DANIELLE FEDOR (NPI# 1487263570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487263570 |
Entity Type | Individual |
Full Name | DANIELLE FEDOR |
Practice Address |
625 N Plaza Dr Apache Junction AZ 85120-5501 |
Practice Telephone | 4804745600 |
Mailing Telephone | 4804745600 |
Enumeration Date | 2020-07-24 |
Last Update Date | 2020-07-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
243481 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
625 N PLAZA DR |
City | APACHE JUNCTION |
State | AZ |
Zip Code | 85120-5501 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518940832 | Fred Barnett Lipovitch | Psychiatry & Neurology | 625 N Plaza Dr, Apache Junction, AZ 85120-5501 | 2005-11-21 |
1407456668 | Mitchell Garrett Brown | Nurse Practitioner | 625 N Plaza Dr, Apache Junction, AZ 85120-5502 | 2020-10-27 |
1891316907 | Lori A Smith | Counselor | 625 N Plaza Dr, Apache Junction, AZ 85120-5501 | 2020-04-29 |
1093281883 | Daed Lizbeth Ayala Penaloza I | Social Worker | 625 N Plaza Dr, Apache Junction, AZ 85120-5501 | 2018-10-18 |
1477046902 | Kyle Bart Dewey | Nurse Practitioner | 625 N Plaza Dr, Apache Junction, AZ 85120-5501 | 2018-06-09 |
1255820346 | Camay S Rooney | Nurse Practitioner | 625 N Plaza Dr, Apache Junction, AZ 85120-5501 | 2018-05-04 |
1043761067 | Molly Elizabeth Haak | Social Worker | 625 N Plaza Dr, Apache Junction, AZ 85120-5501 | 2016-10-14 |
1750735163 | Jackie Ollis | Registered Nurse | 625 N Plaza Dr, Apache Junction, AZ 85120-5501 | 2016-04-21 |
1851762074 | Smmhc, Inc | Community/Behavioral Health | 625 N Plaza Dr, Apache Junction, AZ 85120-5501 | 2015-10-14 |
1144605171 | Jennifer P Mcdonald | Physician Assistant | 625 N Plaza Dr, Apache Junction, AZ 85120-5501 | 2015-07-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437709508 | Azmo Medical Services, LLC | General Practice | 212 West Superstition Boulevard, # 101, Apache Junction, AZ 85120 | 2019-09-19 |
1902359771 | Fawn Boonstra | Dietitian, Registered | 99 S. Gold Dr. Suite 5, Goldfield Cardiovascular Institute, Apache Junction, AZ 85120 | 2016-07-28 |
1407104110 | Catherine Pagayonan Araza | Pharmacist | 11545 E Apache Trail, Apache Junction, AZ 85120 | 2012-08-28 |
1871868992 | Gilbert Unified School Dist | Local Education Agency (LEA) | 1370 W Montebello Ave, Apache Junction, AZ 85120 | 2012-03-22 |
1275758971 | Sharon L Paul | Psychiatry & Neurology | 2066 W. Apache Trail, Suite 112, Apache Junction, AZ 85120 | 2007-04-16 |
1649397696 | Charles A. Garon | Social Worker | 625 N. Plaza Dr, Apache Junction, AZ 85120 | 2007-03-23 |
1942239900 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 3185 W Apache Trl, Apache Junction, AZ 85120 | 2006-07-02 |
1144617812 | Katelyn Geyer | Family Medicine | 2080 W Southern Ave Bldg B10, Apache Junction, AZ 85120 | 2015-04-21 |
1720022346 | Skyline Physical Therapy Aquatics and Rehab Specialists | Physical Therapist | 10241 E Apache Trl, Apache Junction, AZ 85120-3203 | 2006-06-15 |
1710075544 | Bashas Inc | Pharmacy | 10715 E Apache Trl, Apache Junction, AZ 85120-3307 | 2006-10-10 |
Find all providers in zip 85120 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528537750 | Alexander Dupuis | Nurse Practitioner | 3913 N Dell Armi Trl, Apache Junction, AZ 85119-8416 | 2018-11-16 |
1982115085 | Megan Amber Haden | Nurse Practitioner | 180 S La Barge Rd, Apache Junction, AZ 85119-9399 | 2017-10-16 |
1164726543 | Mary Joyce Grubb | Nurse Practitioner | 10633 E Apache Trl, Suite 106, Apache Junction, AZ 85120-3383 | 2010-12-29 |
1164723300 | Janina Marie Grubb | Nurse Practitioner | 105 S Delaware Dr Ste 1, Apache Junction, AZ 85120-6512 | 2010-11-04 |
1508831025 | Paula Ann Crinklaw | Nurse Practitioner | 1485 W Frontier St, Apache Junction, AZ 85220 | 2006-02-19 |
1407456668 | Mitchell Garrett Brown | Nurse Practitioner | 625 N Plaza Dr, Apache Junction, AZ 85120-5502 | 2020-10-27 |
1538709761 | Shana J Bean | Nurse Practitioner | 105 S Delaware Dr Ste 2, Apache Junction, AZ 85120-6512 | 2020-01-15 |
1609316546 | Selin Philip | Nurse Practitioner | 2080 W Southern Ave Bldg B10, Apache Junction, AZ 85120-7653 | 2017-02-26 |
1487192142 | Linda Jo Mcphail | Nurse Practitioner | 105 S Delaware Dr Ste 2, Apache Junction, AZ 85120-6512 | 2017-02-02 |
1093188054 | Lauren King | Nurse Practitioner | 105 S Delaware Dr, Apache Junction, AZ 85120-6511 | 2015-11-12 |
Find all providers in APACHE JUNCTION |
City | APACHE JUNCTION |
Zip Code | 85120 |
Please comment or provide details below to improve the information on DANIELLE FEDOR.
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.