JEREMIAH JAMES PALICKA (NPI# 1184236531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184236531 |
| Entity Type | Individual |
| Full Name | JEREMIAH JAMES PALICKA |
| Credential | RN, SRNA |
| Practice Address |
1625 N Campbell Ave Tucson AZ 85719-4330 |
| Mailing Address |
6968 W Tacna Dr Tucson AZ 85743-1422 |
| Practice Telephone | 5206940111 |
| Mailing Telephone | 5206032259 |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
RN210075 | AZ | Nursing Service Providers |
| Street Address |
1625 N CAMPBELL AVE |
| City | TUCSON |
| State | AZ |
| Zip Code | 85719-4330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104816800 | Suelyn D Hall-harper | Urology | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2005-10-24 |
| 1396345955 | Deanna Lee Merrill | Registered Nurse | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2020-10-31 |
| 1952900565 | Kayla Mckenna Meyers | Electrodiagnostic Medicine | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2020-10-23 |
| 1972110922 | Joel S Silva | Nurse Practitioner | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2020-09-24 |
| 1730792672 | Garret Sewell | Registered Nurse | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2020-08-29 |
| 1144832304 | Suzannah Gallaher | Registered Nurse | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2020-08-19 |
| 1497367502 | Nichole Carrigan | Registered Nurse | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2020-08-19 |
| 1841802378 | Brittany Ann Rygg | Registered Nurse | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2020-08-17 |
| 1891304192 | Nadeem Hussain | Internal Medicine | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2020-07-23 |
| 1245853035 | Morgan Long | Pathology | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2020-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649813635 | Ishani Ravindra Deo | Psychologist | 1051 E Mabel St, Tucson, AZ 85719 | 2019-10-22 |
| 1235793100 | Jacquelyn Christine Wagner | Pediatrics | 1625 N Campbell, Tucson, AZ 85719 | 2019-04-26 |
| 1831652189 | Derek Allan Hatfield | Emergency Medicine | 1625 N Campbell Ave., Tucson, AZ 85719 | 2019-04-12 |
| 1053874305 | Travis Patrick Martin | Emergency Medicine | 1625 N. Campbell Ave, Tucson, AZ 85719 | 2019-04-12 |
| 1245793504 | Martin Cisneroz | Emergency Medicine | 1625 North Campbell Avenue, Tucson, AZ 85719 | 2019-04-12 |
| 1174086722 | Sarah Joy Ring | Emergency Medicine | 1625 N. Campbell Ave., Tucson, AZ 85719 | 2019-04-10 |
| 1790245520 | Akash M Doshi | Student in an Organized Health Care Education/Training Program | 3838 N Campbell Avenue, Bldg 2, Tuscon, AZ 85719 | 2019-03-20 |
| 1942773668 | Jeffery Roy Small | Massage Therapist | 3607 N Vine, Tucson, AZ 85719 | 2019-01-04 |
| 1114434180 | Elizabeth Irene Welch | Behavioral Analyst | 1430 E Fort Lowell Rd Ste 100, Tucson, AZ 85719 | 2017-12-29 |
| 1477076255 | Medavail Pharmacy Inc. | Pharmacy | 1430 E Fort Lowell Rd Ste 120, Tucson, AZ 85719 | 2017-07-24 |
| Find all providers in zip 85719 | ||||
| Taxonomy Code | 163WC0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821968 | Mallory Leigh Ketterer | Registered Nurse | 7837 N Box Camp Pl, Tucson, AZ 85743-5545 | 2020-11-06 |
| 1598378994 | Marie Reina Andriopoulos | Registered Nurse | 7751 E Big Meadow Dr, Tucson, AZ 85756-6160 | 2020-08-25 |
| 1013529700 | Evelyn Long | Registered Nurse | 12500 E Roger Rd, Tucson, AZ 85749-8487 | 2020-08-23 |
| 1588276992 | Eric Smith | Registered Nurse | 3640 W Sunglade Dr, Tucson, AZ 85742-1134 | 2020-08-18 |
| 1326505173 | Tana Jay Shields | Registered Nurse | 5877 W Yuma Mine Cir, Tucson, AZ 85743-9717 | 2019-02-28 |
| 1902363880 | Ammon Brimhall | Registered Nurse | 4550 E 16th St, Tucson, AZ 85711-4230 | 2019-02-27 |
| 1487255063 | Brooke Holtzen | Registered Nurse | 6200 N La Cholla Blvd, Tucson, AZ 85741-3529 | 2020-11-02 |
| 1144832304 | Suzannah Gallaher | Registered Nurse | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2020-08-19 |
| 1497367502 | Nichole Carrigan | Registered Nurse | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2020-08-19 |
| 1356953665 | Emma Muter | Registered Nurse | 1305 N Martin Avenue, Tucson, AZ 85721-0001 | 2020-08-18 |
| Find all providers in TUCSON | ||||
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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.