BRENT WHITLEY (NPI# 1316317704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316317704 |
| Entity Type | Individual |
| Full Name | BRENT WHITLEY |
| Credential | APRN |
| Practice Address |
651 W Mingus Ave Cottonwood AZ 86326-4006 |
| Practice Telephone | 9286342236 |
| Mailing Telephone | 8287734681 |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2015-09-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP8187 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780703413 | Brent Whitley | Chiropractor | 1500 Alpine Ave, Boulder, CO 80304-3508 | 2007-03-27 |
| 1609870682 | Brent J Whitley | Emergency Medicine | 5757 N Dixie Hwy, Oakland Park, FL 33334-4135 | 2005-06-08 |
| Street Address |
651 W MINGUS AVE |
| City | COTTONWOOD |
| State | AZ |
| Zip Code | 86326-4006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790722643 | Curtis G Kommer | Family Medicine | 651 W Mingus Ave, Cottonwood, AZ 86326-4006 | 2006-05-31 |
| 1922653344 | Justine Winchester | Nurse Practitioner | 651 W Mingus Ave, Cottonwood, AZ 86326-4006 | 2019-08-02 |
| 1174063861 | Mark Hughes | Nurse Practitioner | 651 W Mingus Ave, Cottonwood, AZ 86326 | 2017-03-01 |
| 1659776169 | Claudia Gine Converse | Nurse Practitioner | 651 W Mingus Ave, Cottonwood, AZ 86326-4006 | 2014-10-27 |
| 1912311093 | Spectrum Healthcare Group, Inc | Nurse Practitioner | 651 W Mingus Ave, Cottonwood, AZ 86326-4006 | 2014-06-17 |
| 1043623978 | Spectrum Healthcare Group, Inc | Internal Medicine | 651 W Mingus Ave, Cottonwood, AZ 86326-4006 | 2014-06-09 |
| 1881035137 | Genoa Healthcare, LLC | Pharmacy | 651 W Mingus Ave, Cottonwood, AZ 86326-4006 | 2013-07-16 |
| 1548593452 | Jessie Joann Peters | Nurse Practitioner | 651 W Mingus Ave, Cottonwood, AZ 86326-4006 | 2009-09-09 |
| 1265572606 | United Surgical Associates, L.L.C. | Clinic/Center | 651 W Mingus Ave, Suite 2a, Cottonwood, AZ 86326-4006 | 2007-02-07 |
| 1255360889 | Robert Scott Kinkade | Surgery | 651 W Mingus Ave, Suite 1d, Cottonwood, AZ 86326-4006 | 2006-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679954895 | Isabelle Maisse Griffith | Pharmacist | 1100 E Highway 89a, Cottonwood, AZ 86326 | 2015-06-12 |
| 1184982266 | Northern Arizona Healthcare Provider Group, LLC | Family Medicine | 450 South Willard Street, Cottonwood, AZ 86326 | 2012-04-26 |
| 1922391663 | Ronald D. Carsrud | Hearing Instrument Specialist | 657 E Cottonwood St., Ste 6c, Cottonwood, AZ 86326 | 2011-05-26 |
| 1760712749 | Chuck Thomas Calvano | Pharmacist | 550 S Main, Cottonwood, AZ 86326 | 2010-01-13 |
| 1528231438 | Elizabeth Lightner Mccarrell | Emergency Medicine | 269 S Candy Lane, Cottonwood, AZ 86326 | 2008-04-11 |
| 1972783355 | The Wick Home for Emotional Growth and Recovery | Residential Treatment Facility, Emotionally Disturbed Children | 2102 E Fir St, Cottonwood, AZ 86326 | 2007-11-14 |
| 1750560165 | David T Sayle | Nurse Practitioner | 800 Cove Parkway, Cottonwood, AZ 86326 | 2007-11-01 |
| 1003001033 | Country Care Inc | Assisted Living Facility | 3980 E Cassie Lane, Cottonwood, AZ 86326 | 2007-09-12 |
| 1154527778 | Laurel A Mueller | Family Medicine | 51 Brian Mickelsen Pkwy, Community Health Center of Yavapai, Cottonwood, AZ 86326 | 2007-06-21 |
| 1841401700 | Bruce Alan Moseng | Chiropractor | 240 Jennifer Lane, Ste 103, Cottonwood, AZ 86326 | 2007-05-24 |
| Find all providers in zip 86326 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467472829 | Suzanne Rae Salem | Nurse Practitioner | 601 W Mingus Ave, Cottonwood, AZ 86326 | 2006-07-20 |
| 1730799362 | Sanctuary Cove Healthcare, Pllc | Nurse Practitioner | 799 Cove Pkwy, Cottonwood, AZ 86326-4683 | 2020-08-07 |
| 1912311093 | Spectrum Healthcare Group, Inc | Nurse Practitioner | 651 W Mingus Ave, Cottonwood, AZ 86326-4006 | 2014-06-17 |
| 1336364728 | Nurse Practitioner Guild, Inc | Nurse Practitioner | 601 W Mingus Ave, Cottonwood, AZ 86326-4075 | 2007-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608447 | Courtney Tafoya | Nurse Practitioner | 544 S 172nd Ave, Goodyear, AZ 85338-1281 | 2020-10-26 |
| 1215536479 | Yolanda D Baugh | Nurse Practitioner | 2625 W Piedmont Rd, Phoenix, AZ 85041-9540 | 2020-10-20 |
| 1871191593 | Lisa E Legg | Nurse Practitioner | 1480 E Pecos Rd Apt 3107, Gilbert, AZ 85295-1851 | 2020-10-14 |
| 1619584406 | Preston Strebeck | Nurse Practitioner | 3733 E Meadow Mist Ln, San Tan Valley, AZ 85140-5374 | 2020-09-25 |
| 1336754332 | Yvonne Maese | Nurse Practitioner | 824 N 99th Ave Ste 107-108, Avondale, AZ 85323-5324 | 2020-09-15 |
| 1306450960 | Williamsconsultant Com LLC | Nurse Practitioner | 2303 N 44th St Ste 12-1043, Phoenix, AZ 85008-2442 | 2020-09-01 |
| 1215549274 | Maria Graciela Cornejo | Nurse Practitioner | 3421 S Loback Ln, Gilbert, AZ 85297-7913 | 2020-08-20 |
| 1013529155 | Mark Skousen | Nurse Practitioner | 1745 W Western Dove Dr, Snowflake, AZ 85937-6185 | 2020-08-19 |
| 1356953699 | Rebecca Jane Turley | Nurse Practitioner | 1681 S Villas Ln, Chandler, AZ 85286-6805 | 2020-08-18 |
| 1467064063 | Dylan O'keefe Carey | Nurse Practitioner | 11702 W Fordson Dr, Marana, AZ 85653-7715 | 2020-08-17 |
| Find all providers with the same taxonomy | ||||
| City | COTTONWOOD |
| Zip Code | 86326 |
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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.