MARVIN LEANDICHO DE LEON (NPI# 1194956086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194956086 |
| Entity Type | Individual |
| Full Name | MARVIN LEANDICHO DE LEON |
| Credential | LPN |
| Practice Address |
2369 N 142nd Ave Goodyear AZ 85395-1657 |
| Practice Telephone | 6232035500 |
| Mailing Telephone | 6232035500 |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2009-07-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LP038083 | AZ | Nursing Service Providers |
| Street Address |
2369 N 142ND AVE |
| City | GOODYEAR |
| State | AZ |
| Zip Code | 85395-1657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154962439 | Amber Dawn Gutierrez | Registered Nurse | 15430 W. Turney Avenue, Goodyear, AZ 85395 | 2019-10-08 |
| 1851947865 | Az Care Partners Home Care, LLC | Chore Provider | 14122 W. Mcdowell Rd., Suite 102a, Goodyear, AZ 85395 | 2019-08-15 |
| 1407334329 | Hana M Eichele | Occupational Therapist | 13385 W Mcdowell Road, Goodyear, AZ 85395 | 2018-08-02 |
| 1639662406 | Kristen Henderson | Occupational Therapist | 14577 W Indian School Road, Goodyear, AZ 85395 | 2018-06-07 |
| 1114419389 | Eric Seabaugh | Specialist/Technologist | 13385 W. Mcdowell Rd., Goodyear, AZ 85395 | 2018-06-04 |
| 1912497504 | Goodyear Modern Dentistry, LLP | Dentist | 15260 West Mcdowell Rd, Goodyear, AZ 85395 | 2018-05-18 |
| 1225531551 | Erik Jason Martinez | Registered Nurse | 4565 N 153rd Ln, Goodyear, AZ 85395 | 2018-03-13 |
| 1538677042 | Kacie Bartlett | Speech-Language Pathologist | 14557 W Mcdowel Rd, Suiet 500, Goodyear, AZ 85395 | 2018-01-18 |
| 1942717277 | Deeann Guymon | Specialist/Technologist | 13385 W. Mcdowell Road, Goodyear, AZ 85395 | 2018-01-09 |
| 1023520228 | Kathy Lynn Gorchesky | Registered Nurse | 15430 West Turney Avenue, Goodyear, AZ 85395 | 2017-10-27 |
| Find all providers in zip 85395 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609376714 | Rosanna Alvarez | Licensed Practical Nurse | 17432 W Elaine Dr, Goodyear, AZ 85338 | 2018-02-15 |
| 1477095818 | Lisa Marie Cox | Licensed Practical Nurse | 15820 W Ripple Rd, Goodyear, AZ 85338-9606 | 2016-11-16 |
| 1659768448 | Christine Keogh | Licensed Practical Nurse | 17577 W Dalea Dr, Goodyear, AZ 85338-5870 | 2015-04-20 |
| 1164827176 | Shyesha Williams | Licensed Practical Nurse | 17359 W Jackson St, Goodyear, AZ 85338-6047 | 2014-11-03 |
| 1366872038 | Jennifer Kinney | Licensed Practical Nurse | 16875 W Canyon Trails Blvd, Goodyear, AZ 85338-4608 | 2013-11-17 |
| 1720411879 | Hiroko Pearce | Licensed Practical Nurse | 17364 W Navajo St, Goodyear, AZ 85338-1941 | 2013-08-13 |
| 1194015545 | Nancy Ann Amore | Licensed Practical Nurse | 15578 W Yuma Road, Goodyear, AZ 85338 | 2011-04-19 |
| 1609095504 | Catherine Jean Hicks | Licensed Practical Nurse | 15778 W Yuma Rd, Goodyear, AZ 85338-3358 | 2007-04-25 |
| 1578112850 | Erica Briana Johnson | Licensed Practical Nurse | 15778 W Yuma Rd, Goodyear, AZ 85338-3358 | 2019-09-09 |
| 1730521998 | Stephanie Howe | Licensed Practical Nurse | 325 S Wildflower Dr, Goodyear, AZ 85338 | 2013-07-29 |
| Find all providers in GOODYEAR | ||||
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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.