RENEE MARIE CARBAJAL (NPI# 1396030904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396030904 |
| Entity Type | Individual |
| Full Name | RENEE MARIE CARBAJAL |
| Practice Address |
1320 W Kimberly St Apt # 230 Tucson AZ 85704-2303 |
| Practice Telephone | 5202899166 |
| Practice Fax Number | 5202968244 |
| Mailing Telephone | 5202899166 |
| Mailing Fax Number | 5202968244 |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2011-06-10 |
| 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 |
2993258 | AZ | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | OLCR FOSTER CARE LICENSE | 2993258 | 01 |
| Street Address |
1320 W KIMBERLY ST APT # 230 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85704-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669767273 | Yvette Indira Salcido | Respite Care | 1320 W Kimberly St, #230, Tucson, AZ 85704-2303 | 2011-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578176616 | Kimberly Nehls Remblake | Pharmacist | 6488 N Oracle Road, Tuson, AZ 85704 | 2020-08-28 |
| 1114562311 | Sarah Laing | Music Therapist | 314 E Cambridge Drive, Tucson, AZ 85704 | 2019-11-12 |
| 1750876587 | Stephanie Ann Schmid | Nurse Practitioner | 1631 W Ina Rd, Tucson, AZ 85704 | 2018-06-25 |
| 1619468063 | Barnet Dulaney Perkins Eye Center II Pllc | Durable Medical Equipment & Medical Supplies | 10195 N Oracle Rd Ste 125, Oro Valley, AZ 85704 | 2018-05-22 |
| 1639682073 | Tucson Family and Geriatric Medicine LLC | Clinic/Center | 6867 N Oracle Rd Ste 157, Tucson, AZ 85704 | 2017-11-07 |
| 1215448790 | Janelle K Borg | Physical Therapist | 7530 N Oracle Rd Ste 100, Tucson, AZ 85704 | 2017-10-23 |
| 1982122396 | Wellbeing Institute | Pathology | 6879 N. Oracle Road, Suite 125, Tucson, AZ 85704 | 2017-09-06 |
| 1245777481 | Sonora Behavioral Health Hospital, LLC | Clinic/Center | 2001 West Orange Grove Road, Suite 114, 112, 102, Tucson, AZ 85704 | 2017-01-26 |
| 1902252752 | Conrad Drinkwater | Dentist | 9000 N Oracle Rd Ste B, Oro Valley, AZ 85704 | 2016-05-11 |
| 1912375668 | Adrianna Rodriguez | Pharmacist | 4701 N. Stone Ave, Tucson, AZ 85704 | 2015-09-11 |
| Find all providers in zip 85704 | ||||
| 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 |
|---|---|---|---|---|
| 1912539941 | Elizabeth Ann Mannel | Respite Care | 1225 W Panorama Rd, Tucson, AZ 85704-2834 | 2020-02-07 |
| 1366097073 | Lisa Ann Harper | Respite Care | 6910 N Sanders Rd, Tucson, AZ 85743-8174 | 2019-08-08 |
| 1699329904 | Robin Allen | Respite Care | 9390 N Jessy Ln, Tucson, AZ 85742-9124 | 2019-07-25 |
| 1558859447 | Veronica Molina-hubbard | Respite Care | 3131 W Los Reales Rd, Tucson, AZ 85746-8232 | 2018-04-25 |
| 1154827830 | Ola Mt Bakir | Respite Care | 9503 N Stonebrook Dr, Tucson, AZ 85743-5488 | 2018-04-02 |
| 1922513068 | Casey Partiz | Respite Care | 2625 N Norton Ave, Tucson, AZ 85719-3234 | 2017-12-12 |
| 1619492121 | Marquie L. Walker | Respite Care | 5121 E 29th St Apt 125, Tucson, AZ 85711-5802 | 2017-08-04 |
| 1720532203 | Roseanna Gonzalez | Respite Care | 5545 S Cassia Way, Tucson, AZ 85706-3409 | 2016-08-12 |
| 1871957001 | Arizona's Children Association | Respite Care | 3716 E Columbia St Ste 120, Tucson, AZ 85714-3414 | 2016-04-13 |
| 1902262173 | Luz Vasquez | Respite Care | 1929 S Magnolia Ave, Tucson, AZ 85711-6531 | 2016-01-04 |
| 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.