CARLY N. SIROTA (NPI# 1275872830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275872830 |
| Entity Type | Individual |
| Full Name | CARLY N. SIROTA |
| Other Name | CARLY CAMP |
| Credential | FNP |
| Practice Address |
483 West Seed Farm Rd Sacaton AZ 85147 |
| Mailing Address |
483 West Seed Farm Rd Sacaton AZ 85147-0001 |
| Practice Telephone | 6025281200 |
| Practice Fax Number | 6025528125 |
| Mailing Telephone | 6025281200 |
| Mailing Fax Number | 6025528125 |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2015-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP4835 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | ADVANCED PRACTITIONER | AP4835 | 01 |
| Street Address |
483 WEST SEED FARM RD |
| City | SACATON |
| State | AZ |
| Zip Code | 85147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104980911 | Gila River Health Care Corporation Dme | Durable Medical Equipment & Medical Supplies | 483 West Seed Farm Rd, Gila River Health Care Corporation, Sacaton, AZ 85247-0038 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104452507 | Jeremy James Pumphrey | Counselor | 438 W Seed Farm Rd, Sacaton, AZ 85147 | 2020-03-17 |
| 1215563804 | Leo Oswaldo Merino | Counselor | 291 W. Casa Blanca Rd. Bldg. # 7, Sacaton, AZ 85147 | 2020-03-16 |
| 1588166896 | Stephanie Lashawn Brown | Social Worker | 483 West Seed Farm Rd., Sacaton, AZ 85147 | 2018-03-02 |
| 1255602447 | Joyce Mildred Villalobos | Counselor | Gila River Health Care Corp, 483 W Seed Farm Rd, Sacaton, AZ 85147 | 2012-01-19 |
| 1417237074 | Gila River Health Care | Community/Behavioral Health | 291 W Casa Blanca Rd, Sacaton, AZ 85147 | 2011-08-26 |
| 1750598322 | Kari Beth Harris | Social Worker | 198 South Skill Center Road, Sacaton, AZ 85147 | 2007-05-16 |
| 1740378694 | Vincent Anthony Berkley | Internal Medicine | 198 S. Skill Center Road, Sacaton, AZ 85147 | 2006-10-10 |
| 1568448801 | Wesley Neil Yamada | Podiatrist | 483 W Seed Farm Road, Sacaton, AZ 85147 | 2005-12-19 |
| 1376532515 | Frances Antone | Physician Assistant | 483 W Seed Farm Rd., Sacaton, AZ 85147 | 2005-10-20 |
| 1538167051 | Xuong Wilkinson | Family Medicine | 483 West Seed Farm Road, Sacaton, AZ 85147 | 2005-07-08 |
| Find all providers in zip 85147 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710288105 | Tara S, Raczka | Nurse Practitioner | 438 W. Seed Farm Rd, Sacaton, AZ 85147-0038 | 2010-11-16 |
| 1437239506 | Barbara B. Nakai | Nurse Practitioner | 483 W. Seed Farm Road, Sacaton, AZ 85147-0038 | 2006-10-16 |
| 1770676082 | Robin Marie Henry | Nurse Practitioner | 438 West Seed Farm Road, Sacaton, AZ 85147-0038 | 2006-10-02 |
| 1972992360 | Wendolyn Bitselley Calderon | Nurse Practitioner | 483 W. Seed Farm Rd., Sacaton, AZ 85147 | 2015-01-22 |
| 1861809618 | Bharat Nepal | Nurse Practitioner | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2014-07-14 |
| 1225453699 | Jenny R Brady | Nurse Practitioner | 483 W. Seed Farm Rd., Sacaton, AZ 85147 | 2014-02-21 |
| 1447675053 | Stephanie Hensel | Nurse Practitioner | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2014-02-19 |
| 1790116945 | Wendy L. Aragaki | Nurse Practitioner | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2013-12-12 |
| 1871923011 | Alisa Mosley | Nurse Practitioner | 483 W. Seed Farm Rd., Hu Hu Kam Memorial Hospital, Sacaton, AZ 85147-0038 | 2013-11-26 |
| 1528304755 | Cynthia Ann Carter | Nurse Practitioner | 483 W. Seed Farm Rd, Sacaton, AZ 85147 | 2012-12-16 |
| Find all providers in SACATON | ||||
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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.