MRS. HANEELIA JEAN MAX (NPI# 1275706939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275706939 |
| Entity Type | Individual |
| Full Name | MRS. HANEELIA JEAN MAX |
| Practice Address |
322 Hwy 160 Suite #13 Tuba City AZ 86045-2489 |
| Mailing Address |
Po Box 2489 Tuba City AZ 86045-2489 |
| Practice Telephone | 9282835206 |
| Practice Fax Number | 9282835733 |
| Mailing Telephone | 9282835206 |
| Mailing Fax Number | 9282835733 |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156F00000X | Technician/Technologist | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 119596 | 05 |
| Street Address |
322 HWY 160 SUITE #13 |
| City | TUBA CITY |
| State | AZ |
| Zip Code | 86045-2489 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434206 | Ambrielle Grace Begay | Specialist/Technologist | 48 Turquoise Drive, Tuba City, AZ 86045 | 2020-10-12 |
| 1063028124 | Fresenius Medical Care Tuba City, LLC | Clinic/Center | 50 S. Main Street, Ste 108, Tuba City, AZ 86045 | 2020-09-23 |
| 1609422484 | Rebekah Lee | Pharmacist | 167 North Main St. Tuba City Regional Health Care Corp., Tuba City, AZ 86045 | 2019-08-16 |
| 1861977050 | Kyle C Nguyen | Pharmacist | 3008 E. Birch Ave, Tuba City, AZ 86045 | 2018-10-03 |
| 1518419845 | John Glenn Ives | Pharmacist | 167 N, Main St, Tuba City, AZ 86045 | 2016-11-03 |
| 1497208433 | Toweringrock Non-emergency Medical Transport, LLC | Non-emergency Medical Transport (VAN) | 1029 E. Tc North Side Trailer, 36.153821-111.233925, Tuba City, AZ 86045 | 2016-07-26 |
| 1699153270 | Hopi Assisted Living Facility Inc. | Point of Service | 21 Senior Lane Upper Hud Housing Moenkopi, Hopi Assisted Living, Tuba City, AZ 86045 | 2015-05-14 |
| 1306223870 | Mia Seimy | Driver | Adair Avenue Space #5, Tuba City, AZ 86045 | 2015-05-04 |
| 1033507587 | Tari Carroll | Home Health Aide | Tumbleweed Drive Nha E-3, Tuba City, AZ 86045 | 2015-01-07 |
| 1023452984 | Amanda Bancroft Burrage | Pediatrics | 167 Main St., Tuba City, AZ 86045 | 2013-04-23 |
| Find all providers in zip 86045 | ||||
| Taxonomy Code | 156F00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| A broad category grouping different kinds of technologists and technicians. See individual definitions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336430719 | Patrina Ashiking | Technician/Technologist | 167 N Main Street, Tuba City, AZ 86045 | 2011-04-20 |
| 1043501422 | Janie Peaches | Technician/Technologist | 167 North Main Street, Optometry Dept, Tuba City, AZ 86045-0600 | 2011-04-20 |
| 1053602433 | Angela L. Kiyaani | Technician/Technologist | 167 N. Main St., Tuba City, AZ 86045-0600 | 2011-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356968440 | Jennifer Wallace | Technician/Technologist | 2041 E 3rd Dr, Mesa, AZ 85204-1401 | 2020-07-06 |
| 1306402771 | Evan Klees | Technician/Technologist | 1237 E Dust Devil Dr, San Tan Valley, AZ 85143-4287 | 2019-05-11 |
| 1750854071 | E3 Network, Inc. | Technician/Technologist | 14780 W Mountain View Blvd Bldg Suite110, Surprise, AZ 85374-4799 | 2019-01-09 |
| 1083130199 | Rose Campbell | Technician/Technologist | 649 North Orlando, Mesa, AZ 85205 | 2017-08-21 |
| 1275155848 | Richard Hernandez | Technician/Technologist | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 | 2020-05-17 |
| 1598237315 | Diego Abraham Chavez | Technician/Technologist | 1 S Church Ave Ste 1200, Tucson, AZ 85701-1601 | 2018-12-18 |
| 1962828632 | Laura P Reyes | Technician/Technologist | 1750 E Glendale Ave, Phoenix, AZ 85020-5505 | 2014-03-05 |
| 1003136102 | Diandra Marlene Martinez | Technician/Technologist | 12033 Agency Road, Parker, AZ 85344 | 2010-06-11 |
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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.