RYAN STANDAGE (NPI# 1144610684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144610684 |
Entity Type | Individual |
Full Name | RYAN STANDAGE |
Credential | MSN |
Practice Address |
3108 Clearwater Dr Ste A Prescott AZ 86305-7170 |
Mailing Address |
4550 E Bell Rd Suite 172 Phoenix AZ 85032-9306 |
Practice Telephone | 4804438400 |
Mailing Telephone | 4804438400 |
Enumeration Date | 2015-02-04 |
Last Update Date | 2016-04-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP7623 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AP7623 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3108 CLEARWATER DR STE A |
City | PRESCOTT |
State | AZ |
Zip Code | 86305-7170 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396822920 | Stephen T. Linn Md LLC | Obstetrics & Gynecology | 3108 Clearwater Dr, Suite A, Prescott, AZ 86305-7170 | 2006-11-01 |
1841541505 | Adam Roberts | Physician Assistant | 3108 Clearwater Dr, Prescott, AZ 86305-7170 | 2012-09-20 |
1629233804 | Clinton Lee Astle | Physical Therapist | 3108 Clearwater Dr, St B2, Prescott, AZ 86305-7170 | 2008-07-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972005395 | Granite View Adult Care Home LLC | Assisted Living Facility | 7105 Williamson Valley Road, Prescott, AZ 86305 | 2018-03-01 |
1215468095 | Valerie Williams | Occupational Therapist | 926 S. Hinman Dr., Prescott, AZ 86305 | 2017-03-23 |
1174073837 | Caspian Gleam Medical Center LLC | Clinic/Center | 3130 Stillwater Drive, Suite B, Prescott, AZ 86305 | 2016-10-06 |
1114388634 | Marla Beth Perkins | Speech-Language Pathologist | 3160 Stillwater Dr., Prescott, AZ 86305 | 2016-03-10 |
1790159853 | Michele A. Bibeau, D.d.s. | Dentist | 1058 Fair Street, Suite A, Prescott, AZ 86305 | 2015-11-30 |
1609264837 | Integrative Pain Centres of Prescott | Pain Medicine | 3769 Crossings Drive, Suite B, Integrative Pain Centres of Prescott, Prescott, AZ 86305 | 2014-12-22 |
1649697251 | Sharon Marilyn Jackson | Counselor | 3636 Crossings Drive, Prescott, AZ 86305 | 2014-03-20 |
1215351259 | Stefanie Maneval | Registered Nurse | 900 Iron Springs Rd, Prescott, AZ 86305 | 2014-02-11 |
1508207523 | Recovery In The Pines, LLC | Community/Behavioral Health | 919 12th Place #13, Prescott, AZ 86305 | 2013-07-08 |
1871857359 | Neal Herbert Segovia Cabaluna | Internal Medicine | 3773 Crossings Dr Ste C, Prescott, AZ 86305 | 2012-06-28 |
Find all providers in zip 86305 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497086474 | Pamela Ann Akers | Nurse Practitioner | 1050 Gail Gardner Way 300, Prescott, AZ 86305-1640 | 2010-01-15 |
1164523098 | Suzann L Polk | Nurse Practitioner | 2940 Somerset Dr, Prescott, AZ 86305-5006 | 2006-09-25 |
1487755393 | Tana Bourdage-allman | Nurse Practitioner | Navahcs 550 North Highway 89, Prescott, AZ 86313 | 2006-09-25 |
1578671780 | Debra M Hiller | Nurse Practitioner | Navahcs Highway 89, Prescott, AZ 86313 | 2006-08-28 |
1811907058 | Bette Susan Zager | Nurse Practitioner | Northern Arizona Veteran Administration Health Care Sy, 500 N Hwy 89 (ecrc2), Prescott, AZ 86313 | 2006-08-09 |
1013959964 | Brenda A. Austin | Nurse Practitioner | 3212 N. Windsong Drive, Suite 200, Prescott, AZ 86305-3700 | 2006-06-12 |
1528402039 | Neuropathy and Pain Centre of Prescott LLC | Nurse Practitioner | 1000 Willow Creek Rd, Suite D, Prescott, AZ 86301-1645 | 2013-04-26 |
1376895961 | Laurie Leigh Lackland | Nurse Practitioner | 1065 Ruth St, Prescott, AZ 86301-1729 | 2012-10-08 |
1124208558 | Lisa Santiago | Nurse Practitioner | 2100 Centerpointe West Dr, Prescott, AZ 86301-8487 | 2007-11-14 |
1104013580 | Carol Anne White | Nurse Practitioner | 500 N. Highway 89, Northern Arizona Va Hcs, Prescott, AZ 86314 | 2007-09-28 |
Find all providers in PRESCOTT |
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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.