MS. MARY ANN FOGARTY (NPI# 1477790947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477790947 |
| Entity Type | Individual |
| Full Name | MS. MARY ANN FOGARTY |
| Other Name | MS. MARY ANN SHOEMAKER |
| Credential | RN |
| Practice Address |
702 W Dunlap Ave Phoenix AZ 85021-3529 |
| Mailing Address |
3003 N Central Ave Suite 300 Phoenix AZ 85012-2902 |
| Practice Telephone | 6029523400 |
| Practice Fax Number | 6029523401 |
| Mailing Telephone | 6029523400 |
| Mailing Fax Number | 6029523401 |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2009-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
RN024376 | AZ | Nursing Service Providers |
| Street Address |
702 W DUNLAP AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85021-3529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598880205 | Magellan Health Services of Arizona, Inc. | Case Management | 702 W Dunlap Ave, Phoenix, AZ 85021-3529 | 2007-03-20 |
| 1659518124 | Sandra L Haynes | Registered Nurse | 702 W Dunlap Ave, Phoenix, AZ 85021-3529 | 2009-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173181 | Jill M Robinson | Social Worker | 8804 N. 23rd Ave, Bldg. A Ste. A01-a02, Phoenix, AZ 85021 | 2020-10-26 |
| 1528671013 | Sabrina Mcninch | Behavior Technician | 1200 W Dunlap Ave, Ste 100, Phoenix, AZ 85021 | 2020-08-25 |
| 1376169938 | Maricopa County Special Heallth Care District | Pharmacy | 2025 W Northern Ave, Phoenix, AZ 85021 | 2020-06-19 |
| 1841832664 | Madison Westby | Physical Therapist | 717 W Dunlap Ave # 100, Phoenix, AZ 85021 | 2019-10-14 |
| 1861967481 | Southwest Family Naturopathic Clinic Pllc | Naturopath | 1530 W Glendale Ave Suite 103, Phoenix, AZ 85021 | 2018-10-10 |
| 1184101461 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 8804 N 23rd Ave, Suite A01/a02, Phoenix, AZ 85021 | 2018-07-19 |
| 1568970150 | Alycia Ann Poloni | Occupational Therapist | 7129 N 23d Ave, Phoenix, AZ 85021 | 2018-01-17 |
| 1154839165 | Cyrus Professional Corporation | Dentist | 2401 W. Glendale Ave, Ste 102, Phoenix, AZ 85021 | 2018-01-12 |
| 1568980779 | Marla Jean Clay | Licensed Practical Nurse | 1717 W. Glendale Ave. Apt. 3011, Phoenix, AZ 85021 | 2017-09-07 |
| 1801325162 | Kaitlin King | Nurse Practitioner | 8824 N 9th Ave, Phoenix, AZ 85021 | 2017-06-08 |
| Find all providers in zip 85021 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750996617 | Audu Thomas Seriki | Registered Nurse | 2539 W Spencer Run, Phoenix, AZ 85041-2927 | 2020-09-08 |
| 1750635207 | Della Behavioral Health Services, LLC | Registered Nurse | 13932 Blenheim Rd N, Phoenix, MD 21131-1832 | 2012-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588177075 | Kathleen Hornick | Registered Nurse | 3309 W Athenee Ct, Tucson, AZ 85746-1076 | 2017-11-07 |
| 1265852818 | Paulette Carol Compton | Registered Nurse | 10755 N 118th Way, Scottsdale, AZ 85259-4113 | 2014-04-22 |
| 1487076311 | Vicki Hervert | Registered Nurse | 5351 N Blue Bonnet Rd, Tucson, AZ 85745-9494 | 2014-01-12 |
| 1396852737 | Susan Dale Markovich | Registered Nurse | 1601 W. St . Mary's Rd., Tucson, AZ 85745-2623 | 2006-08-23 |
| 1386669885 | Darren J Hammergren | Registered Nurse | 5700 E. Pima St., #1, Tucson, AZ 85712 | 2006-07-13 |
| 1457963852 | Alexandria Penner | Registered Nurse | 1305 N Martin Ave, Tucson, AZ 85721-0001 | 2020-08-18 |
| 1245798909 | Amanda Elizabeth Martinez | Registered Nurse | 6950 E Golf Links Rd, Tucson, AZ 85730-1017 | 2019-03-12 |
| 1225579808 | Dennis George Demers | Registered Nurse | 4755 Campus Dr, Sierra Vista, AZ 85635-2449 | 2017-03-15 |
| 1568905073 | Stuart Haiken | Registered Nurse | 39580 S Lago Del Oro Pkwy, Tucson, AZ 85739-1091 | 2016-12-01 |
| 1144602988 | Kathy Brock | Registered Nurse | 1821 N Trekell Rd, Suite 7, Casa Grande, AZ 85122-1705 | 2015-06-28 |
| 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.