THE LITTLE CLINIC OF ARIZONA LLC (NPI# 1417291287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417291287 |
Entity Type | Organization |
Organization Name | THE LITTLE CLINIC OF ARIZONA LLC |
Practice Address |
2727 W Bell Rd Phoenix AZ 85053 |
Mailing Address |
2620 Elm Hill Pike Nashville TN 37214-3108 |
Practice Telephone | 6026802386 |
Practice Fax Number | 6026802387 |
Mailing Telephone | 6154254200 |
Mailing Fax Number | 6154254271 |
Enumeration Date | 2012-11-19 |
Last Update Date | 2018-06-13 |
Authorized Official Name | MR. MARC R WATKINS (CMO) |
Authorized Official Telephone | 6154254200 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235684853 | The Little Clinic of Arizona LLC | Nurse Practitioner | 13830 W Camelback Rd, Litchfield Park, AZ 85340-3072 | 2016-08-24 |
1306395215 | The Little Clinic of Arizona LLC | Physician Assistant | 1311 E Bell Rd, Phoenix, AZ 85022-2724 | 2016-10-04 |
1154759322 | The Little Clinic of Arizona LLC | Physician Assistant | 1815 W Glendale Ave, Phoenix, AZ 85021-8582 | 2013-10-24 |
1851635627 | The Little Clinic of Arizona LLC | Physician Assistant | 6611 W Bell Rd, Glendale, AZ 85308 | 2012-11-19 |
1043554827 | The Little Clinic of Arizona LLC | Physician Assistant | 6470 S Higley Rd, Gilbert, AZ 85298 | 2012-11-19 |
1881938660 | The Little Clinic of Arizona LLC | Physician Assistant | 1935 N Stapley Dr, Mesa, AZ 85203 | 2012-11-19 |
1174867956 | The Little Clinic of Arizona LLC | Physician Assistant | 15510 W Bell Rd, Surprise, AZ 85374 | 2012-11-19 |
1427392299 | The Little Clinic of Arizona LLC | Physician Assistant | 1300 S Watson Rd, Buckeye, AZ 85326-6303 | 2012-11-19 |
1619211489 | The Little Clinic of Arizona LLC | Physician Assistant | 11425 W Buckeye Rd, Avondale, AZ 85323-6810 | 2012-11-19 |
1548504368 | The Little Clinic of Arizona LLC | Physician Assistant | 1575 N Dysart Rd, Avondale, AZ 85392 | 2012-11-16 |
Street Address |
2727 W BELL RD |
City | PHOENIX |
State | AZ |
Zip Code | 85053 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750326765 | Smiths Food & Drug Centers Inc | Durable Medical Equipment & Medical Supplies | 2727 W Bell Rd, Phoenix, AZ 85053-3059 | 2006-06-17 |
1578088340 | Alicia Marie Harrington | Pharmacist | 2727 W Bell Rd, Phoenix, AZ 85053-3059 | 2017-08-13 |
1790151066 | Ali Pederson | Pharmacist | 2727 W Bell Rd, Phoenix, AZ 85053-3059 | 2015-08-20 |
1538597885 | Lynn Preudhomme | Nurse Practitioner | 2727 W Bell Rd, Phoenix, AZ 85053-3059 | 2013-10-24 |
1295085900 | Linh Lopez | Pharmacist | 2727 W Bell Rd, Phoenix, AZ 85053-3059 | 2012-09-11 |
1407158090 | Shawna Rae Underwood | Clinic/Center | 2727 W Bell Rd, Phoenix, AZ 85053-3059 | 2010-12-02 |
1851692057 | Leo Rogitz | Pharmacist | 2727 W Bell Rd, Fry's Pharmacy, Phoenix, AZ 85053-3059 | 2010-11-04 |
1952636896 | Hieu Thien Nguyen | Pharmacist | 2727 W Bell Rd, Phoenix, AZ 85053-3059 | 2009-10-09 |
1083853485 | Sandra Abrams | Nurse Practitioner | 2727 W Bell Rd, Phoenix, AZ 85053-3059 | 2009-02-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871065615 | Valley Addiction & Mental Health Services LLC | Nurse Practitioner | 16845 N. 29th Ave, Ste 1-211, Phoenix, AZ 85053 | 2018-12-18 |
1417439100 | Amanda M Sherwin | Dietitian, Registered | 15640 N 28h Drive, Phoenix, AZ 85053 | 2018-08-30 |
1568970135 | Sage Counseling, Inc. | Community/Behavioral Health | 2734 W Bell Rd., #1385 & 1390, Phoenix, AZ 85053 | 2018-01-17 |
1366966434 | Penny L Reamer | Registered Nurse | 17624 N. 31st Ave., Phoenix, AZ 85053 | 2017-08-01 |
1043749302 | Jacob Stephen Lawrence | Occupational Therapy Assistant | 3116 W. Hartford Dr., Phoenix, AZ 85053 | 2017-06-08 |
1770022923 | Horizon Dental Group West Valley | Dentist | 4025 W. Bell Road, Suite 20, Phoenix, AZ 85053 | 2017-02-21 |
1235594938 | Linda Thi Trinh | Optometrist | 16020 North 35th Ave Suite #2, Phoenix, AZ 85053 | 2015-12-22 |
1003230301 | Continuum Group West, LLC. | Clinic/Center | 3710 W Greenway Rd, Suite 104, Phoenix, AZ 85053 | 2014-02-07 |
1831539410 | Michelle Lea Byers | Nurse Practitioner | 17624 North 31st Ave, Phoenix, AZ 85053 | 2013-06-27 |
1437446580 | Candace Faith Gershkovich | Dentist | 4235 W. Thunderbird Rd, Phoenix, AZ 85053 | 2011-07-08 |
Find all providers in zip 85053 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407456783 | Brenna Michelle Clements | Nurse Practitioner | 3226 W Donatello Dr, Phoenix, AZ 85086-2200 | 2020-10-27 |
1932712825 | Grace Wanjiru Karanja Adams | Nurse Practitioner | 200 E Thomas Rd Unit 217, Phoenix, AZ 85012-1182 | 2020-08-28 |
1649895574 | Jozzette Elaine Rubio | Nurse Practitioner | 1924 E Vineyard Rd, Phoenix, AZ 85042-5793 | 2020-06-16 |
1396360749 | Ulivvo Inc. | Nurse Practitioner | 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 | 2020-06-11 |
1568087955 | Christa Ann Colvin | Nurse Practitioner | 6800 E Mayo Blvd Apt 1211, Phoenix, AZ 85054-5619 | 2020-06-10 |
1497378541 | Sharon Uchechi Joshua | Nurse Practitioner | 9117 W Virginia Ave, Phoenix, AZ 85037-4233 | 2020-05-23 |
1992326102 | Ashley Elizabeth Hall | Nurse Practitioner | 15810 N 18th St, Phoenix, AZ 85022-3302 | 2020-04-28 |
1750916797 | Sebastian Freeman Smith | Nurse Practitioner | 2716 W Cedarwood Ln, Phoenix, AZ 85045-2224 | 2020-03-10 |
1295365724 | Jessica Veasy | Nurse Practitioner | 7251 N 23rd Ave, Phoenix, AZ 85021-7714 | 2020-01-23 |
1568092526 | Anuradha Lingamneni | Nurse Practitioner | 2313 E Dry Wood Rd, Phoenix, AZ 85024-8688 | 2020-01-18 |
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.