DR. JORDYN J KREUTZFELDT (NPI# 1356962260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356962260 |
| Entity Type | Individual |
| Full Name | DR. JORDYN J KREUTZFELDT |
| Credential | MD |
| Practice Address |
Kerith Lisa Program Manager 1501 N Campbell Ave Tucson AZ 85724-5040 |
| Mailing Address |
Kerith Lisa Program Manager 1501 N Campbell Ave Tucson AZ 85724-5060 |
| Practice Telephone | 5206262761 |
| Mailing Telephone | 5072277592 |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2020-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | R78045 | AZ | Student, Health Care |
| Street Address |
KERITH LISA PROGRAM MANAGER 1501 N CAMPBELL AVE |
| City | TUCSON |
| State | AZ |
| Zip Code | 85724-5040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568025617 | Caronae Howell | Surgery | University of Arizona/vascular Surgery Section, 1501 N. Campbell Ave., Room 4402, Tucson, AZ 85724 | 2019-04-15 |
| 1881183143 | Bradley Bohman | Internal Medicine | 1501 N. Campbell Ave, Room 6336, Tucson, AZ 85724 | 2018-05-02 |
| 1255780789 | Elly Varma | Internal Medicine | 1501 N Campbell Avenue Com Room 6336, Department of Medicine, Tuscon, AZ 85724 | 2016-06-06 |
| 1295183234 | Elise Vo | Internal Medicine | 1501 N. Campbell- Room 6336, Tucson, AZ 85724 | 2016-06-01 |
| 1730575101 | Colin A. West | Emergency Medicine | Banner University Medical Center Tucson, 1501 N. Campbell Ave., Tucson, AZ 85724 | 2015-04-12 |
| 1023403623 | Laura Elizabeth Bach | Internal Medicine | 1501 N Campbell Ave Rm 6402, Tucson, AZ 85724 | 2015-03-31 |
| 1174939623 | Jawad Bilal | Internal Medicine | 1501 N Campbell Ave Rm 8339, Tucson, AZ 85724 | 2014-07-05 |
| 1447678016 | Kimberly Schmelzle Winsor | Student in an Organized Health Care Education/Training Program | 1501 N, Campbell Ave., Tucson, AZ 85724 | 2014-04-01 |
| 1710299276 | Jeffrey M Rice | Neurological Surgery | 1501 North Campbell Avenue, University of Arizona, Tucson, AZ 85724 | 2010-07-12 |
| 1558698464 | University of Arizona | General Acute Care Hospital | U of A Health Sciences Center - Umc Pediatrics, Campbell Ave, Tucson, AZ 85724 | 2009-11-13 |
| Find all providers in zip 85724 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590153 | Dominique Marilyn Gonzalez | Student in an Organized Health Care Education/Training Program | 2902 N River Creek Pl, Tucson, AZ 85745-7019 | 2020-08-25 |
| 1083227425 | Alejandra Arroyo | Student in an Organized Health Care Education/Training Program | 3046 W Autumn Breeze Dr, Tucson, AZ 85742-4857 | 2020-08-25 |
| 1306459953 | Cassandra Camacho | Student in an Organized Health Care Education/Training Program | 4229 E Boulder Springs Way, Tucson, AZ 85712-6657 | 2020-08-24 |
| 1306458161 | Danielle Williams | Student in an Organized Health Care Education/Training Program | 8310 E Kenyon Dr, Tucson, AZ 85710-4228 | 2020-08-21 |
| 1356953251 | Adora Leann Natasha Hall | Student in an Organized Health Care Education/Training Program | 1330 E Deer Canyon Rd, Tucson, AZ 85718-1094 | 2020-08-21 |
| 1588276034 | Sarah Jane Krepps | Student in an Organized Health Care Education/Training Program | 1924 N Fremont Ave, Tucson, AZ 85719-3536 | 2020-08-17 |
| 1720690324 | Jacqueline Marie Burruel | Student in an Organized Health Care Education/Training Program | 14032 N Lago Del Oro Pkwy, Tucson, AZ 85739-9608 | 2020-08-17 |
| 1063031953 | Mehera Tiffanie Hormuz | Student in an Organized Health Care Education/Training Program | 5301 E. Grant Rd., Tucson, AZ 85712 | 2020-04-10 |
| 1942837448 | Jenny La | Student in an Organized Health Care Education/Training Program | 3601 S 6th Ave # 11-112a, Tucson, AZ 85723-0001 | 2020-03-24 |
| 1689208621 | Brittany Morello | Student in an Organized Health Care Education/Training Program | 653 N Encanto Village Way, Tucson, AZ 85716-5059 | 2020-02-28 |
| Find all providers in TUCSON | ||||
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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.