MRS. KELLY MICHELLE CENICEROS


Address: 6849 E. Hwy 92, Hereford, AZ 85615-0038
Phone: 5203665508

MRS. KELLY MICHELLE CENICEROS (NPI# 1306061700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306061700
Entity Type Individual
Full Name MRS. KELLY MICHELLE CENICEROS
Credential R.N.
Practice Address 6849 E. Hwy 92
Hereford
AZ 85615-0038
Mailing Address Po Box 38
Hereford
AZ 85615-0038
Practice Telephone 5203665508
Practice Fax Number 5203665592
Mailing Telephone 5203665508
Mailing Fax Number 5203665592
Enumeration Date 2007-04-13
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WS0200X Registered Nurse
Specialization: School
RN115568 AZ Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ 636045 05

Office Location

Street Address 6849 E. HWY 92
City HEREFORD
State AZ
Zip Code 85615-0038

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447763677 Diana Deray Jones Registered Nurse Palominas Elementary School, 6849 E. Hwy 92, Hereford, AZ 85615 2017-11-09
1558751800 Goldenoaks Assisted Living Facility 8099 Geoffrion St, Hereford, AZ 85615 2015-01-26
1649536251 Joel Childs Respite Care 9367 Chippewa Drive, Hereford, AZ 85615 2012-04-09
1275835167 Anne M Castello Behavioral Analyst 9345 S. Reynolds Rd., Hereford, AZ 85615 2010-11-26
1609916774 Evelyn Becker Psychologist 10385 E. Highway 92, Hereford, AZ 85615 2007-02-07
1568539625 Steven Richard Germann Respite Care 10056 S. Corgi Lane, Hereford, AZ 85615 2006-11-30
1477620532 Kathleen Christine Valencia Respite Care 10330 S. Palominas Road, Hereford, AZ 85615 2006-11-30
1629417431 Julie Marie Hutchinson Nurse Practitioner 10524 E Highway 92, Hereford, AZ 85615 2013-06-14
1942485040 Leisa Diane Wilson Boyer Contractor 10385 E Hwy 92, Palominas School Dist, Hereford, AZ 85615 2008-01-08
1952426769 Sandra West Registered Nurse 10385 E Hwy 92, Hereford, AZ 85615 2007-03-20
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Taxonomy Information

Taxonomy Code 163WS0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447763677 Diana Deray Jones Registered Nurse Palominas Elementary School, 6849 E. Hwy 92, Hereford, AZ 85615 2017-11-09
1447730817 Michelle Lynne Capers Registered Nurse 10385 E Highway 92, Hereford, AZ 85615-8370 2018-08-15

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NPI Name Taxonomy Address Enumeration
1992318612 Mary Jane Zdyrski Registered Nurse 4455 S Mission Rd, Tucson, AZ 85746-4014 2020-08-24
1740890896 Olivia Yvette Sandoval Registered Nurse 3437 Jamaica Blvd S, Lake Havasu City, AZ 86406-5507 2020-08-04
1336761303 Daniel James Emborsky Jr. Registered Nurse 3550 Prospector St, Kingman, AZ 86401-1900 2020-05-13
1043857097 Karen M Garcia Registered Nurse 2631 N Brown Avenue, Casa Grande, AZ 85122 2019-12-09
1679110894 Elizabeth Amber Sim Registered Nurse 20873 W Sunrise Ln, Buckeye, AZ 85396-7593 2019-12-06
1306482377 Cecilia Denise Zepeda Registered Nurse 1250 N. 8th Avenue, San Luis, AZ 85349 2019-11-25
1366088635 Jennifer Lynn White Registered Nurse 1193 S 16th Pl, Cottonwood, AZ 86326-6939 2019-11-21
1700421112 Jill Smith Registered Nurse 18601 W. Campbell Avenue, Goodyear, AZ 85395-8539 2019-11-08
1780227413 Gabriela Flores Registered Nurse 44150 W. Maricopa Casa Grande Hwy, Maricopa, AZ 85138 2019-10-25
1033752761 Lizabeth Joy Stephens Registered Nurse 44150 West Maricopa-casa Grand Hwy., Maricopa, AZ 85138 2019-10-25
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Competitor

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City HEREFORD
Zip Code 85615

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Dataset Information

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.

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