BERTHA ANN CLEM (NPI# 1164736732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164736732 |
| Entity Type | Individual |
| Full Name | BERTHA ANN CLEM |
| Credential | RN |
| Practice Address |
Highway 191 & Hospital Road Chinle AZ 86503 |
| Mailing Address |
Po Box Ph Chinle AZ 86503-8000 |
| Practice Telephone | 9286747166 |
| Practice Fax Number | 9286747705 |
| Mailing Telephone | 9286747166 |
| Mailing Fax Number | 9286747705 |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2011-12-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
RN128530 | AZ | Nursing Service Providers |
| Street Address |
HIGHWAY 191 & HOSPITAL ROAD |
| City | CHINLE |
| State | AZ |
| Zip Code | 86503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275845950 | Eveylin Louise Wells | Speech-Language Pathologist | Highway 191 & Hospital Road, Chinle Ihs Hospital, Chinle, AZ 86503 | 2010-07-09 |
| 1316249147 | Vivian D. Martinez | Licensed Practical Nurse | Highway 191 & Hospital Road, Chinle Comprehensive Health Care Facility, Chinle, AZ 86503 | 2010-11-30 |
| 1275845828 | Erica L Cooper | Dietitian, Registered | Highway 191 & Hospital Road, Chinle Ihs Hospital, Chinle, AZ 86503 | 2010-07-12 |
| 1629380274 | Sean Ward | Respiratory Therapist, Registered | Highway 191 & Hospital Road, Chinle Comprehensive Health Care Facility, Chinle, AZ 86503 | 2010-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042461 | Jonathan Lam | Optometrist | Us 191 & Hospital Dr., Chinle, AZ 86503 | 2020-04-16 |
| 1154950004 | David Gibrael | Pharmacist | Us 191 Hospital Drive, Chinle, AZ 86503 | 2020-04-03 |
| 1366076739 | Calli Jo Swenson | Pharmacist | Us 191 & Hospital Drive, Chinle, AZ 86503 | 2020-02-25 |
| 1336770338 | Quan The Truong | Pharmacist | Us Hway 191 & Hospital Road, Po Drawer Ph, Chinle, AZ 86503 | 2020-01-29 |
| 1275172264 | Alexandra Guthart | Pharmacist | Us 191 and Hospital Dr, Chinle, AZ 86503 | 2019-12-23 |
| 1811530819 | Brian Spencer | Dentist | U.S. 191 and Hospital Drive, Chinle, AZ 86503 | 2019-10-22 |
| 1881249084 | Natasha Renee Bitsui | Community Health Worker | Navajo Rte 7 and 102-1, C012-118, Chinle, AZ 86503 | 2019-08-05 |
| 1871063628 | Zachary Holtkamp | Physical Therapist | Off Highway 191, Hospital Rd, Chinle, AZ 86503 | 2018-12-04 |
| 1841774296 | Tanieca Marie Downing | Dietitian, Registered | U.S. 191 & Hospital Drive, Chinle, AZ 86503 | 2018-09-21 |
| 1417430331 | Virginia Lois Woollens | Dietitian, Registered | Chinle Comprehensive Healthcare Facility, Us 191, Chinle, AZ 86503 | 2018-09-07 |
| Find all providers in zip 86503 | ||||
| Taxonomy Code | 163WP0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798974 | Hillary Bravo | Registered Nurse | 5441 E 9th St, Tucson, AZ 85711-3114 | 2020-10-20 |
| 1144832874 | Lorraine K Merrill | Registered Nurse | 124 E Thomas, Saint David, AZ 85630 | 2020-08-24 |
| 1982216891 | Patricia Salvador Duenas | Registered Nurse | 10659 E Rose Hill St, Tucson, AZ 85747-5961 | 2020-08-21 |
| 1043822299 | Emma Tracy Mcmahon | Registered Nurse | 1731 W Verch Pl, Tucson, AZ 85737-6786 | 2020-08-19 |
| 1699385419 | Kelsey Randall | Registered Nurse | 9003 E Shea Blvd # Az85260, Scottsdale, AZ 85260-6709 | 2020-08-06 |
| 1548895105 | Jill Richey | Registered Nurse | 1171 N Madrid Ln, Chandler, AZ 85226-1484 | 2020-03-04 |
| 1295219798 | Raylene Dawn Cargiulo | Registered Nurse | 55 S. Greenfield Rd., Gilbert, AZ 85234 | 2018-09-20 |
| 1891291191 | Stokes Hospice LLC | Registered Nurse | 3150 N Arizona Ave Ste 117, Chandler, AZ 85225-7171 | 2018-04-04 |
| 1295236263 | Andrew Wright | Registered Nurse | 7126 E Olla Ave, Mesa, AZ 85212-9802 | 2018-02-26 |
| 1386180560 | Jenna Bernal | Registered Nurse | 931 E Elliot Rd Ste 115, Tempe, AZ 85284 | 2017-01-12 |
| 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.