CBD HEALTHCARE LLC (NPI# 1366854721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366854721 |
| Entity Type | Organization |
| Organization Name | CBD HEALTHCARE LLC |
| Practice Address |
4540 E Baseline Rd #105 Mesa AZ 85206-4613 |
| Mailing Address |
Po Box 60264 Phoenix AZ 85082-0264 |
| Practice Telephone | 6028895833 |
| Practice Fax Number | 6028895834 |
| Mailing Telephone | 6028895833 |
| Mailing Fax Number | 6028895834 |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2014-05-22 |
| Authorized Official Name | MR. CRAIG DEFRIES (OWNER) |
| Authorized Official Telephone | 6028895833 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | AZ | Chiropractic Providers | |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
AZ | Allopathic & Osteopathic Physicians | |
| N | 171M00000X | Case Manager/Care Coordinator | AZ | Other Service Providers | |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4540 E BASELINE RD #105 |
| City | MESA |
| State | AZ |
| Zip Code | 85206-4613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031503 | Jo Merriwether Knatz | Obstetrics & Gynecology | 4540 E Baseline Rd, Ste 115, Mesa, AZ 85206-4617 | 2005-05-31 |
| 1770034787 | Amanda Hines Kwilosz | Physician Assistant | 4540 E Baseline Rd, #113, Mesa, AZ 85206-4613 | 2016-10-14 |
| 1225489511 | Wize Healthcare LLC | Pain Medicine | 4540 E Baseline Rd, 105, Mesa, AZ 85206-4613 | 2016-06-28 |
| 1619399714 | Cd Healthcare,llc | Physical Medicine & Rehabilitation | 4540 E Baseline Rd, Suite 105, Mesa, AZ 85206-4613 | 2014-01-09 |
| 1740601962 | Calgary Medical LLC | Physical Medicine & Rehabilitation | 4540 E Baseline Rd, Suite 105, Mesa, AZ 85206-4613 | 2013-12-16 |
| 1316388648 | Annette Villalobos Lopez | Nurse Practitioner | 4540 E Baseline Rd, Mesa, AZ 85206-4613 | 2013-07-15 |
| 1912202904 | Craig Brian Defries | Chiropractor | 4540 E Baseline Rd, Suite 105, Mesa, AZ 85206-4613 | 2011-01-21 |
| 1063655223 | The Wellness Way, Inc. | Chiropractor | 4540 E Baseline Rd, Suite 112, Mesa, AZ 85206-4613 | 2009-04-16 |
| 1467692897 | Brian Wortzel | Physician Assistant | 4540 E Baseline Rd, 115, Mesa, AZ 85206-4613 | 2009-02-25 |
| 1164686549 | Timothy Jacks | Pediatrics | 4540 E Baseline Rd, Suite 108, Mesa, AZ 85206-4613 | 2008-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053926410 | Matthew Derrick Miller | Nurse Practitioner | 9354 E Thatcher Cir, Mesa, AZ 85212-8539 | 2020-09-12 |
| 1750995858 | Hayley Madler | Nurse Practitioner | 1061 N Omaha Cir, Mesa, AZ 85205-5023 | 2020-09-04 |
| 1043823800 | Nancy Lynn Mitchell | Nurse Practitioner | 1535 N 26th St, Mesa, AZ 85213-4151 | 2020-08-30 |
| 1003429218 | Krista Ann Clevenger | Nurse Practitioner | 3155 E Southern Ave Ste 203, Mesa, AZ 85204-5521 | 2020-08-26 |
| 1093326290 | Joshua Jackson | Nurse Practitioner | 5432 E Southern Ave Ste 101b, Mesa, AZ 85206-2772 | 2020-08-11 |
| 1790395531 | Kelly C Banonis | Nurse Practitioner | 3322 N Brighton, Mesa, AZ 85207-0997 | 2020-08-06 |
| 1689284911 | Katie Keil | Nurse Practitioner | 1061 N Dobson Rd Ste 107, Mesa, AZ 85201-7576 | 2020-08-02 |
| 1831711670 | Saraswati Hamal | Nurse Practitioner | 4850 S Curie Way, Mesa, AZ 85212-9582 | 2020-05-14 |
| 1013539568 | Wingfoot Wellness & Hormones LLC | Nurse Practitioner | 2500 S Power Road, Building 7 Suite 218, Mesa, AZ 85209 | 2020-05-07 |
| 1659992436 | Elizabeth Erb | Nurse Practitioner | 1361 S Alma School Rd, Mesa, AZ 85210-2085 | 2020-05-02 |
| Find all providers in MESA | ||||
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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.