CASSIE HARDESTY (NPI# 1467094466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467094466 |
| Entity Type | Individual |
| Full Name | CASSIE HARDESTY |
| Practice Address |
14419 N 5th St Phoenix AZ 85022-4262 |
| Practice Telephone | 5737140723 |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-10-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Street Address |
14419 N 5TH ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85022-4262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528626074 | Keauna Olugu | Psychologist | 17249 N. 7th St, 1128, Phoenix, AZ 85022 | 2019-05-30 |
| 1215455498 | Kristi Etchechury | Occupational Therapy Assistant | 807 East Beck Lane, Phoenix, AZ 85022 | 2017-09-07 |
| 1871017103 | Julie Dale | Physical Therapist | 1910 E Kathleen Rd, Phoenix, AZ 85022 | 2017-07-28 |
| 1669994539 | Valley Wellness Center Pllc | Clinic/Center | 702 E Bell Rd Ste 112, Phoenix, AZ 85022 | 2017-07-12 |
| 1386001758 | Debbie Mulder | Behavioral Analyst | 2400 West Dunlap Ave., Suite 100, Glendale, AZ 85022 | 2016-01-15 |
| 1114383437 | Jean Fay King | Nurse Practitioner | 15409 N. 23rd St., Phoenix, AZ 85022 | 2016-01-04 |
| 1093050767 | Cheyanne Wilderness Gastelum | Midwife | 2236 E. Delgado St., Phoenix, AZ 85022 | 2012-12-06 |
| 1760731236 | Nicole Ann Raus | Occupational Therapy Assistant | 15414 N. 7th Street, Suite 3, Phoenix, AZ 85022 | 2012-08-30 |
| 1144593211 | Edward Najeeb Abraham | Family Medicine | 14419 N. 5th Place, Phoenix, AZ 85022 | 2012-02-20 |
| 1942506019 | Mirnes Mehic | Assisted Living Facility | 2018 E. Wagoner Rd., Phoenix, AZ 85022 | 2011-02-07 |
| Find all providers in zip 85022 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669090114 | Rogers K Bagia | Technician | 3141 W Maldonado Rd, Phoenix, AZ 85041-6372 | 2020-07-10 |
| 1679197883 | Amanda Lee Pethers | Technician | 13820 S 44th St Apt 1129, Phoenix, AZ 85044-4857 | 2020-06-03 |
| 1639701170 | Penelope Thompson | Technician | 1728 W Elm St, Phoenix, AZ 85015-3865 | 2020-02-11 |
| 1811545213 | Margaret L Cole | Technician | 3250 E Sunnyside Dr, Phoenix, AZ 85028-2037 | 2019-08-28 |
| 1336796341 | Miguel Angel Matamoros | Technician | 725 W Vogel Ave, Phoenix, AZ 85021-3166 | 2019-08-23 |
| 1477100469 | Cheryl Lee Coleman | Technician | 1301 E Meadow Ln, Phoenix, AZ 85022-4416 | 2019-08-23 |
| 1356998363 | Rusty Lassiter | Technician | 3235 W Paradise Dr, Phoenix, AZ 85029-2328 | 2019-08-23 |
| 1972805679 | Grand Canyon Home Care Inc. | Technician | 13201 N 35th Ave Ste 15b, Phoenix, AZ 85029-1232 | 2010-12-01 |
| 1609066513 | Julieta Salcido | Technician | 2707 W Charleston Ave, Phoenix, AZ 85053 | 2007-07-26 |
| 1750444733 | Valerie Gamble | Technician | 5408 S 15th St, Phoenix, AZ 85040 | 2006-12-19 |
| 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.