AMPILI UMAYAMMA (NPI# 1467901769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467901769 |
| Entity Type | Individual |
| Full Name | AMPILI UMAYAMMA |
| Credential | NP |
| Practice Address |
5252 E Main St Mesa AZ 85205-8022 |
| Mailing Address |
105 S Delaware Dr Ste 1 Apache Junction AZ 85120-6512 |
| Practice Telephone | 4803963222 |
| Practice Fax Number | 4803962298 |
| Mailing Telephone | 4803963222 |
| Mailing Fax Number | 4803962298 |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2018-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AP8856 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5252 E MAIN ST |
| City | MESA |
| State | AZ |
| Zip Code | 85205-8022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144238312 | Mark Daniel Goldberg | Family Medicine | 5252 E Main St, Mesa, AZ 85205-8022 | 2006-08-04 |
| 1124367255 | Uma Gopakumar | Nurse Practitioner | 5252 E Main St, Mesa, AZ 85205-8022 | 2013-02-08 |
| 1841482601 | Mark D Goldberg, Md, PC | Clinic/Center | 5252 E Main St, Mesa, AZ 85205-8022 | 2007-08-15 |
| 1104930122 | David Craig Izenberg | Family Medicine | 5252 E Main St, Mesa, AZ 85205-8022 | 2006-08-18 |
| 1477561652 | Michael John Demko | Family Medicine | 5252 E Main St, Mesa, AZ 85205-8022 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083130199 | Rose Campbell | Technician/Technologist | 649 North Orlando, Mesa, AZ 85205 | 2017-08-21 |
| 1528459781 | Elizabeth Sadler | Nurse Practitioner | 4434 E Brown Rd Ste 102, Mesa, AZ 85205 | 2015-02-10 |
| 1326444324 | Katherine G Perez | Counselor | 152 N Power Rd Ste 2, Mesa, AZ 85205 | 2014-11-18 |
| 1831500800 | C.b.o Hearing | Hearing Aid Equipment | 4406 E. Main St, Suite 103, Mesa, AZ 85205 | 2014-05-13 |
| 1699195107 | Amanda Mcdaniel | Occupational Therapist | 5911 E. Fountain St., Mesa, AZ 85205 | 2014-04-23 |
| 1952640278 | Medstar Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3932 E Fairfield Cir, Mesa, AZ 85205 | 2013-02-06 |
| 1245575398 | Fabulous Smiles of Mesa | Dentist | 4434 E. Brown Rd, Ste 104, Mesa, AZ 85205 | 2012-11-30 |
| 1992087639 | Matthew Robert Millward | Pharmacist | 1935 N. Power Rd, Mesa, AZ 85205 | 2011-09-19 |
| 1740596733 | Arizona Family & Geriatric Medicine Pllc | Clinic/Center | 5602 E. Main St., Mesa, AZ 85205 | 2010-08-27 |
| 1295049609 | Thomas Chambers | Podiatrist | 5520 E Main St Ste 2, Mesa, AZ 85205 | 2010-07-28 |
| Find all providers in zip 85205 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558986224 | Jodi E Bray | Nurse Practitioner | 244 N Extension Rd, Mesa, AZ 85201-6300 | 2020-06-09 |
| 1023666146 | Nancy Fulmore | Nurse Practitioner | 6553 E Baywood Ave Ste 205, Mesa, AZ 85206-1754 | 2019-09-02 |
| 1417518747 | Mary Eileen Kumah Russell | Nurse Practitioner | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2019-06-26 |
| 1568823821 | Nicole Renee Mott | Nurse Practitioner | 455 E 4th Pl, Mesa, AZ 85203-7101 | 2016-03-15 |
| 1730579426 | Cynthia Devine | Nurse Practitioner | 7165 E University Dr Ste 183, Mesa, AZ 85207-6415 | 2015-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425123 | Erin Jean Mcmanus-tomanek | Nurse Practitioner | 12851 N 142nd Ave, Surprise, AZ 85379-9502 | 2020-10-21 |
| 1154928463 | Willie Sellers | Nurse Practitioner | 15354 W Charter Oak Rd, Surprise, AZ 85379-9184 | 2020-10-08 |
| 1760090427 | Debra Shannon Witthar | Nurse Practitioner | 10515 W Santa Fe Dr Bldg B, Sun City, AZ 85351-3020 | 2020-07-20 |
| 1255955506 | Christy J Holloway | Nurse Practitioner | 2645 E Southern Ave, Tempe, AZ 85282-7649 | 2020-06-02 |
| 1013552124 | Alliance With The Covenant of The Trinity Arizona Inc | Nurse Practitioner | 2 N Central Ave Fl 18, Phoenix, AZ 85004-2322 | 2019-11-12 |
| 1184197691 | Waheed Olawoyin Olabode | Nurse Practitioner | 12853 S 184th Ave, Goodyear, AZ 85338-2642 | 2019-01-08 |
| 1508381880 | Marcie Marie Camblin | Nurse Practitioner | 16551 N Naegel Dr, Surprise, AZ 85374-5411 | 2017-08-08 |
| 1508105727 | Geriatric Health Services, Plc | Nurse Practitioner | 1013 W Longhorn Rd, Payson, AZ 85541-4282 | 2013-02-07 |
| 1194070227 | Debra Rouse Haber | Nurse Practitioner | 755 S Grapevine Loop, Benson, AZ 85602-7430 | 2012-07-15 |
| 1346504818 | Your Nurse Practitioner LLC | Nurse Practitioner | 6261 Boothwyn St, Prescott Valley, AZ 86314-6726 | 2012-06-29 |
| Find all providers with the same taxonomy | ||||
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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.