DR. BRECKIN NICOLE HARRIS (NPI# 1194143511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194143511 |
| Entity Type | Individual |
| Full Name | DR. BRECKIN NICOLE HARRIS |
| Credential | NMD |
| Practice Address |
7836 E Plata Ave Mesa AZ 85212-1520 |
| Practice Telephone | 4802326900 |
| Mailing Telephone | 4802326900 |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2014-04-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175F00000X | Naturopath | 14-1421 | AZ | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | STATE OF ARIZONA LICENSE TO PRACTICE NATUROPATHIC MEDICINE | 14-1421 | 01 |
| Street Address |
7836 E PLATA AVE |
| City | MESA |
| State | AZ |
| Zip Code | 85212-1520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610302 | West Point Optical Group | Optometrist | 10706 E Point Twenty-two Blvd, #107, Mesa, AZ 85212 | 2020-08-18 |
| 1215553565 | Andrew Eugene Pak | Dentist | 10664 East Point Twenty-two Blvd, Mesa, AZ 85212 | 2020-06-23 |
| 1588200265 | Signal Butte Kids Dentistry and Orthodontics, LLP | Dentist | 10664 E. Point Twenty Two Blvd, Mesa, AZ 85212 | 2019-11-18 |
| 1194371526 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 4316 S Signal Butte Rd, Mesa, AZ 85212 | 2019-08-12 |
| 1194200980 | Highbury Dental Management, LLC | Dentist | 4425 S Mountain Rd, Suite 109, Mesa, AZ 85212 | 2018-09-27 |
| 1033623541 | Latanya Olivia Edenburgs | Case Manager/Care Coordinator | 10436 E Radiant Ave., Mesa, AZ 85212 | 2017-11-20 |
| 1205355880 | Linda Okafor | Nurse Practitioner | 4719 S Calderon Circle, Mesa, AZ 85212 | 2017-09-14 |
| 1689121188 | Agh Mesa LLC | General Acute Care Hospital | 9130 East Elliot Road, Mesa, AZ 85212 | 2016-09-01 |
| 1861841918 | Ryan Blake | Dentist | 4425 S. Mountain Road, Ste 109, Mesa, AZ 85212 | 2016-06-09 |
| 1083089460 | White Glove Health | Nurse Practitioner | 2906 S Lynch Cr, Mesa, AZ 85212 | 2015-12-10 |
| Find all providers in zip 85212 | ||||
| Taxonomy Code | 175F00000X |
| Grouping | Other Service Providers |
| Classification | Naturopath |
| Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life. |
| Notes: Source: The Federal Dictionary of Occupational Titles, U.S. Department of Labor, Washington, D.C., section #079, 101-014 [7/1/2007: definition changed, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922624360 | Kayla Amin | Naturopath | 601 S Alma School Rd Apt 273, Mesa, AZ 85210-1103 | 2020-06-22 |
| 1306479258 | Michela S. Nelson | Naturopath | 5450 E Mclellan Rd Unit 256, Mesa, AZ 85205-3457 | 2020-02-19 |
| 1235770587 | David Gallegos | Naturopath | 205 E Southern Ave Ste 103, Mesa, AZ 85210-5401 | 2019-10-07 |
| 1538700604 | Aria Young | Naturopath | 506 W Nopal Ave, Mesa, AZ 85210-7442 | 2019-09-30 |
| 1184108284 | Eugene Robert Muro | Naturopath | 420 W Mahoney Ave, Mesa, AZ 85210-1238 | 2018-09-24 |
| 1154811842 | Courtney Renee Hawes | Naturopath | 3165 E University Dr Lot 809, Mesa, AZ 85213-8741 | 2018-05-17 |
| 1376057216 | Lynnette Fae Balentine | Naturopath | 1855 S Country Club Dr Ste 111, Mesa, AZ 85210-6124 | 2017-11-30 |
| 1356854269 | Rachel Ann Hesselbrock | Naturopath | 550 W Baseline Rd Ste 102-512, Mesa, AZ 85210-6031 | 2017-11-14 |
| 1750892550 | Konstantina E Adams | Naturopath | 1331 W Baseline Rd Unit 144, Mesa, AZ 85202-5823 | 2017-10-19 |
| 1841701059 | Charmainge James | Naturopath | 134 E June St, Mesa, AZ 85201-1816 | 2017-10-14 |
| Find all providers in MESA | ||||
Please comment or provide details below to improve the information on DR. BRECKIN NICOLE HARRIS.
| 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.