RUSTY LASSITER (NPI# 1356998363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356998363 |
| Entity Type | Individual |
| Full Name | RUSTY LASSITER |
| Practice Address |
3235 W Paradise Dr Phoenix AZ 85029-2328 |
| Practice Telephone | 4803908171 |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2019-08-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Street Address |
3235 W PARADISE DR |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85029-2328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153799 | Haydee Bermudez | Counselor | 3301 North 33rd Ave., Phoenix, AZ 85029 | 2020-10-27 |
| 1871191221 | Covenant Home Health LLC | In Home Supportive Care | 11830 N. 19th Ave, Suite 101 Pendleton, Phoenix, AZ 85029 | 2020-10-16 |
| 1508406745 | Tailored 2 U Psychiatry, Pllc | Nurse Practitioner | 4150 W Peoria Avenue, Suite 116, Phoenix, AZ 85029 | 2020-01-15 |
| 1770125403 | Desert Gem Assisted Living Facility, LLC | Custodial Care Facility | 3236 W. Eugie Avenue, Phoenix, AZ 85029 | 2019-10-15 |
| 1588128623 | Anna Debbs | Counselor | 11221 North 28th Drive, Bldg E, Phoenix, AZ 85029 | 2019-01-23 |
| 1609360007 | Melissa Lynn Denton | Specialist/Technologist | 4014 W Paradise Dr, Phoenix, AZ 85029 | 2018-06-19 |
| 1275038713 | Jamilah Amirah | Behavioral Analyst | 11024 N 28th Dr Ste 110, Phoenix, AZ 85029 | 2018-03-27 |
| 1639687056 | Empower Home Care, LLC. | Home Health | 11225 N 28th Drive, Suite D115e, Phoenix, AZ 85029 | 2018-01-19 |
| 1467975698 | Samantha June Collett | Nurse Practitioner | 3201 W Peoria Ave Ste 804, Phoenix, AZ 85029 | 2017-07-19 |
| 1073966347 | Meka Joi Green | Social Worker | 11225 M 28th Dr, Suite C210, Phoenix, AZ 85029 | 2016-07-21 |
| Find all providers in zip 85029 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669090114 | Rogers K Bagia | Technician | 3141 W Maldonado Rd, Phoenix, AZ 85041-6372 | 2020-07-10 |
| 1679197883 | Amanda Lee Pethers | Technician | 13820 S 44th St Apt 1129, Phoenix, AZ 85044-4857 | 2020-06-03 |
| 1639701170 | Penelope Thompson | Technician | 1728 W Elm St, Phoenix, AZ 85015-3865 | 2020-02-11 |
| 1467094466 | Cassie Hardesty | Technician | 14419 N 5th St, Phoenix, AZ 85022-4262 | 2019-10-10 |
| 1811545213 | Margaret L Cole | Technician | 3250 E Sunnyside Dr, Phoenix, AZ 85028-2037 | 2019-08-28 |
| 1336796341 | Miguel Angel Matamoros | Technician | 725 W Vogel Ave, Phoenix, AZ 85021-3166 | 2019-08-23 |
| 1477100469 | Cheryl Lee Coleman | Technician | 1301 E Meadow Ln, Phoenix, AZ 85022-4416 | 2019-08-23 |
| 1972805679 | Grand Canyon Home Care Inc. | Technician | 13201 N 35th Ave Ste 15b, Phoenix, AZ 85029-1232 | 2010-12-01 |
| 1609066513 | Julieta Salcido | Technician | 2707 W Charleston Ave, Phoenix, AZ 85053 | 2007-07-26 |
| 1750444733 | Valerie Gamble | Technician | 5408 S 15th St, Phoenix, AZ 85040 | 2006-12-19 |
| 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.