JACQUELYN ISLAND (NPI# 1194849489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194849489 |
| Entity Type | Individual |
| Full Name | JACQUELYN ISLAND |
| Credential | M.D. |
| Practice Address |
12808 N Black Canyon Hwy Phoenix AZ 85029-1346 |
| Mailing Address |
5080 Spectrum Dr Suite 1200 West Tower Addison TX 75001-4648 |
| Practice Telephone | 6157784066 |
| Mailing Telephone | 8002323550 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2009-02-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
28020 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
12808 N BLACK CANYON HWY |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85029-1346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154359552 | Peter Robert Nash | Internal Medicine | 12808 N Black Canyon Hwy, Phoenix, AZ 85029-1346 | 2006-06-28 |
| 1124465471 | Brian Nicholas Forte | Physical Therapist | 12808 N Black Canyon Hwy, Phoenix, AZ 85029-1346 | 2013-05-28 |
| 1477832665 | Us Medgroup Pa | Clinic/Center | 12808 N Black Canyon Hwy, Phoenix, AZ 85029 | 2011-08-05 |
| 1215165139 | Terrylee Kraemer | Occupational Therapist | 12808 N Black Canyon Hwy, Phoenix, AZ 85029-1346 | 2009-06-30 |
| 1407971575 | Kim Marseilles | Physical Medicine & Rehabilitation | 12808 N Black Canyon Hwy, Phoenix, AZ 85029-1346 | 2007-03-20 |
| 1992820856 | Richard H Moore | Preventive Medicine | 12808 N Black Canyon Hwy, Phoenix, AZ 85029-1346 | 2007-03-20 |
| 1144345133 | Lorri A Bentley | Physical Therapist | 12808 N Black Canyon Hwy, Phoenix, AZ 85029-1346 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153799 | Haydee Bermudez | Counselor | 3301 North 33rd Ave., Phoenix, AZ 85029 | 2020-10-27 |
| 1871191221 | Covenant Home Health LLC | In Home Supportive Care | 11830 N. 19th Ave, Suite 101 Pendleton, Phoenix, AZ 85029 | 2020-10-16 |
| 1508406745 | Tailored 2 U Psychiatry, Pllc | Nurse Practitioner | 4150 W Peoria Avenue, Suite 116, Phoenix, AZ 85029 | 2020-01-15 |
| 1770125403 | Desert Gem Assisted Living Facility, LLC | Custodial Care Facility | 3236 W. Eugie Avenue, Phoenix, AZ 85029 | 2019-10-15 |
| 1588128623 | Anna Debbs | Counselor | 11221 North 28th Drive, Bldg E, Phoenix, AZ 85029 | 2019-01-23 |
| 1609360007 | Melissa Lynn Denton | Specialist/Technologist | 4014 W Paradise Dr, Phoenix, AZ 85029 | 2018-06-19 |
| 1275038713 | Jamilah Amirah | Behavioral Analyst | 11024 N 28th Dr Ste 110, Phoenix, AZ 85029 | 2018-03-27 |
| 1639687056 | Empower Home Care, LLC. | Home Health | 11225 N 28th Drive, Suite D115e, Phoenix, AZ 85029 | 2018-01-19 |
| 1467975698 | Samantha June Collett | Nurse Practitioner | 3201 W Peoria Ave Ste 804, Phoenix, AZ 85029 | 2017-07-19 |
| 1073966347 | Meka Joi Green | Social Worker | 11225 M 28th Dr, Suite C210, Phoenix, AZ 85029 | 2016-07-21 |
| Find all providers in zip 85029 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558482703 | William R. Lewis | Preventive Medicine | 320 E. Mcdowell Rd, Suite 105 & 325, Phoenix, AZ 85004 | 2007-04-03 |
| 1174648844 | Gilbert T Webb II | Preventive Medicine | 320 E Mcdowell Rd, Suite 105 & 325, Phoenix, AZ 85004-4514 | 2007-03-20 |
| 1053436063 | Michael A Keer | Preventive Medicine | 5340 W Buckeye Rd, Suite 3, Phoenix, AZ 85043-4700 | 2007-03-20 |
| 1083739163 | Nicolau J Chamma | Preventive Medicine | 2502 E Washington St, Phoenix, AZ 85034-1419 | 2007-03-20 |
| 1699824177 | Jeffrey R. Larson | Preventive Medicine | 9250 N 32nd Pl, Phoenix, AZ 85028-4917 | 2007-01-10 |
| 1528496783 | Mobile Care Physicians LLC | Preventive Medicine | 2601 N 3rd St, Suite 305, Phoenix, AZ 85004-1104 | 2013-10-28 |
| 1104254580 | Asante Medical Associates | Preventive Medicine | 2601 N 3rd St, Suite 305, Phoenix, AZ 85004-1104 | 2013-10-23 |
| 1265869267 | Asante Medical Associates LLC | Preventive Medicine | 2601 N 3rd St, Suite 305, Phoenix, AZ 85004-1104 | 2013-10-04 |
| 1407015589 | Robert E. Adler | Preventive Medicine | 1818 E Sky Harbor Cir N, Building 2, Suite 150, Phoenix, AZ 85034-3407 | 2008-06-04 |
| 1396866919 | Linda Hull | Preventive Medicine | 3532 W Thomas Rd, Phoenix, AZ 85019-4440 | 2007-04-02 |
| Find all providers in PHOENIX | ||||
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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.