KELLY CRISWELL (NPI# 1417329897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417329897 |
| Entity Type | Individual |
| Full Name | KELLY CRISWELL |
| Practice Address |
32150 N North Foothills Dr Phoenix AZ 85085 |
| Practice Telephone | 6234458400 |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2015-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
RN185830 | AZ | Nursing Service Providers |
| Street Address |
32150 N NORTH FOOTHILLS DR |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891349528 | Shannon Alexander | Speech-Language Pathologist | 32150 N North Foothills Dr, Phoenix, AZ 85085-8100 | 2019-07-31 |
| 1952874299 | Nicole Douglas | Speech-Language Pathologist | 32150 N North Foothills Dr, Phoenix, AZ 85085-8100 | 2019-01-09 |
| 1205385549 | Patricia Leon | Registered Nurse | 32150 N North Foothills Dr, Phoenix, AZ 85085-8100 | 2016-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235748369 | Nicole Fountain | Speech-Language Pathologist | 25700 N. 21st Avenue, Phoenix, AZ 85085 | 2020-07-24 |
| 1083138010 | Larry Leforte II | Emergency Medical Technician, Paramedic | 2018 W Blaylock Dr, Phoenix, AZ 85085 | 2017-08-01 |
| 1508318809 | Jennifer Falk | Chiropractor | 1614 W Whispering Wind Dr Ste 3, Phoenix, AZ 85085 | 2016-11-03 |
| 1053785964 | Cvs Pharmacy | Pharmacy | 28635 N North Vally Parkway, Phoenix, AZ 85085 | 2015-11-17 |
| 1417333717 | Kristi Everett | Social Worker | 34225 N 27th Dr Bldg 5 Ste 146, Phoenix, AZ 85085 | 2015-08-10 |
| 1063849834 | Albertsons Pharmacy | Pharmacist | 2406 W Bramble Berry Ln, Phoenix, AZ 85085 | 2013-10-10 |
| 1427354851 | Carolyn Berg Newsome | Marriage & Family Therapist | 2060 W.whispering Wind Drive, Phoenix, AZ 85085 | 2011-02-02 |
| 1518273127 | Jamie Lynn Born | Social Worker | 34406 N 27th Dr Bldg 6, Phoenix, AZ 85085 | 2010-08-20 |
| 1023347218 | Lise Flores-reed | Psychologist | 34225 N. 27th Drive #110, Phoenix, AZ 85085 | 2009-12-17 |
| 1720316847 | Nickolas Scott Mccann | Chiropractor | 34406 N. 27th Dr. Build 6, Suite 140, Phoenix, AZ 85085 | 2009-12-01 |
| Find all providers in zip 85085 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235602699 | Sharon Gasch | Registered Nurse | 3905 E Monte Cristo Ave, Phoenix, AZ 85032-4065 | 2019-01-09 |
| 1477024461 | Rosie Higuera | Registered Nurse | 7731 W Flower St, Phoenix, AZ 85033-4944 | 2018-12-17 |
| 1588163687 | Alma Cecilia Elizarraraz | Registered Nurse | 1234 E Northern Ave, Phoenix, AZ 85020-4274 | 2018-02-05 |
| 1396263307 | Cheryl Anne Miller | Registered Nurse | 15002 N. 32nd St., Phoenix, AZ 85032 | 2017-08-30 |
| 1366966434 | Penny L Reamer | Registered Nurse | 17624 N. 31st Ave., Phoenix, AZ 85053 | 2017-08-01 |
| 1790150084 | Jennifer Fuller | Registered Nurse | 9618 N 36th St, Phoenix, AZ 85028-4938 | 2015-12-11 |
| 1598161416 | Elise Corriveau | Registered Nurse | 1611 W Fillmore St, Phoenix, AZ 85007-2214 | 2014-11-05 |
| 1356740088 | Soledad Villalobos | Registered Nurse | 14238 N 34th Way, Phoenix, AZ 85032-5340 | 2014-08-19 |
| 1982003034 | Staci Motley | Registered Nurse | 7150 N 22nd St, Phoenix, AZ 85020-5605 | 2014-08-14 |
| 1770990871 | Chase Warren-ojameruaye | Registered Nurse | 1224 E Angela Dr, Phoenix, AZ 85022-2081 | 2014-07-21 |
| 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.