JEANNETTE EVELINE JAQUEZ (NPI# 1215050836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215050836 |
| Entity Type | Individual |
| Full Name | JEANNETTE EVELINE JAQUEZ |
| Practice Address |
20890 W Prospector Way Buckeye AZ 85396-7682 |
| Practice Telephone | 6233746080 |
| Mailing Telephone | 6233746080 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225500000X | Specialist/Technologist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
20890 W PROSPECTOR WAY |
| City | BUCKEYE |
| State | AZ |
| Zip Code | 85396-7682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423902 | Randy Bland | Respite Care | 20731 W Stone Hill Road, Buckeye, AZ 85396 | 2019-12-06 |
| 1659875698 | Arizona Dental Professionals, P.C. | Dentist | 4120 N 197th Ave, Buckeye, AZ 85396 | 2018-03-23 |
| 1407365083 | Ashley Nicole Brezovsky | Specialist/Technologist | 21188 W Granada Rd, Buckeye, AZ 85396 | 2017-09-26 |
| 1205219391 | Judy Jennings | Home Health Aide | 20470 W Delaney Dr, Buckeye, AZ 85396 | 2015-07-07 |
| 1407003650 | Brent H Bethers | Dentist | 20738 W Legend Trl, Buckeye, AZ 85396 | 2008-08-19 |
| 1437297256 | Patrick Nemechek | Internal Medicine | 4252 N. Verrado Way, Buckeye, AZ 85396 | 2007-02-02 |
| 1164748612 | Julie Beth Stavinoha | General Practice | 20955 W Hamilton St, Buckeye, AZ 85396-1518 | 2010-04-08 |
| 1629234828 | Debra Muckler | Physical Therapist | 2799 N Heritage St, Buckeye, AZ 85396-1520 | 2008-08-06 |
| 1619386596 | Professional Nutrition Consulting, Pllc | Clinic/Center | 2886 N Heritage St, Buckeye, AZ 85396-1522 | 2014-08-05 |
| 1811396997 | Elisa Anne Rodriguez | Nutritionist | 2886 N Heritage St, Buckeye, AZ 85396-1522 | 2014-08-14 |
| Find all providers in zip 85396 | ||||
| Taxonomy Code | 225500000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427516798 | Dianna H Nielsen | Specialist/Technologist | 9689 N Hayden Rd Ste 100, Scottsdale, AZ 85258-1833 | 2019-03-06 |
| 1871037036 | Kimberely Ann Waters | Specialist/Technologist | 7074 E Fifth Ave, Scottsdale, AZ 85251-3216 | 2016-12-07 |
| 1174770010 | Gravity Body Fitness & Structural Academy | Specialist/Technologist | 1050 E. River Road, Suite 200, Tucson, AZ 85718 | 2008-08-22 |
| 1588853360 | Quest Medicine Ltd | Specialist/Technologist | 100 N Hwy 89, #b, Chino Valley, AZ 86323-5980 | 2007-10-17 |
| 1710442447 | Casey Wilki | Specialist/Technologist | 1846 E Innovation Park Dr, Oro Valley, AZ 85755-1963 | 2019-02-06 |
| 1316212558 | Anne Sweet | Specialist/Technologist | 4723 E Desert Park Pl, Paradise Valley, AZ 85253-2949 | 2012-03-21 |
| 1750556031 | Questmedicine Ltd | Specialist/Technologist | 3301 N Miller Rd, #160, Scottsdale, AZ 85251-6431 | 2008-04-28 |
| 1619152519 | Orthomed LLC | Specialist/Technologist | 1925 W Orange Grove Rd, #204, Tucson, AZ 85704-1143 | 2008-01-09 |
| 1487670550 | Orthomed LLC | Specialist/Technologist | 3945 E Paradise Falls Dr, #109, Tucson, AZ 85712-6683 | 2006-07-14 |
| 1407887284 | Frank Hammer-tomizuka | Specialist/Technologist | 3100 N Campbell Ave, Suite 101, Tucson, AZ 85719-2315 | 2006-07-06 |
| Find all providers with the same taxonomy | ||||
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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.