JESSICA ETCHELLS (NPI# 1386186351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386186351 |
| Entity Type | Individual |
| Full Name | JESSICA ETCHELLS |
| Credential | PA-C |
| Practice Address |
7010 E Chauncey Ln Phoenix AZ 85054 |
| Mailing Address |
7010 E Chauncey Ln Phoenix AZ 85054-3111 |
| Practice Telephone | 4805855200 |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2018-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
6588 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7010 E CHAUNCEY LN |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497753750 | Rajeev Agarwal | Pediatrics | 7010 E Chauncey Ln, Suite 225, Phoenix, AZ 85054 | 2005-07-11 |
| 1457883142 | Scottsdale Medical Innovations, LLC | Clinic/Center | 7010 E Chauncey Ln, Suite 215, Phoenix, AZ 85054-3111 | 2017-03-31 |
| 1407225733 | Stephanie Marie Poterack | Nurse Practitioner | 7010 E Chauncey Ln, Suite 225, Phoenix, AZ 85054-3111 | 2015-09-16 |
| 1851715106 | Kimberly Birch | Physician Assistant | 7010 E Chauncey Ln, Suite 210, Phoenix, AZ 85054-3111 | 2014-02-06 |
| 1316291479 | Stacey Michelle Hopper | Nurse Practitioner | 7010 E Chauncey Ln, Suite 145, Phoenix, AZ 85054-3111 | 2012-10-28 |
| 1124271598 | Diane Michele Smith | Nurse Practitioner | 7010 E Chauncey Ln, Suite 225, Phoenix, AZ 85054 | 2008-10-29 |
| 1710136809 | Rebecca Joyce Hogan | Nurse Practitioner | 7010 E Chauncey Ln, Suite 225, Phoenix, AZ 85054-3117 | 2008-09-12 |
| 1053577502 | Nichole Lee Thomas | Pediatrics | 7010 E Chauncey Ln, Suite 225, Phoenix, AZ 85054 | 2008-08-04 |
| 1316106263 | Rachael Beth Blumenthal | Pediatrics | 7010 E Chauncey Ln, Ste 225, Phoenix, AZ 85054-3111 | 2008-06-05 |
| 1831373562 | Agnes Ida Bartha | Pediatrics | 7010 E Chauncey Ln, Suite 225, Phoenix, AZ 85054-3111 | 2007-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992255301 | Stephanie Gamber | Registered Nurse | 5405 East Pinnacle Vista Drive, Phoenix, AZ 85054 | 2016-10-10 |
| 1508231960 | Deborah Elam | Acupuncturist | 5777 East Mayo Boulevard Mayo Clinic, Phoenix, AZ 85054 | 2015-12-09 |
| 1811176860 | Desert Ridge Pediatric Dentistry | Clinic/Center | 5315 E. High Street, Suite 115, Phoenix, AZ 85054 | 2007-10-26 |
| 1902968639 | Ryan David Schulze | Chiropractor | 7000 E Mayo Blvd Ste 1058, Phoenix, AZ 85054 | 2006-12-16 |
| 1477517423 | Gary Betz II Md PC | Internal Medicine | 7010 E. Chauncey Lane, Suite 145, Phoenix, AZ 85054 | 2006-04-14 |
| 1689658395 | Alice G Mccormick | Internal Medicine | 5450 East Deer Valley Drive Unit 3206, Phoenix, AZ 85054 | 2005-12-06 |
| 1770576241 | Michelle Renee Kuhn | Physician Assistant | 6950 E Chauncey Ln, Phoenix, AZ 85054 | 2005-08-30 |
| 1609869981 | Jeffrey Alan Smith | Optometrist | 18325 N Allied Way Ste 100, Phoenix, AZ 85054 | 2005-08-23 |
| 1043219389 | Hasan Khamash | Internal Medicine | 5779 E Mayo Blvd, Phoenix, AZ 85054 | 2005-07-19 |
| 1740283878 | Charles J Manak | Internal Medicine | 5777 E Mayo Blvd, Phoenix, AZ 85054 | 2005-05-23 |
| Find all providers in zip 85054 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073121505 | Alexandra R Koolmees | Physician Assistant | 1141 E Village Circle Dr S, Phoenix, AZ 85022-4818 | 2020-07-21 |
| 1568080620 | Manuel Gerardo Pompa | Physician Assistant | 3848 N 3rd Ave Unit 3071, Phoenix, AZ 85013-3472 | 2020-07-06 |
| 1659848208 | Pacific Dental Services Foundation | Physician Assistant | 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032 | 2018-10-31 |
| 1124502372 | Amanda Rose Jones | Physician Assistant | 36427 N 14th St, Phoenix, AZ 85086-7506 | 2018-09-23 |
| 1639681745 | Martha Lopez | Physician Assistant | 7010 E Chauncey Ln Ste 210, Phoenix, AZ 85054-3115 | 2017-10-30 |
| 1386153674 | Emily Meredith Eoff | Physician Assistant | 301 W Pasadena Ave Apt 4, Phoenix, AZ 85013-2342 | 2017-09-29 |
| 1659890754 | Greg Horn | Physician Assistant | 20333 N 19th Ave Ste 230, Phoenix, AZ 85027-9901 | 2017-09-11 |
| 1619407269 | Integrative Natural Medicine | Physician Assistant | 2025 E Campbell Ave, #259, Phoenix, AZ 85016-8501 | 2017-06-15 |
| 1174996870 | Jyoti Sharma | Physician Assistant | 13838 S 46th Pl Ste 120, Phoenix, AZ 85044-7801 | 2015-11-04 |
| 1487025086 | Shaye Harrel | Physician Assistant | 9305 W Thomas Rd Ste 478, Phoenix, AZ 85037-3375 | 2015-10-08 |
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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.