MICHAEL KEVIN MAYETTE JR. (NPI# 1255803300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255803300 |
| Entity Type | Individual |
| Full Name | MICHAEL KEVIN MAYETTE JR. |
| Credential | APRN |
| Practice Address |
6365 E Tanque Verde Rd Tucson AZ 85715-3830 |
| Mailing Address |
Po Box 35380 Las Vegas NV 89133-5380 |
| Practice Telephone | 5203900300 |
| Practice Fax Number | 5202989230 |
| Mailing Telephone | 7028388265 |
| Mailing Fax Number | 7028043788 |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2019-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | CNP220182 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164794087 | Michael Mayette | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr, Room H3143, Stanford, CA 94305-5236 | 2012-02-08 |
| Street Address |
6365 E TANQUE VERDE RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85715-3830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417945833 | Rebecca A Natrajan | Internal Medicine | 6365 E Tanque Verde Rd, Suite 210, Tucson, AZ 85715-3830 | 2005-10-10 |
| 1306233564 | David Brower | Internal Medicine | 6365 E Tanque Verde Rd, Tucson, AZ 85715-3830 | 2015-04-24 |
| 1871985366 | Medical Services of Southern Arizona | Anesthesiology | 6365 E Tanque Verde Rd, Suite 230, Tucson, AZ 85715-3830 | 2015-02-20 |
| 1275970055 | Kris Silverman | Nurse Practitioner | 6365 E Tanque Verde Rd, Suite 120, Tucson, AZ 85715-3830 | 2013-06-03 |
| 1346561040 | Patrick Michael Noonan | Internal Medicine | 6365 E Tanque Verde Rd, Suite 120, Tucson, AZ 85715-3830 | 2010-06-16 |
| 1861689051 | L. Arturo Baez, M.d. P.C. | Internal Medicine | 6365 E Tanque Verde Rd, Suite 230, Tucson, AZ 85715 | 2007-10-01 |
| 1427263094 | Bari Jill Orozco | Nurse Practitioner | 6365 E Tanque Verde Rd, Tucson, AZ 85715-3830 | 2007-05-14 |
| 1316091408 | Janet Raye Weber | Nurse Practitioner | 6365 E Tanque Verde Rd, Suite 120, Tucson, AZ 85715-3830 | 2007-01-23 |
| 1649343815 | Mehrnoosh Zarkoob | Internal Medicine | 6365 E Tanque Verde Rd, Tucson, AZ 85715-3830 | 2006-11-16 |
| 1932293032 | Coronado Internal Medicine PC | Internal Medicine | 6365 E Tanque Verde Rd, Suite 210, Tucson, AZ 85715-3830 | 2006-10-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902451677 | Sharie Williams | Physical Therapist | 6267 E Tanque Verde Road, Suite 150, Tucson, AZ 85715 | 2019-08-08 |
| 1558860288 | Christina Reece | Assistant Behavior Analyst | 1161 N El Dorado, 103, Tucson, AZ 85715 | 2018-02-08 |
| 1548789761 | John Kenneth Adams | Occupational Therapy Assistant | 2900 E. Milber St, Tucson, AZ 85715 | 2017-09-19 |
| 1992229991 | Southern Arizona Urgent Care, LLC | Clinic/Center | 6572 E. Grant Rd, Ste. 130, Tucson, AZ 85715 | 2017-08-01 |
| 1104373364 | Arizona Rehab Campus, LLC | Substance Abuse Rehabilitation Facility | 6944 E Tanque Verde Rd, Tucson, AZ 85715 | 2016-09-06 |
| 1194110866 | Negin Saghafi | Dentist | 7455 E. Tanque Verde Road, Tucson, AZ 85715 | 2015-03-31 |
| 1730514282 | Rhea Lewis Tribe | Speech-Language Pathologist | 6901 E Soyaluna Pl, Tucson, AZ 85715 | 2013-09-03 |
| 1043569536 | Shaharyar Ashraf | Dentist | 7111 East Tanque Verde Road, Tucson, AZ 85715 | 2012-08-30 |
| 1093013534 | Jimmy Aziz | Behavioral Analyst | 6369 E Tanque Road, Suite 100, Tucson, AZ 85715 | 2011-03-08 |
| 1053625848 | Gerinet Palliative Care, LLC | Hospice Care, Community Based | 6375 E Tanque Verde Rd., Suite 170, Tucson, AZ 85715 | 2010-08-04 |
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| 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 |
|---|---|---|---|---|
| 1164023339 | Flor Avila Fimbres | Nurse Practitioner | 5418 W Placita Del Risco, Tucson, AZ 85745-9550 | 2020-11-04 |
| 1225637184 | Amy Chan Matchett | Nurse Practitioner | 2754 W Checkerspot Dr, Tucson, AZ 85741-5255 | 2020-10-21 |
| 1851924179 | Sip Home Systems - Tucson LLC | Nurse Practitioner | 7620 N Hartman Ln Ste 162, Tucson, AZ 85743-7484 | 2020-02-14 |
| 1538710330 | Emily Dantes | Nurse Practitioner | 1671 W Ina Rd Ste 101, Tucson, AZ 85704-1928 | 2019-09-23 |
| 1669939641 | Arlly Regoso | Nurse Practitioner | 2830 N Swan Rd Ste 180, Tucson, AZ 85712-6301 | 2019-02-26 |
| 1457829004 | Niyatiben Patel | Nurse Practitioner | 6814 S Twinberry Dr, Tucson, AZ 85756-5152 | 2018-11-12 |
| 1568959807 | Ama Medical Services Mohamed Coulibaly Dit Fall Sole Mbr | Nurse Practitioner | 11069 N Mountain Breeze Dr, Tucson, AZ 85737 | 2018-04-20 |
| 1932613957 | Betty Jean Blangsted | Nurse Practitioner | 7840 E Calle De La Escarpa, Tucson, AZ 85750-2313 | 2017-11-29 |
| 1194173112 | O'neill Medical Group, P.C. | Nurse Practitioner | 11177 N Oracle Rd Apt 10302, Tucson, AZ 85737-5651 | 2016-05-31 |
| 1023470069 | Deanna Collier | Nurse Practitioner | 8610 E Old Spanish Trl Apt 117, Tucson, AZ 85710-4328 | 2016-03-28 |
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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.