DEBRA LAKIN (NPI# 1346491842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346491842 |
| Entity Type | Individual |
| Full Name | DEBRA LAKIN |
| Practice Address |
1002 W 3rd Ave San Manuel AZ 85631-1241 |
| Practice Telephone | 5205916366 |
| Mailing Telephone | 5205916366 |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2008-10-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
859883 | AZ | Respite Care Facility |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437446424 | Debra J Lakin | Pharmacist | 18275 Kenrick Ave, Lakeville, MN 55044-7306 | 2011-06-29 |
| 1730160482 | Debra Lakin | Registered Nurse | 550 Pope Ave, Munson Army Health Center, Fort Leavenworth, KS 66027-2332 | 2005-11-09 |
| Street Address |
1002 W 3RD AVE |
| City | SAN MANUEL |
| State | AZ |
| Zip Code | 85631-1241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063632347 | Kent Shelton | Local Education Agency (LEA) | 711 Mcnab Parkway and Main, San Manuel, AZ 85631 | 2007-04-27 |
| 1447381264 | Mark Christopher Wiseley | Psychologist | 711 Mcnab Parkway, San Manuel, AZ 85631 | 2007-03-07 |
| 1902936685 | Mammoth-san Manuel Usd #8 | Local Education Agency (LEA) | 711 Mcnab Parkway & Main, San Manuel, AZ 85631 | 2007-03-06 |
| 1851451694 | Ruth Seppala | Nurse Practitioner | 23 S Mcnab Pkwy, San Manuel, AZ 85631 | 2006-12-11 |
| 1134127715 | Barbara Turton | Physical Therapist | 23 S Mcnab Parkway, San Manuel, AZ 85631 | 2005-07-08 |
| 1972506574 | Robert Brower | Family Medicine | 23 Mcnab Parkway, San Manuel, AZ 85631 | 2005-05-27 |
| 1467807131 | Sharan Wieberdink | Nurse Practitioner | 23 S Mcnab Pkwy, San Manuel, AZ 85631 | 2016-04-29 |
| 1730548637 | Lacy Berkshire | Licensed Practical Nurse | 2240 Winrow Rd, Usa Meddac, Rwbahc, Fort Huachuca, AZ 85631 | 2016-02-19 |
| 1659651172 | Seth Jacob Tate | Nurse Practitioner | 23 S Mcnab Pkwy, San Manuel, AZ 85631 | 2011-08-29 |
| 1821328030 | Desert Palms Physical Therapy- Catalina PC | Physical Therapist | 23 Mcnab Parkway, San Manuel, AZ 85631 | 2010-01-11 |
| Find all providers in zip 85631 | ||||
| Taxonomy Code | 385HR2055X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Illness, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539004 | Yvette I Haughton | Respite Care | 11275 N 99th Ave Lot 117, Peoria, AZ 85345-5479 | 2020-08-20 |
| 1700411576 | Jaquelina Andrea Reyes | Respite Care | 25279 W Centre Ave, Buckeye, AZ 85326-2468 | 2020-03-11 |
| 1740815497 | Jerome Alexander-terrell Jackson | Respite Care | 9680 W Northern Ave Unit 2311, Peoria, AZ 85345-4655 | 2020-03-03 |
| 1912539941 | Elizabeth Ann Mannel | Respite Care | 1225 W Panorama Rd, Tucson, AZ 85704-2834 | 2020-02-07 |
| 1093345498 | New Hope of Arizona, Inc. | Respite Care | 12545 W Woodland Ave, Avondale, AZ 85323-8025 | 2020-01-24 |
| 1033757877 | Jessica Annette Dixon-tatum | Respite Care | 401 N 6th St, Buckeye, AZ 85326-2415 | 2019-12-11 |
| 1700423902 | Randy Bland | Respite Care | 20731 W Stone Hill Road, Buckeye, AZ 85396 | 2019-12-06 |
| 1003459934 | Stephanie Denise Jackson | Respite Care | 22321 W Morning Glory St, Buckeye, AZ 85326-7181 | 2019-10-23 |
| 1285276345 | Charlyn Ponds | Respite Care | 235 E Ray Rd Apt 2035, Chandler, AZ 85225-3362 | 2019-10-10 |
| 1508416595 | Tyechia Webb | Respite Care | 21239 N 24th Ave Apt 214, Phoenix, AZ 85027-2524 | 2019-09-12 |
| Find all providers with the same taxonomy | ||||
| City | SAN MANUEL |
| Zip Code | 85631 |
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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.