KIMETTA ARNIECE COLEMAN (NPI# 1114530540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114530540 |
| Entity Type | Individual |
| Full Name | KIMETTA ARNIECE COLEMAN |
| Practice Address |
2375 E Camelback Rd # 628 Phoenix AZ 85016-3424 |
| Mailing Address |
Po Box 20712 Phoenix AZ 85036-0712 |
| Practice Telephone | 6026065742 |
| Practice Fax Number | 6028012770 |
| Mailing Telephone | 6026065742 |
| Mailing Fax Number | 6028012770 |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2020-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP1600X |
Counselor Specialization: Pastoral |
AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 005311 | 05 |
| Street Address |
2375 E CAMELBACK RD # 628 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85016-3424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
| 1780215681 | Sip Home Systems - Mesa LLC | Home Health | 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 | 2020-01-29 |
| 1760945588 | Wei Wei | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 | 2019-04-09 |
| 1942765623 | Grace Hatfield | Dietitian, Registered | Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 | 2019-02-06 |
| 1861977027 | Dawn Yvette Lima | Occupational Therapy Assistant | 3128 E Cheery Ln, Phoenix, AZ 85016 | 2018-10-03 |
| 1720583685 | Kristin Pauline Hicklin | Registered Nurse | 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 | 2018-03-24 |
| 1588181622 | Taness Eyre Billington | Pharmacist | 1625 E. Camelback Rd., Phoenix, AZ 85016 | 2017-08-29 |
| 1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
| 1609396985 | Mohammed Waseemuddin | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2017-06-27 |
| 1144777632 | Amanda Mazerall | Occupational Therapist | 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 | 2016-09-01 |
| Find all providers in zip 85016 | ||||
| Taxonomy Code | 101YP1600X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Pastoral |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
| 1922620913 | Veronica Ramirez | Counselor | 7805 S 27th Way, Phoenix, AZ 85042-7079 | 2020-05-12 |
| 1366947681 | Lisa Marie Smith | Counselor | 14435 N 7th St Ste 106, Phoenix, AZ 85022-4371 | 2018-03-28 |
| 1124372099 | Facing The Future With Hope | Counselor | 5656 N 17th Ave #c7, Phoenix, AZ 85015 | 2012-10-31 |
| 1730317017 | Carol Zoanne Mcginnis | Counselor | 13916 Jarrettsville Pike, Phoenix, MD 21131-2040 | 2009-06-25 |
| 1497998751 | David Delano Pillar | Counselor | 18010 N Tatum Blvd, Phoenix, AZ 85032-1507 | 2009-04-15 |
| 1578180816 | Alicia Johnston | Counselor | 7220 N 16th St Ste G, Phoenix, AZ 85020-5253 | 2020-07-02 |
| 1619449949 | Al Yokubonis | Counselor | 3509 E Shea Blvd Ste 117, Phoenix, AZ 85028-3339 | 2018-12-27 |
| 1972956670 | A-making Changes | Counselor | 2942 N 24th St, Suite 114-766, Phoenix, AZ 85016-7844 | 2016-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649882721 | Shirli Regev | Counselor | 9851 W Lone Cactus Dr, Peoria, AZ 85382-0549 | 2020-08-19 |
| 1922628908 | Melinda H Connor | Counselor | 31907 South Davis Ranch Rd, Marana, AZ 85658 | 2020-04-20 |
| 1043733025 | Margaret K Franklin | Counselor | 9299 W Olive Ave Ste 212, Peoria, AZ 85345-8382 | 2017-07-20 |
| 1861929689 | Carol Mack | Counselor | 1530 N Country Club Dr Ste 19, Mesa, AZ 85201-2560 | 2017-05-11 |
| 1871027250 | Shawn Breeden | Counselor | 4196 E Whitehall Dr, San Tan Valley, AZ 85140-7647 | 2017-04-12 |
| 1902342645 | Paula Bishop | Counselor | 2301 E Sahuarita Rd, Sahuarita, AZ 85629-9465 | 2017-01-18 |
| 1851776785 | Libby Smith | Counselor | 3240 S. Trotter Lane, Flagstaff, AZ 86005 | 2015-07-21 |
| 1275915548 | Jamie K Hicks | Counselor | 1850 Gates Ave, Kingman, AZ 86401-8003 | 2015-06-23 |
| 1912386905 | Shirley Kathryn Henderson | Counselor | 2830 E Gordon Dr, Covenant Counseling, Kingman, AZ 86409-2736 | 2015-05-22 |
| 1487999447 | Thomas Langdon Hill | Counselor | 288 N Church Ave, Tucson, AZ 85701-1113 | 2012-12-03 |
| 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.