DESIREE PACHECO (NPI# 1104426063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104426063 |
| Entity Type | Individual |
| Full Name | DESIREE PACHECO |
| Practice Address |
2333 E Southern Ave Unit 2088 Tempe AZ 85282-7647 |
| Practice Telephone | 4802834818 |
| Mailing Telephone | 4802834818 |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | AZ | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508411125 | Desiree Pacheco | Rehabilitation Practitioner | 12099 W Washington Blvd, Los Angeles, CA 90066-5882 | 2019-08-09 |
| Street Address |
2333 E SOUTHERN AVE UNIT 2088 |
| City | TEMPE |
| State | AZ |
| Zip Code | 85282-7647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346893575 | Cactus Canyon Dental | Dentist | 2043 E Southern Ave, Ste. C, Tempe, AZ 85282 | 2019-07-17 |
| 1023679644 | Donna Cooks | Registered Nurse | 233 E. Sourthern Ave #27702, Tempe, AZ 85282 | 2019-06-25 |
| 1841854932 | Lynn Stafford | Registered Nurse | 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-04-24 |
| 1598227340 | Jane Ramenofsky Ramenofsky Stewart | Registered Nurse | 4041 So. Mcclintock Suite 302, Tempe, AZ 85282 | 2019-04-02 |
| 1588129902 | Mary K Wheeler Mcfarland | Registered Nurse | Adobe Care and Wellness LLC, Address Is 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-02-11 |
| 1669949780 | Crestview Pharmacy Services LLC | Pharmacy | 3225 South Hardy Dr., Ste 100, Tempe, AZ 85282 | 2018-10-26 |
| 1275018715 | Berlin Wright | Naturopath | 2164 E. Broadway Rd., Tempe, AZ 85282 | 2018-10-01 |
| 1043701543 | Lakeshore Interventional Treatment Center LLC | Surgery | 4765 S Lakeshore Dr, Tempe, AZ 85282 | 2018-05-21 |
| 1427553940 | The Bridge Counseling, Consulting and Mediation LLC | Counselor | 4625 S. Lakeshore Dr., 302, Tempe, AZ 85282 | 2018-03-27 |
| 1346741501 | Coraesthetics Pllc | Physician Assistant | 2008 E Laguna Dr, Tempe, AZ 85282 | 2018-02-23 |
| Find all providers in zip 85282 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807052 | Thomas Langer | Specialist/Technologist | 1317 S Terrace Rd, Box #156, Tempe, AZ 85281 | 2020-10-02 |
| 1689280034 | Jordan Nash-boulden | Specialist/Technologist | 6000 S Lakeshore Dr, Tempe, AZ 85283-3049 | 2020-09-21 |
| 1780219451 | Margaret Corbett | Specialist/Technologist | 500 East Veterans Way, Tempe, AZ 85281 | 2020-03-03 |
| 1871130443 | Shelby Talyor Perry | Specialist/Technologist | 1001 E Playa Del Norte Dr Unit 4327, Tempe, AZ 85281-2229 | 2019-12-03 |
| 1174088595 | Tierra June Jishie | Specialist/Technologist | 3032 S Fairway Dr, Tempe, AZ 85282-4027 | 2019-02-11 |
| 1508330291 | Johanna Maria Jimenez | Specialist/Technologist | 2401 E Rio Salado Pkwy Unit 1142, Tempe, AZ 85281-3152 | 2019-01-15 |
| 1881114106 | Jake Pratt | Specialist/Technologist | 2323 E Apache Blvd, Tempe, AZ 85281-4971 | 2017-06-27 |
| 1083163802 | Haley Conant | Specialist/Technologist | 7250 S Kyrene Road, #383, Tempe, AZ 85283-8404 | 2016-09-22 |
| 1427431089 | Erica Illium | Specialist/Technologist | 1811 E Apache Blvd. #3024, Tempe, AZ 85281 | 2015-07-01 |
| 1316350424 | Nicole Harshbarger | Specialist/Technologist | 1440 E Broadway Rd, 2025, Tempe, AZ 85282-1639 | 2014-06-05 |
| Find all providers in TEMPE | ||||
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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.