MRS. SALLY JOAN VANDE BERG (NPI# 1225262041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225262041 |
| Entity Type | Individual |
| Full Name | MRS. SALLY JOAN VANDE BERG |
| Practice Address |
16323 N Sotol Ave Tucson AZ 85739-8966 |
| Practice Telephone | 5206030027 |
| Mailing Telephone | 5206030027 |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2009-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LP032723 | AZ | Nursing Service Providers |
| Street Address |
16323 N SOTOL AVE |
| City | TUCSON |
| State | AZ |
| Zip Code | 85739-8966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215276811 | Kari Miller | Respite Care | 48415 E Eaglenest Trail, Tucson, AZ 85739 | 2013-02-04 |
| 1073757670 | Diversified Pharmacy Solutions, LLC | Pharmacy | 63717 E Saddle Brooke Blvd, # 1, Tucson, AZ 85739 | 2009-04-27 |
| 1134308596 | Desert Palms Physical Therapy- Catalina PC | Physical Therapist | 15631 N Oracle Road, Suite 111, Tucson, AZ 85739 | 2007-11-01 |
| 1184784589 | Barbara Marie Mautner | Counselor | 37632 S. Mashie Dr., Tucson, AZ 85739 | 2006-12-08 |
| 1972614089 | W & W Rehab Services,l.l.c. | Physical Therapist | 15969 N. Oracle Rd., 171, Tucson, AZ 85739 | 2006-08-31 |
| 1750318036 | Daniel E Eggleston | Radiology | 38339 S Granite Crest, Tucson, AZ 85739 | 2006-06-26 |
| 1801377601 | Willard Dean Lynch | Nurse Practitioner | 39580 S Lago Del Oro Pkwy, Tucson, AZ 85739 | 2018-08-28 |
| 1699811588 | Joel Moncivaiz | Family Medicine | 63701 E Saddlebrooke Blvd, Ste F, Tucson, AZ 85739 | 2007-01-29 |
| 1770688988 | Korey Lynn Toensing | Chiropractor | 15601 N Oracle Rd, Catalina, AZ 85739 | 2006-09-13 |
| 1720044423 | Patrick B Shaffer | Dentist | 16701 N Oracle Rd, Suite 151, Tucson, AZ 85739 | 2006-04-22 |
| Find all providers in zip 85739 | ||||
| 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 |
|---|---|---|---|---|
| 1811540941 | Allison Renee Moore-crum | Licensed Practical Nurse | 8174 N Plantation Pl, Tucson, AZ 85741-4038 | 2019-07-17 |
| 1881253284 | Melody J Detwiller | Licensed Practical Nurse | 3601 S 6th Ave Bldg 802, Tucson, AZ 85723-0001 | 2019-06-10 |
| 1841772159 | Mary E Shaffer | Licensed Practical Nurse | 6557 E 12th St, Tucson, AZ 85710-1008 | 2018-09-04 |
| 1265935910 | Carlos H Blancarte Sr. | Licensed Practical Nurse | 268 E River Rd Ste 150, Tucson, AZ 85704-5844 | 2018-03-08 |
| 1750890190 | Patricia Ruane | Licensed Practical Nurse | 1082 E Ajo Way # 100, Tucson, AZ 85713-5051 | 2017-09-28 |
| 1184015109 | Dorothea Leonis Weber | Licensed Practical Nurse | 1010 East 10th Street, Tucson Unified School District, Tucson, AZ 85719 | 2015-02-12 |
| 1942607338 | Benita Chilikwela | Licensed Practical Nurse | 1402 N Alvernon Way, Suite S3, Tucson, AZ 85712-3804 | 2014-12-01 |
| 1912307794 | Jose Lugo | Licensed Practical Nurse | 102 N. Plummer Ave., Tucson, AZ 85719 | 2014-08-28 |
| 1821433418 | Lori Ann Harmsen | Licensed Practical Nurse | 9111 E Broadway Blvd Apt 8101, Tucson, AZ 85710-3084 | 2013-05-08 |
| 1053755223 | Kristen Michelle Molander | Licensed Practical Nurse | 9018 N Palm Brook Dr, Tucson, AZ 85743-8923 | 2013-04-18 |
| Find all providers in TUCSON | ||||
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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.