MS. BEVERLY JEAN SANDERS (NPI# 1477620748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477620748 |
| Entity Type | Individual |
| Full Name | MS. BEVERLY JEAN SANDERS |
| Credential | R.N. |
| Practice Address |
4212 North 16th Street Phoenix AZ 85016 |
| Mailing Address |
Po Box 31001-0698 Pasadena CA 91110-0698 |
| Practice Telephone | 6022631511 |
| Practice Fax Number | 6022631619 |
| Mailing Telephone | 6022631511 |
| Mailing Fax Number | 6022631619 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
005197 | MT | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376772640 | Beverly Barksdale Sanders IIi | Internal Medicine | 330 Hospital Dr., Ste. 304, Macon, GA 31217 | 2009-07-08 |
| 1841431871 | Beverly Anne Sanders | Registered Nurse | 5002 Ridgemont Hts, Lavalette, WV 25535-9771 | 2009-03-22 |
| Street Address |
4212 NORTH 16TH STREET |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255399648 | Jonathan A Krakoff | Internal Medicine | 4212 North 16th Street, Phoenix, AZ 85016 | 2006-05-03 |
| 1316494917 | Heather Lynn Gerle | Registered Nurse | 4212 North 16th Street, Phoenix, AZ 85016-5319 | 2016-09-01 |
| 1639428196 | Melissa P Miller | Registered Nurse | 4212 North 16th Street, Phoenix, AZ 85016-5319 | 2012-08-30 |
| 1184983512 | Todd Evan Novick | Registered Nurse | 4212 North 16th Street, Phoenix Indian Medical Center, Phoenix, AZ 85016-5319 | 2012-05-04 |
| 1871850636 | Carlos Jesse Rubalcava | Registered Nurse | 4212 North 16th Street, Phoenix Indian Medical Center, Phoenix, AZ 85016-5319 | 2012-04-18 |
| 1629340195 | Melinda Jill Bechtol | Registered Nurse | 4212 North 16th Street, Phoenix Indian Medical Center, Phoenix, AZ 85016-5319 | 2012-01-31 |
| 1841562501 | Branden Elaine Watkins | Registered Nurse | 4212 North 16th Street, Phoenix Indian Medical Center, Phoenix, AZ 85016-5319 | 2012-01-27 |
| 1952600892 | Kelly Elizabeth Owens | Pharmacist | 4212 North 16th Street, Phoenix, AZ 85016 | 2011-03-17 |
| 1598068587 | Jennifer Marie Lee | Registered Nurse | 4212 North 16th Street, Phoenix, AZ 85016-5319 | 2010-12-13 |
| 1003083551 | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm | Clinic/Center | 4212 North 16th Street, Phoenix Indian Medical Center Ambulatory Surgical Cent, Phoenix, AZ 85016-5319 | 2008-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
| 1780215681 | Sip Home Systems - Mesa LLC | Home Health | 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 | 2020-01-29 |
| 1760945588 | Wei Wei | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 | 2019-04-09 |
| 1942765623 | Grace Hatfield | Dietitian, Registered | Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 | 2019-02-06 |
| 1861977027 | Dawn Yvette Lima | Occupational Therapy Assistant | 3128 E Cheery Ln, Phoenix, AZ 85016 | 2018-10-03 |
| 1720583685 | Kristin Pauline Hicklin | Registered Nurse | 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 | 2018-03-24 |
| 1588181622 | Taness Eyre Billington | Pharmacist | 1625 E. Camelback Rd., Phoenix, AZ 85016 | 2017-08-29 |
| 1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
| 1609396985 | Mohammed Waseemuddin | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2017-06-27 |
| 1144777632 | Amanda Mazerall | Occupational Therapist | 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 | 2016-09-01 |
| Find all providers in zip 85016 | ||||
| Taxonomy Code | 163WP2201X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Ambulatory Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023650603 | Jeffrey Eugene Hammett | Registered Nurse | 2800 W Pinnacle Peak Rd, Phoenix, AZ 85027-1000 | 2019-10-15 |
| 1770633141 | Victoria Ezelle Ebanks | Registered Nurse | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2007-01-10 |
| 1275690646 | Ginger A. Davenport | Registered Nurse | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2007-01-03 |
| 1942366315 | Fe Lardizabal Yambao | Registered Nurse | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2006-12-29 |
| 1306902788 | Carolyn Rose Tapahe | Registered Nurse | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2006-12-29 |
| 1639234727 | Shedrick L Toussaint | Registered Nurse | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2006-12-27 |
| 1073678991 | Delia Mae Poleahla | Registered Nurse | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2006-12-22 |
| 1740348648 | Marilyn Avila | Registered Nurse | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2006-12-04 |
| 1821166935 | Mary Elizabeth Crosby | Registered Nurse | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2006-11-30 |
| 1326115114 | Risa Bridget Barajas | Registered Nurse | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2006-11-29 |
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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.