| 1558499319 | Nathan Paul Long | Internal Medicine | 7929 Brookriver Dr. Ste. 165, Dallas, TX 85247 | 2007-03-01 |
| 1609929942 | S. Louise Chitwood | Pharmacist | Seed Farm Road, Sacaton, AZ 85247 | 2007-01-19 |
| 1417000803 | Thomas Alan Alpert | Pharmacist | 483 W Seedfarm Rd, Sacaton, AZ 85247 | 2007-01-19 |
| Find all providers in zip 85247 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881257970 | Wellpsyche Scottsdale PC | Psychiatry & Neurology | 7150 E Camelback Rd Ste 422, Scottsdale, AZ 85251-1200 | 2019-04-15 |
| 1699296574 | Sandra M Zebrowski | Psychiatry & Neurology | 4350 E Cotton Center Blvd Ste 100, Suite 100, Phoenix, AZ 85040-8852 | 2017-06-30 |
| 1083099170 | Lois G Mclean | Psychiatry & Neurology | 77 Old Highway 188, Unit 130, Tonto Basin, AZ 85553-9996 | 2015-07-30 |
| 1780070805 | Carolyn Powers Wiersma | Psychiatry & Neurology | Us Highway 191 & Hospital Road, Chinle, AZ 86503 | 2015-04-15 |
| 1598164675 | Focus Therapeutics, LLC | Psychiatry & Neurology | 6835 East Camelback Road, Suite B13, Scottsdale, AZ 85251 | 2014-08-14 |
| 1700164399 | Ricardo Angelo Manganaro | Psychiatry & Neurology | 5801 S Rural Rd, Tempe, AZ 85283-2901 | 2011-07-30 |
| 1780979740 | Roberto I. Bracamonte, M.d., P.C. | Psychiatry & Neurology | 3550 E Pinchot Ave, Building B, Phoenix, AZ 85018-7434 | 2011-06-17 |
| 1306016258 | Andrew T. Haber | Psychiatry & Neurology | 5930 E Stella Ln, Paradise Valley, AZ 85253-4276 | 2008-03-06 |
| 1619164829 | Alfredo C. Ramirez, Md Pllc | Psychiatry & Neurology | 8684 E Semple Street, Tucson, AZ 85747 | 2007-10-02 |
| 1174749535 | John I. Maurer | Psychiatry & Neurology | Po Drawer Ph, Chinle, AZ 86503 | 2007-04-17 |
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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.