JEREMY SHOEMAKER (NPI# 1457994014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457994014 |
Entity Type | Individual |
Full Name | JEREMY SHOEMAKER |
Credential | LAC |
Practice Address |
5546 W Desert Cove Ave Glendale AZ 85304-3841 |
Practice Telephone | 5203348573 |
Mailing Telephone | 5203348573 |
Enumeration Date | 2019-10-25 |
Last Update Date | 2019-10-25 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
LAC-17240 | AZ | Behavioral Health & Social Service Providers |
Street Address |
5546 W DESERT COVE AVE |
City | GLENDALE |
State | AZ |
Zip Code | 85304-3841 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386254027 | J & B Assisted Living, Inc. D/b/a J & B Behavioral Health II | Substance Abuse Rehabilitation Facility | 6613 W. Pershing Avenue, Glendale, AZ 85304 | 2020-08-07 |
1194214015 | Vema Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4309 W Corrine Dr, Glendale, AZ 85304 | 2018-05-07 |
1962929224 | Glendale Surgery Center | Clinic/Center | 11851 North 51st Ave, Suite G, Glendale, AZ 85304 | 2017-08-28 |
1073941092 | Megan Lorenzen | Occupational Therapist | 5834 W. Bloomfield Rd., Glendale, AZ 85304 | 2013-10-30 |
1396178380 | Danielle Marie Wiles | Registered Nurse | 12901 W. 63rd Avenue, Glendale, AZ 85304 | 2013-08-14 |
1780017848 | Pedram Nazari | Pharmacist | 4811 North 83rd Avenue, Glendale, AZ 85304 | 2013-08-13 |
1740558022 | Krunal Patel | Obstetrics & Gynecology | 5605 W Eugie Ave Ste 111, Glendale, AZ 85304 | 2011-12-01 |
1730499609 | Laura A Truax | Physician Assistant | 11851 N. 51st Ave, Ste F-110, Glendale, AZ 85304 | 2010-10-13 |
1760698419 | Suhir Bitar | Pediatrics | 13625 N 59th Ave, Glendale, AZ 85304 | 2007-05-16 |
1497967293 | Pam Rubbone | Psychologist | 4650 West Sweetwater Ave., Glendale, AZ 85304 | 2007-05-04 |
Find all providers in zip 85304 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467066027 | Michelle Kayla Williams | Counselor | 7121 W Bell Rd # 115, Glendale, AZ 85308-8555 | 2020-09-01 |
1083228613 | Rosalie Salazar | Counselor | 17505 N 79th Ave Ste 311, Glendale, AZ 85308-8730 | 2020-09-01 |
1225675820 | New Way Counseling and Consulting | Counselor | 17505 N 79th Ave Ste D-213, Glendale, AZ 85308-8725 | 2019-12-03 |
1033764410 | Marie Chuldzhyan | Counselor | 730 S Central Ave Ste 203, Glendale, CA 91204-4342 | 2019-08-02 |
1861050817 | Georgette Mcnally | Counselor | 6655 W Glendale Ave, Glendale, AZ 85301-2358 | 2019-06-04 |
1497312318 | Tawny Nicole White Runnels | Counselor | 6635 W Happy Valley Rd Ste A104-148, Glendale, AZ 85310-2609 | 2019-05-27 |
1336706944 | Kathryn Mcclearn | Counselor | 19201 N 45th Dr, Glendale, AZ 85308-5415 | 2019-05-20 |
1700341005 | Diana Steiner | Counselor | 18301 N 79th Ave Ste F168, Glendale, AZ 85308-6045 | 2019-01-31 |
1861986200 | Pamela Morgan | Counselor | 1220 Oak Circle Dr, Glendale, CA 91208-1106 | 2018-06-19 |
1033601513 | Darrina Bledsoe | Counselor | 4842 W New World Dr, Glendale, AZ 85302-5138 | 2018-05-31 |
Find all providers in GLENDALE |
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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.