TRUDY REDDICK (NPI# 1194753095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194753095 |
| Entity Type | Individual |
| Full Name | TRUDY REDDICK |
| Credential | PA C |
| Practice Address |
13075 W Mcdowell Rd Ste D106 Avondale AZ 85323-6436 |
| Mailing Address |
5347 E 10th Ave Apache Junction AZ 85119-9346 |
| Practice Telephone | 4807761588 |
| Practice Fax Number | 6235470521 |
| Mailing Telephone | 6233303222 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2015-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 3221 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 973033 | 05 |
| Street Address |
13075 W MCDOWELL RD STE D106 |
| City | AVONDALE |
| State | AZ |
| Zip Code | 85323-6436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134185671 | Avondale Urgent Care LLC | Clinic/Center | 13075 W Mcdowell Rd, Avondale, AZ 85323-6437 | 2006-04-25 |
| 1285156117 | Lindsay Ann Rose Mcclure | Physician Assistant | 13075 W Mcdowell Rd, Avondale, AZ 85392 | 2017-07-12 |
| 1689100885 | Silverstone Pediatric Group Pllc | Dentist | 13075 W Mcdowell Rd, Suite D-100, Avondale, AZ 85392-6436 | 2017-05-08 |
| 1376913194 | Michelle Kaye Dawson-harrel | Physician Assistant | 13075 W Mcdowell Rd, Suite D106, Avondale, AZ 85392-6436 | 2015-10-06 |
| 1487066106 | Matthew Graham | Physician Assistant | 13075 W Mcdowell Rd, Ste D106, Avondale, AZ 85392-6436 | 2014-05-29 |
| 1396055216 | Suzanne Schlacks | Physician Assistant | 13075 W Mcdowell Rd, Avondale, AZ 85392-6436 | 2010-10-13 |
| 1891015764 | Nextcare Arizona LLC | Clinic/Center | 13075 W Mcdowell Rd, Ste. D106, Avondale, AZ 85392-6436 | 2010-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932663994 | Bridgewater Avondale Operations, LLC | Assisted Living Facility | 295 E Van Buren Street, Avondale, AZ 85323 | 2019-01-24 |
| 1104309152 | Carlos Sifuentes | Physical Therapist | 10750 W Mcdowell Rd., Ste. B-210, Avondale, AZ 85323 | 2018-09-14 |
| 1225534688 | Dayna Sue Kaepp | Registered Nurse | 3300 N. Santa Fe Trail, Avondale, AZ 85323 | 2018-04-04 |
| 1407376700 | Amanda Lynn Radcliffe | Nurse Practitioner | 824 N. 99th Ave Ste 108, Avondale, AZ 85323 | 2017-06-27 |
| 1093253361 | Aquatic-n-writing Rehad | Home Health | 12355 West Cocopah Street, Avondale, AZ 85323 | 2017-02-07 |
| 1750838348 | Annette A Alvarez | Specialist/Technologist | 295 W Western Avenue, Avondale, AZ 85323 | 2016-09-01 |
| 1649726886 | Michelle R Dotson | Contractor | 12115 W Van Buren St Apt 1924, Avondale, AZ 85323 | 2016-08-28 |
| 1619370756 | Amanda Mann | Physical Therapy Assistant | 12804 West Hildalgo, Avondale, AZ 85323 | 2014-10-03 |
| 1326459306 | Ma Caubalejo | Physical Therapist | 350 East La Canada Blvd, Avondale, AZ 85323 | 2014-05-13 |
| 1093139545 | Mark Salvador | Physical Therapy Assistant | 11722 W. Mountain View Dr., Avondale, AZ 85323 | 2014-02-04 |
| Find all providers in zip 85323 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215405535 | Jessica Draper | Physician Assistant | 12722 W Monte Vista Rd, Avondale, AZ 85392-6431 | 2018-11-05 |
| 1073985388 | Danielle Meeker | Physician Assistant | 12409 W Indian School Rd Ste 210, Avondale, AZ 85392-9502 | 2015-10-26 |
| 1851796304 | Elevate Seniors Pllc | Physician Assistant | 10320 W Mcdowell Rd Ste N1444, Avondale, AZ 85392-4879 | 2014-10-27 |
| 1043493125 | Robert T Davis | Physician Assistant | 13065 W Mcdowell Rd Ste A107, Phoenix Gi Consultants, Avondale, AZ 85392-6440 | 2007-12-11 |
| 1679680045 | Juan Luis Miranda | Physician Assistant | 13075 W Mcdowell Rd Ste D106, Avondale, AZ 85323-6437 | 2006-08-23 |
| 1376913194 | Michelle Kaye Dawson-harrel | Physician Assistant | 13075 W Mcdowell Rd, Suite D106, Avondale, AZ 85392-6436 | 2015-10-06 |
| 1003211889 | Eric Tomas Ovalle | Physician Assistant | 3125 N Dysart Rd, Avondale, AZ 85392-1208 | 2014-10-23 |
| 1487066106 | Matthew Graham | Physician Assistant | 13075 W Mcdowell Rd, Ste D106, Avondale, AZ 85392-6436 | 2014-05-29 |
| 1417388448 | Timothy D Hosch | Physician Assistant | 10815 W Mcdowell Rd Ste 202, Avondale, AZ 85392-5010 | 2013-12-02 |
| 1538400692 | Alaina Anne Vacco | Physician Assistant | 10815 W Mcdowell Rd, Suite 305, Avondale, AZ 85392-5007 | 2013-03-13 |
| Find all providers in AVONDALE | ||||
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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.