JACQUELINE ELIZABETH VERCAUTEREN (NPI# 1467061697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467061697 |
Entity Type | Individual |
Full Name | JACQUELINE ELIZABETH VERCAUTEREN |
Practice Address |
19555 N 59th Ave Glendale AZ 85308-6813 |
Mailing Address |
104 E Myrtle Ave Phoenix AZ 85020-4838 |
Practice Telephone | 6235723215 |
Enumeration Date | 2020-07-23 |
Last Update Date | 2020-07-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
19555 N 59TH AVE |
City | GLENDALE |
State | AZ |
Zip Code | 85308-6813 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831186428 | Dawn S Knudsen | Pharmacist | 19555 N 59th Ave, Glendale, AZ 85308-6813 | 2005-09-29 |
1932714839 | Laura Lynn Van Steyn | Physician Assistant | 19555 N 59th Ave, Glendale, AZ 85308-6813 | 2020-09-09 |
1356959936 | Nana Entsuah | Pharmacist | 19555 N 59th Ave, Glendale, AZ 85308-6813 | 2020-07-20 |
1992313761 | Ryan Ray Loveless | Student in an Organized Health Care Education/Training Program | 19555 N 59th Ave, Glendale, AZ 85308-6813 | 2020-07-17 |
1902424393 | Heather Desroches | Physician Assistant | 19555 N 59th Ave, Glendale, AZ 85308-6813 | 2020-07-11 |
1811515208 | Daniel Bruce Burkhart | Physician Assistant | 19555 N 59th Ave, Glendale, AZ 85308-6813 | 2020-07-11 |
1598383382 | Karrie Vi Ly | Student in an Organized Health Care Education/Training Program | 19555 N 59th Ave, Glendale, AZ 85308-6813 | 2020-07-08 |
1134747926 | Jeri Paige Sheldon | Student in an Organized Health Care Education/Training Program | 19555 N 59th Ave, Glendale, AZ 85308-6813 | 2020-07-08 |
1174141238 | Kaitlin Mcgillivray | Physician Assistant | 19555 N 59th Ave, Glendale, AZ 85308-6813 | 2020-07-06 |
1083232177 | Danielle Fairbanks | Physician Assistant | 19555 N 59th Ave, Glendale, AZ 85308-6813 | 2020-07-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
1033742291 | Kaitlyn Marie Shannon | Dietitian, Registered | 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 | 2020-02-17 |
1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
1013567023 | Caitlyn Heredia | Student in an Organized Health Care Education/Training Program | 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 | 2019-09-12 |
1770141061 | Sydney Dangelo | Student in an Organized Health Care Education/Training Program | 7454 W Denaro Dr, Glendale, AZ 85308 | 2019-05-31 |
1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
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Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174122279 | Amanda Oas | Student in an Organized Health Care Education/Training Program | 6304 W Corrine Dr, Glendale, AZ 85304-1607 | 2020-10-20 |
1609489897 | Stevenson Henry | Student in an Organized Health Care Education/Training Program | 6565 W Bethany Home Rd Apt 261, Glendale, AZ 85301-4959 | 2020-08-26 |
1396357075 | Kaila Gladden | Student in an Organized Health Care Education/Training Program | 5222 W Pershing Ave, Glendale, AZ 85304-1352 | 2020-08-23 |
1033721550 | Jae Hyeok Yang | Student in an Organized Health Care Education/Training Program | 6958 W Robin Ln, Glendale, AZ 85310-5912 | 2020-08-17 |
1326650847 | Mary Ohanyan | Student in an Organized Health Care Education/Training Program | 209 E Palmer Ave Apt 203, Glendale, CA 91205-3173 | 2020-08-17 |
1215548045 | Reyna Conklin | Student in an Organized Health Care Education/Training Program | 3839 W Charlotte Dr, Glendale, AZ 85310-3331 | 2020-08-14 |
1356952030 | Makenna C Kroulik | Student in an Organized Health Care Education/Training Program | 5218 W Tierra Buena Ln, Glendale, AZ 85306-2515 | 2020-08-14 |
1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
1730703711 | Bryce Kruman | Student in an Organized Health Care Education/Training Program | 20000 N 57th Ave Rm P109, Glendale, AZ 85308-7209 | 2020-06-04 |
1881218584 | Chandler J Hurt | Student in an Organized Health Care Education/Training Program | 301 W Coventry Ct Apt 305, Glendale, WI 53217-3959 | 2020-05-29 |
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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.