KRISONA HEUSTED (NPI# 1235478892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235478892 |
| Entity Type | Individual |
| Full Name | KRISONA HEUSTED |
| Practice Address |
3901 E Emile Zola Ave Phoenix AZ 85032-6225 |
| Practice Telephone | 6233144500 |
| Mailing Telephone | 6233144500 |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2013-02-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
4504103 | AZ | Respite Care Facility |
| Street Address |
3901 E EMILE ZOLA AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85032-6225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245579895 | Annette Keil | Respite Care | 3901 E Emile Zola Ave, Phoenix, AZ 85032-6225 | 2013-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689298838 | Eboni Nicole Morris | Psychologist | 166001 N. 40th St., Suite 210, Phoenix, AZ 85032 | 2020-06-03 |
| 1326688573 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3227 E Bell Road, Suite 170, Room P1, Phoenix, AZ 85032 | 2020-01-15 |
| 1740836642 | Integrated Medical Services Inc | Internal Medicine | 3815 W Bell Rd, Ste 3200, Phoenix, AZ 85032 | 2019-08-15 |
| 1639739576 | Sarah Martin | Physical Therapy Assistant | Ridgecrest Healthcare, 16640 North 38th Street, Phoenix, AZ 85032 | 2019-06-13 |
| 1750846168 | Conte Sport Performance Therapy LLC | Physical Therapist | 18413 N. Cave Creed Rd, Suite 8, Phoenix, AZ 85032 | 2019-02-11 |
| 1659848208 | Pacific Dental Services Foundation | Physician Assistant | 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032 | 2018-10-31 |
| 1083100812 | Phoenix Interventional Pain Management, Pllc | Anesthesiology | 3815 E Bell Rd Ste 3500a, Phoenix, AZ 85032 | 2018-07-04 |
| 1770074635 | Np Professional LLC | Clinic/Center | 3329 E Bell Rd Ste A1, Phoenix, AZ 85032 | 2018-05-25 |
| 1932600020 | North Phoenix Asc LLC | Clinic/Center | 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 | 2018-02-23 |
| 1396263307 | Cheryl Anne Miller | Registered Nurse | 15002 N. 32nd St., Phoenix, AZ 85032 | 2017-08-30 |
| Find all providers in zip 85032 | ||||
| Taxonomy Code | 385HR2055X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Illness, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508416595 | Tyechia Webb | Respite Care | 21239 N 24th Ave Apt 214, Phoenix, AZ 85027-2524 | 2019-09-12 |
| 1912552381 | Leslie E Alfieri | Respite Care | 2250 E Deer Valley Rd Unit 48, Phoenix, AZ 85024-5530 | 2019-08-02 |
| 1811404437 | Montique S Collins | Respite Care | 729 W Maldonado Rd, Phoenix, AZ 85041-6763 | 2018-01-04 |
| 1801341441 | Asha Dey | Respite Care | 1914 W Carson Rd, Phoenix, AZ 85041-6658 | 2016-08-24 |
| 1811352016 | Megan Pirehpour | Respite Care | 25622 N Singbush Loop, Phoenix, AZ 85083-2457 | 2015-12-15 |
| 1093109050 | Ligia Ahumada | Respite Care | 7111 W Pioneer St, Phoenix, AZ 85043-7209 | 2015-03-26 |
| 1871914119 | Debbie Okojie | Respite Care | 4041 N 27th St Unit 110, Phoenix, AZ 85016-6773 | 2014-01-03 |
| 1578993895 | Ronald Harris | Respite Care | 2512 W Saint Catherine Ave, Phoenix, AZ 85041-5354 | 2013-11-22 |
| 1235569849 | Terry Jackson | Respite Care | 6605 S 18th Dr, Phoenix, AZ 85041-5841 | 2013-11-18 |
| 1245579895 | Annette Keil | Respite Care | 3901 E Emile Zola Ave, Phoenix, AZ 85032-6225 | 2013-02-01 |
| 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.