SHEILA J ZOLLICOFFER-MANLEY (NPI# 1235195470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235195470 |
| Entity Type | Individual |
| Full Name | SHEILA J ZOLLICOFFER-MANLEY |
| Credential | NP |
| Practice Address |
2225 W Southern Ave Mesa AZ 85202-4716 |
| Mailing Address |
1441 N 12th St Phoenix AZ 85006-2837 |
| Practice Telephone | 4805123000 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 090206 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2225 W SOUTHERN AVE |
| City | MESA |
| State | AZ |
| Zip Code | 85202-4716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477196277 | Banner Occupational Health Arizona LLC | Clinic/Center | 2225 W Southern Ave, Mesa, AZ 85202-4716 | 2019-10-24 |
| 1518511674 | Tatyn Moen | Speech-Language Pathologist | 2225 W Southern Ave, Mesa, AZ 85202-4716 | 2019-07-27 |
| 1689175747 | Kimberly Hubbard | Physical Therapist | 2225 W Southern Ave, Mesa, AZ 85202-4716 | 2018-02-23 |
| 1679073878 | Maria Camacho | Speech-Language Pathologist | 2225 W Southern Ave, Mesa, AZ 85202-4716 | 2018-02-15 |
| 1871093070 | Mary Martha Stefan | Occupational Therapist | 2225 W Southern Ave, Mesa, AZ 85202-4716 | 2018-02-15 |
| 1295233245 | Camille Lambert | Physical Therapist | 2225 W Southern Ave, Mesa, AZ 85202-4716 | 2018-01-24 |
| 1780192906 | Sara Becker | Physical Therapist | 2225 W Southern Ave, Mesa, AZ 85202-4716 | 2018-01-22 |
| 1497130454 | Ariel Danielle Demoret | Speech-Language Pathologist | 2225 W Southern Ave, Mesa, AZ 85202-4716 | 2015-07-20 |
| 1831510130 | Brenna Callaway | Speech-Language Pathologist | 2225 W Southern Ave, Mesa, AZ 85202-4716 | 2014-01-04 |
| 1619243177 | Sarah M King | Occupational Therapist | 2225 W Southern Ave, Mesa, AZ 85202-4716 | 2012-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
| Find all providers in zip 85202 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922632975 | Heidi Anne Parker | Nurse Practitioner | 2622 E Fountain St, Mesa, AZ 85213-5339 | 2020-02-28 |
| 1386295293 | Tracey D Emmons | Nurse Practitioner | 1654 S Lemon, Mesa, AZ 85206-3832 | 2019-09-23 |
| 1598314247 | Tawnya Grover | Nurse Practitioner | 6546 E Ingram St, Mesa, AZ 85205-3785 | 2019-09-05 |
| 1497309330 | Ashley Ross | Nurse Practitioner | 145 N 74th St, Mesa, AZ 85207-8327 | 2019-07-29 |
| 1417500901 | Katherine Elizabeth Benson | Nurse Practitioner | 3707 E Southern Ave # Floors12, Mesa, AZ 85206-2569 | 2019-07-23 |
| 1336700798 | Gwenda K Hatcher | Nurse Practitioner | 6242 E Arbor Ave Ste 123, Mesa, AZ 85206-1309 | 2019-06-26 |
| 1538725072 | Autumn Lemke | Nurse Practitioner | 2132 W Isthmus Loop, Mesa, AZ 85202-5518 | 2019-05-09 |
| 1265942395 | Janna Kay Stults | Nurse Practitioner | 2045 S Vineyard Ste 136, Mesa, AZ 85210-6891 | 2017-10-03 |
| 1285019596 | Shuang Krus | Nurse Practitioner | 2919 S Ellsworth Rd Ste 135, Mesa, AZ 85212-2168 | 2015-07-28 |
| 1619268190 | Dawn Lynn Williams | Nurse Practitioner | 4540 E Baseline Rd Suite 114, Mesa, AZ 85206 | 2011-05-02 |
| Find all providers in MESA | ||||
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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.