MR. BENJAMIN NELSON (NPI# 1134484876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134484876 |
| Entity Type | Individual |
| Full Name | MR. BENJAMIN NELSON |
| Credential | M.A., BHT |
| Practice Address |
4372 E Sack Dr Phoenix AZ 85050-3395 |
| Practice Telephone | 4803264233 |
| Mailing Telephone | 4803264233 |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2012-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
3856919 | AZ | Respite Care Facility |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932698099 | Benjamin Nelson | Chiropractor | 250 Palm Coast Pkwy Ne Unit 504, Palm Coast, FL 32137-8288 | 2018-05-04 |
| 1053353904 | Benjamin Nelson | Physical Therapist | 4445 Sw Barbur Blvd Ste 204, Portland, OR 97239-4047 | 2006-06-12 |
| 1487157293 | Benjamin Rhett Nelson | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2018-03-18 |
| 1558863464 | Benjamin Eric Nelson | Student in an Organized Health Care Education/Training Program | 7007 Powers Blvd, Parma, OH 44129-5437 | 2018-03-07 |
| 1942721279 | Benjamin Nelson | Counselor | 847 Ne 19th Ave Ste 100, Portland, OR 97232-2684 | 2017-06-27 |
| 1417477712 | Benjamin Nelson | Student in an Organized Health Care Education/Training Program | 984150 Nebraska Medical Center, Omaha, NE 68198-4150 | 2017-06-27 |
| 1609239664 | Benjamin Shaw Nelson | Surgery | 88 E Newton St, C515, Boston, MA 02118-2308 | 2016-03-29 |
| 1023375011 | Benjamin Jon Nelson | Urology | 1202 Driving Park Ave, Newark, NY 14513 | 2012-04-16 |
| 1245496520 | Benjamin Nelson | Pediatrics | 1 Boone Rd, Bremerton, WA 98312-1894 | 2008-08-06 |
| 1700088473 | Benjamin James Nelson | Registered Nurse | 6507 S Santa Fe Dr, Littleton, CO 80120-2910 | 2007-06-04 |
| Street Address |
4372 E SACK DR |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85050-3395 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770045528 | Jesse Micheal Stokke | Student in an Organized Health Care Education/Training Program | Honorhealth Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-04-02 |
| 1386104974 | Dania Aijaz Shah | Student in an Organized Health Care Education/Training Program | Honor Health Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-03-21 |
| 1205391588 | Sanctuary | Clinic/Center | 2550 E Rose Garden Ln, # 73404, Phoenix, AZ 85050 | 2019-01-31 |
| 1477026474 | Archer Health LLC | Nurse Practitioner | 21001 N Tatum Blvd Ste 1630 - 490, Phoenix, AZ 85050 | 2019-01-02 |
| 1548756059 | Preston Andrew Slade | Community/Behavioral Health | 20860 E. Tatum Blvd Ste, 300, Phoenix, AZ 85050 | 2018-07-09 |
| 1184126658 | Alisha Ramirez | Specialist/Technologist | 19638 N 37th Way, Phoenix, AZ 85050 | 2018-03-01 |
| 1720590011 | Dr Richards Pllc | Internal Medicine | 20815 N 25th Pl Ste A106, Phoenix, AZ 85050 | 2017-10-26 |
| 1417474792 | Heather Arabeity | Nurse Practitioner | 3762 E Zachary Dr, Phoenix, AZ 85050 | 2017-08-28 |
| 1083161087 | Haley Elaine Kinzer | Physician Assistant | 20950 N Tatum Blvd Ste 150, Phoenix, AZ 85050 | 2016-09-07 |
| 1003227927 | Chelsea Joy Thomsen | Internal Medicine | 26224 N Tatum Blvd Ste 7, Phoenix, AZ 85050 | 2014-05-13 |
| Find all providers in zip 85050 | ||||
| Taxonomy Code | 385HR2055X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Illness, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508416595 | Tyechia Webb | Respite Care | 21239 N 24th Ave Apt 214, Phoenix, AZ 85027-2524 | 2019-09-12 |
| 1912552381 | Leslie E Alfieri | Respite Care | 2250 E Deer Valley Rd Unit 48, Phoenix, AZ 85024-5530 | 2019-08-02 |
| 1811404437 | Montique S Collins | Respite Care | 729 W Maldonado Rd, Phoenix, AZ 85041-6763 | 2018-01-04 |
| 1801341441 | Asha Dey | Respite Care | 1914 W Carson Rd, Phoenix, AZ 85041-6658 | 2016-08-24 |
| 1811352016 | Megan Pirehpour | Respite Care | 25622 N Singbush Loop, Phoenix, AZ 85083-2457 | 2015-12-15 |
| 1093109050 | Ligia Ahumada | Respite Care | 7111 W Pioneer St, Phoenix, AZ 85043-7209 | 2015-03-26 |
| 1871914119 | Debbie Okojie | Respite Care | 4041 N 27th St Unit 110, Phoenix, AZ 85016-6773 | 2014-01-03 |
| 1578993895 | Ronald Harris | Respite Care | 2512 W Saint Catherine Ave, Phoenix, AZ 85041-5354 | 2013-11-22 |
| 1235569849 | Terry Jackson | Respite Care | 6605 S 18th Dr, Phoenix, AZ 85041-5841 | 2013-11-18 |
| 1245579895 | Annette Keil | Respite Care | 3901 E Emile Zola Ave, Phoenix, AZ 85032-6225 | 2013-02-01 |
| Find all providers in PHOENIX | ||||
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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.