THE LITTLE CLINIC OF ARIZONA LLC (NPI# 1174867956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174867956 |
| Entity Type | Organization |
| Organization Name | THE LITTLE CLINIC OF ARIZONA LLC |
| Practice Address |
15510 W Bell Rd Surprise AZ 85374 |
| Mailing Address |
2620 Elm Hill Pike Nashville TN 37214-3108 |
| Practice Telephone | 4807174903 |
| Practice Fax Number | 4807174904 |
| Mailing Telephone | 6154254200 |
| Mailing Fax Number | 6154254271 |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2018-06-13 |
| Authorized Official Name | MR. MARC R WATKINS (CMO) |
| Authorized Official Telephone | 6154254200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235684853 | The Little Clinic of Arizona LLC | Nurse Practitioner | 13830 W Camelback Rd, Litchfield Park, AZ 85340-3072 | 2016-08-24 |
| 1306395215 | The Little Clinic of Arizona LLC | Physician Assistant | 1311 E Bell Rd, Phoenix, AZ 85022-2724 | 2016-10-04 |
| 1154759322 | The Little Clinic of Arizona LLC | Physician Assistant | 1815 W Glendale Ave, Phoenix, AZ 85021-8582 | 2013-10-24 |
| 1851635627 | The Little Clinic of Arizona LLC | Physician Assistant | 6611 W Bell Rd, Glendale, AZ 85308 | 2012-11-19 |
| 1043554827 | The Little Clinic of Arizona LLC | Physician Assistant | 6470 S Higley Rd, Gilbert, AZ 85298 | 2012-11-19 |
| 1881938660 | The Little Clinic of Arizona LLC | Physician Assistant | 1935 N Stapley Dr, Mesa, AZ 85203 | 2012-11-19 |
| 1427392299 | The Little Clinic of Arizona LLC | Physician Assistant | 1300 S Watson Rd, Buckeye, AZ 85326-6303 | 2012-11-19 |
| 1417291287 | The Little Clinic of Arizona LLC | Physician Assistant | 2727 W Bell Rd, Phoenix, AZ 85053 | 2012-11-19 |
| 1619211489 | The Little Clinic of Arizona LLC | Physician Assistant | 11425 W Buckeye Rd, Avondale, AZ 85323-6810 | 2012-11-19 |
| 1548504368 | The Little Clinic of Arizona LLC | Physician Assistant | 1575 N Dysart Rd, Avondale, AZ 85392 | 2012-11-16 |
| Street Address |
15510 W BELL RD |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205878881 | Smiths Food & Drug Centers Inc | Pharmacy | 15510 W Bell Rd, Surprise, AZ 85374-3436 | 2006-06-11 |
| 1568981926 | Janelle Sulaiman | Pharmacist | 15510 W Bell Rd, Surprise, AZ 85374-3436 | 2017-09-15 |
| 1346779568 | Leah Lange | Nurse Practitioner | 15510 W Bell Rd, Surprise, AZ 85374-3436 | 2017-06-09 |
| 1982947461 | Michael Thomas Doering | Nurse Practitioner | 15510 W Bell Rd, Surprise, AZ 85374-3436 | 2013-04-03 |
| 1316297740 | Joseph Kay Blackburn | Physician Assistant | 15510 W Bell Rd, Surprise, AZ 85374-3436 | 2012-09-13 |
| 1346518578 | Diane Nicole Johnson | Physician Assistant | 15510 W Bell Rd, Surprise, AZ 85374-3436 | 2011-12-02 |
| 1255666723 | Kinying Connie Pang | Pharmacist | 15510 W Bell Rd, Surprise, AZ 85374-3436 | 2009-10-16 |
| 1437484730 | Nicole P Romney | Pharmacist | 15510 W Bell Rd, Surprise, AZ 85374-3436 | 2009-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225648801 | Jennilyn Joy Puhawan Cave | Emergency Medicine | 14440 W Tierra Buena Ln, Surprise, AZ 85374 | 2020-08-07 |
| 1912538497 | Dental Depot of Surprise, Pllc | Clinic/Center | 13828 W. Greenway Rd., Surprise, AZ 85374 | 2020-02-03 |
| 1447898622 | Vhs of Arrowhead, Inc. | General Acute Care Hospital | 16815 W. Bell Rd, Surprise, AZ 85374 | 2019-12-18 |
| 1073155834 | Regency Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W Mountain View Blvd, Surprise, AZ 85374 | 2019-10-14 |
| 1164064929 | Advanced Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W. Mountain View Blvd., Surprise, AZ 85374 | 2019-10-14 |
| 1275005308 | Filsan Ali | Nurse Practitioner | 14780 W Mountain View Blvd #109, Surprise, Az 85374, Surprise, AZ 85374 | 2018-12-31 |
| 1427528686 | Anna L Bell | Nurse Practitioner | 14811 W Bell Rd Ste 100, Surprise, AZ 85374 | 2018-11-30 |
| 1649755893 | Surprise Behavioral Hospital Lp | Psychiatric Hospital | 16561 North Parkview Place, Surprise, AZ 85374 | 2018-10-03 |
| 1336621259 | Chaparral Winds LLC | Assisted Living Facility | 16623 N West Point Parkway, Surprise, AZ 85374 | 2018-09-06 |
| 1104310648 | Austin Daniel Lau | Dentist | 17018 W Bell Rd, Surprise, AZ 85374 | 2018-06-19 |
| Find all providers in zip 85374 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962010595 | Tenacity Integrated Behavioral Healthcare, Pllc | Nurse Practitioner | 15330 W Bola Dr, Surprise, AZ 85374-1412 | 2020-07-20 |
| 1619590775 | Amber Danielle Lindsey | Nurse Practitioner | 18346 W Carmen Dr, Surprise, AZ 85388-2338 | 2020-05-24 |
| 1255987475 | Ira Davis Denny | Nurse Practitioner | 16007 N 171st Ln, Surprise, AZ 85388-0211 | 2019-08-13 |
| 1811459779 | Bridget Wright | Nurse Practitioner | 15273 W Honeysuckle Ln, Surprise, AZ 85374-3493 | 2019-04-01 |
| 1275005308 | Filsan Ali | Nurse Practitioner | 14780 W Mountain View Blvd #109, Surprise, Az 85374, Surprise, AZ 85374 | 2018-12-31 |
| 1972073013 | Kaylan Joy Burkett | Nurse Practitioner | 13921 W Grand Ave Ste 502, Surprise, AZ 85374-2439 | 2018-12-02 |
| 1427528686 | Anna L Bell | Nurse Practitioner | 14811 W Bell Rd Ste 100, Surprise, AZ 85374 | 2018-11-30 |
| 1134636608 | Alyssa Hocking | Nurse Practitioner | 15521 W Bell Rd, Surprise, AZ 85374-3437 | 2018-01-05 |
| 1417469982 | Nathan Joseph Klein | Nurse Practitioner | 13995 W Statler Blvd Ste 150, Surprise, AZ 85374-5512 | 2017-10-24 |
| 1396256871 | Jennifer Dawn Faber | Nurse Practitioner | 16578 W Greenway Rd Ste 202, Surprise, AZ 85388-2184 | 2017-10-23 |
| Find all providers in SURPRISE | ||||
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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.