MRS. JANETTE LUANNE FISKE (NPI# 1164608774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164608774 |
| Entity Type | Individual |
| Full Name | MRS. JANETTE LUANNE FISKE |
| Credential | COTA/L |
| Practice Address |
294 W Carlos Ave Holbrook AZ 86025-1846 |
| Practice Telephone | 9285242123 |
| Practice Fax Number | 9285246367 |
| Mailing Telephone | 9285242123 |
| Mailing Fax Number | 9285246367 |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2008-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 1723 | AZ | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 284312 | 05 |
| Street Address |
294 W CARLOS AVE |
| City | HOLBROOK |
| State | AZ |
| Zip Code | 86025-1846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962509687 | Jeffrey Craig Meeks | Speech-Language Pathologist | 294 W Carlos Ave, Holbrook, AZ 86025-1846 | 2006-09-17 |
| 1144778952 | Christian Matthew Baker | Occupational Therapist | 294 W Carlos Ave, Holbrook, AZ 86025-1846 | 2016-09-21 |
| 1457582884 | Diane Adele Brooks | Physical Therapist | 294 W Carlos Ave, Holbrook, AZ 86025-1846 | 2009-08-03 |
| 1669660619 | Jessica Ann Schauer Herrera | Speech-Language Pathologist | 294 W Carlos Ave, Holbrook, AZ 86025-1846 | 2007-10-03 |
| 1174730634 | Shea Lynette Maestas | Registered Nurse | 294 W Carlos Ave, Holbrook, AZ 86025-1846 | 2007-05-16 |
| 1326268566 | Linda Eaton Martin | Specialist | 294 W Carlos Ave, Holbrook, AZ 86025-1846 | 2007-04-30 |
| 1720109036 | Melanie Renae Solomon | Speech-Language Pathologist | 294 W Carlos Ave, Holbrook, AZ 86025-1846 | 2007-04-03 |
| 1093844524 | Elaine Marie Lee | Speech-Language Pathologist | 294 W Carlos Ave, Navajo County Special Services Consortium, Holbrook, AZ 86025-1846 | 2007-03-02 |
| 1558408112 | Linda Sabo | Speech-Language Pathologist | 294 W Carlos Ave, Holbrook, AZ 86025-1846 | 2007-01-31 |
| 1417025065 | Leighanne Gentile Ervien | Specialist | 294 W Carlos Ave, Holbrook, AZ 86025-1846 | 2006-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548505357 | Holbrook Senior Citizens Association | Assisted Living Facility | 216 Joy Nevin Avenue, Holbrook, AZ 86025 | 2012-12-05 |
| 1053660795 | Rainbow Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 2425 Navajo Boulevard, Holbrook, AZ 86025 | 2012-09-07 |
| 1467695296 | Community Bridges, Inc | Clinic/Center | 995 Hermosa Drive, Holbrook, AZ 86025 | 2009-04-09 |
| 1932381738 | Valerie Ann Roanhorse | Speech-Language Pathologist | 294 West Carlos, Holbrook, AZ 86025 | 2007-12-04 |
| 1336224195 | Clarence H Hansen | Dentist | 407 E Iowa, Holbrook, AZ 86025 | 2006-10-27 |
| 1538266895 | Janelle Marie Golden | Speech-Language Pathologist | 294 W. Carlos, Special Services Consortium, Holbrook, AZ 86025 | 2006-09-20 |
| 1306960422 | North Country Healthcare, Inc. | Clinic/Center | 2109 Navajo Blvd, Holbrook, AZ 86025 | 2007-03-16 |
| 1881760155 | Jason D Lyman | Dentist | 407 E Iowa, Holbrook, AZ 86025 | 2006-11-28 |
| 1932294543 | Christina Lynn Say | Physical Therapist | 294 W. Carlos, Holbrook, AZ 86025 | 2006-10-03 |
| 1306937297 | Rainbow Accommodation School | Local Education Agency (LEA) | 294 W. Carlos, Holbrook, AZ 86025 | 2006-09-27 |
| Find all providers in zip 86025 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043861321 | Kassandra M Nitti | Specialist | 1370 Coates Ave, Holbrook, NY 11741-2426 | 2019-09-26 |
| 1104300680 | Sandi Lebenns-mosher | Specialist | 207 Springmeadow Dr Unit C, Holbrook, NY 11741-4112 | 2018-09-20 |
| 1043677701 | Clara Germain | Specialist | 18 Ferraro Dr, Holbrook, NY 11741-5320 | 2016-01-26 |
| 1518366731 | Sandra Decoute | Specialist | 93 Moonlightwalk, 93, Holbrook, NY 11741-4923 | 2014-08-14 |
| 1437562857 | Jennifer Rodriguez | Specialist | 228 Springmeadow Dr, Unit E., Holbrook, NY 11741-4133 | 2014-06-03 |
| 1578974630 | Nicole Innace | Specialist | 45 Timber Ridge Dr, Holbrook, NY 11741-4142 | 2014-05-12 |
| 1295165959 | Elizabeth Forese | Specialist | 177 Cirrus Rd, Holbrook, NY 11741-4406 | 2013-11-17 |
| 1114354594 | Elizabeth Campagna | Specialist | 16 Normandy Dr, Holbrook, NY 11741-5813 | 2013-10-01 |
| 1932531134 | Jennifer Marie Dilluvio | Specialist | 28 Ballad Cir, Holbrook, NY 11741-3807 | 2013-07-30 |
| 1053656918 | Erika Lynne Bauernfeind | Specialist | 39 Brandy Ave, Holbrook, NY 11741-2315 | 2012-12-04 |
| Find all providers in HOLBROOK | ||||
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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.