MS. EVELYN CORONADO (NPI# 1295259075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295259075 |
| Entity Type | Individual |
| Full Name | MS. EVELYN CORONADO |
| Practice Address |
635 E Baseline Rd Phoenix AZ 85042-6551 |
| Mailing Address |
2351 W Desiree Ln Tempe AZ 85282-6128 |
| Practice Telephone | 6022437277 |
| Mailing Telephone | 9282109124 |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2017-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073839551 | Evelyn Coronado | Nurse Anesthetist, Certified Registered | 355 Grand St, Jersey City, NJ 07302-4321 | 2010-04-09 |
| Street Address |
635 E BASELINE RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85042-6551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164414892 | Neil Trachtenberg | Obstetrics & Gynecology | 635 E Baseline Rd, Phoenix, AZ 85042-6551 | 2005-08-18 |
| 1548884240 | Heather E Weninger | Dietitian, Registered | 635 E Baseline Rd, Phoenix, AZ 85042-6551 | 2020-05-29 |
| 1245863786 | Katherine Marie Bear | Nurse Practitioner | 635 E Baseline Rd, Phoenix, AZ 85042-6551 | 2020-02-12 |
| 1841821642 | Manyil Dashe | Dietitian, Registered | 635 E Baseline Rd, Phoenix, AZ 85042-6583 | 2020-01-30 |
| 1962045112 | Natasha Burrell | Dietitian, Registered | 635 E Baseline Rd, Phoenix, AZ 85042-6583 | 2019-10-21 |
| 1215404652 | Heather Diane Hargrave | Physician Assistant | 635 E Baseline Rd, Phoenix, AZ 85042 | 2018-10-24 |
| 1700351475 | Robert Eugene Carter | Dietitian, Registered | 635 E Baseline Rd, Phoenix, AZ 85042-6583 | 2018-10-09 |
| 1134605132 | Philsy Jaison | Nurse Practitioner | 635 E Baseline Rd, Phoenix, AZ 85042-6583 | 2018-07-13 |
| 1891208948 | Samantha Thompson | Pharmacist | 635 E Baseline Rd, Phoenix, AZ 85042-6551 | 2017-11-12 |
| 1376065904 | Vesna Babanovska | Dietitian, Registered | 635 E Baseline Rd, Phoenix, AZ 85042-6551 | 2017-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443197 | Da Homes LLC | Case Management | 8026 S. 24th Way, Phoenix, AZ 85042 | 2020-10-05 |
| 1144790460 | Ebony House Inc | Substance Abuse Rehabilitation Facility | 6222 S. 13th Street, Phoenix, AZ 85042 | 2018-11-29 |
| 1427538362 | Abigail Mcgrath | Dietitian, Registered | 303 E Baseline Rd Ste 200, Phoenix, AZ 85042 | 2018-08-20 |
| 1174028310 | Olufemi A Omodara | Pharmacist | 7227 S. Central Ave, #1080, Phoenix, AZ 85042 | 2018-03-29 |
| 1720537699 | Mary Youngblood | Registered Nurse | 7210 S 27th Way, Phoenix, AZ 85042 | 2016-10-03 |
| 1922490382 | Brian Zembower | Optometrist | 610 E Baseline Rd Ste C3, Phoenix, AZ 85042 | 2015-02-23 |
| 1417299819 | Robert Murphy Portley | Psychiatry & Neurology | 2320 E Baseline Rd Ste 148-225, Phoenix, AZ 85042 | 2013-03-23 |
| 1972807998 | Obinna Chukwuka Akubukwe | Pharmacist | 6006 S. Central Avenue, Phoenix, AZ 85042 | 2011-01-05 |
| 1104120328 | Gisheys Patient Care LLC | Custodial Care Facility | 7232 South 12th Place, Phoeniz, AZ 85042 | 2011-01-03 |
| 1245463488 | Lois Ann Hammitt | Registered Nurse | 6218 S. 7th Street, Phoenix, AZ 85042 | 2009-09-03 |
| Find all providers in zip 85042 | ||||
| Taxonomy Code | 133VN1004X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Pediatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851856041 | Lisa Vanatta | Dietitian, Registered | 1919 E Thomas Rd Bldg 3, Phoenix, AZ 85016-7710 | 2019-02-01 |
| 1740708205 | Courtney Dillon Bliss | Dietitian, Registered | 1844 N 38th St, Phoenix, AZ 85008-3914 | 2017-09-05 |
| 1356998470 | Ahriel Miller | Dietitian, Registered | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2019-08-22 |
| 1952864282 | Nisha Patel | Dietitian, Registered | 1920 E Cambridge Ave Ste 200, Phoenix, AZ 85006-1462 | 2019-04-12 |
| 1750841375 | Gabrielle Suarez King | Dietitian, Registered | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2019-03-20 |
| 1487112546 | Elizabeth Langreck | Dietitian, Registered | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2019-03-07 |
| 1013475185 | Brittane Sveum | Dietitian, Registered | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2019-03-07 |
| 1801351903 | Peggy Fullenkamp Oomens | Dietitian, Registered | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2019-02-04 |
| 1609330034 | Suzanne Marie Timmons | Dietitian, Registered | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2019-01-30 |
| 1184188757 | Samantha Eubel | Dietitian, Registered | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2019-01-28 |
| 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.