JEREMY SHOEMAKER


Address: 5546 W Desert Cove Ave, Glendale, AZ 85304-3841
Phone: 5203348573

JEREMY SHOEMAKER (NPI# 1457994014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
LAC-17240 AZ Behavioral Health & Social Service Providers

Office Location

Street Address 5546 W DESERT COVE AVE
City GLENDALE
State AZ
Zip Code 85304-3841

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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
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City GLENDALE
Zip Code 85304

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Dataset Information

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.

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