MRS. JACQUELINE LIZARDO GUZMAN (NPI# 1497949499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497949499 |
| Entity Type | Individual |
| Full Name | MRS. JACQUELINE LIZARDO GUZMAN |
| Credential | ARNP |
| Practice Address |
Envision Physician Services 645 E. Missouri Ave. Ste 205 Phoenix AZ 85012 |
| Mailing Address |
427 Shady Valley Dr Allen TX 75002-1701 |
| Practice Telephone | 6024768962 |
| Mailing Telephone | 4695002458 |
| Enumeration Date | 2007-09-01 |
| Last Update Date | 2019-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 8941 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
AP8686 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 427 Shady Valley Dr, Allen, TX 750021701 | 4695002458 | |
| 8986 W Orchid Ln, Peoria, AZ 853457997 | 4695002458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598230617 | Jacqueline Guzman | Acupuncturist | 301 Old San Francisco Rd, Sunnyvale, CA 94086-6386 | 2018-10-04 |
| Street Address |
ENVISION PHYSICIAN SERVICES 645 E. MISSOURI AVE. STE 205 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205417 | Diligence Physical Therapy and Wellness, Pllc | Physical Therapist | 3101 N. Central Avenue, Suite 183 # 518, Phoenix, AZ 85012 | 2020-08-17 |
| 1962023135 | Kelee Jade Forst | Student in an Organized Health Care Education/Training Program | 4001 N Third Street, Suite 290, Phoenix, AZ 85012 | 2020-04-29 |
| 1659911428 | Thomas James Blake | Social Worker | Phoenix Va Health Care System, 650 E Indian School Road, Phoenix, AZ 85012 | 2020-01-09 |
| 1598259467 | Luis F Fong | Registered Nurse | 3620 N. 3rd Street, Phoenix, AZ 85012 | 2018-06-14 |
| 1881196335 | Phoenix Surgical Solutions Pllc | Surgery | 6120 W Bell Rd Suite 130, Glendale, AZ 85012 | 2018-03-01 |
| 1679082523 | Christopher Ferguson | Physician Assistant | 1313 E. Osborn Rd., Ste 150, Phoenix, AZ 85012 | 2017-09-22 |
| 1861911323 | Viet Quoc Truong | Physician Assistant | 650 E Indian School Rd # 1, Phoenix, AZ 85012 | 2017-09-15 |
| 1720506389 | Erin Lynne Cody | Nurse Practitioner | 3003 N. 3rd St, Phoenix, AZ 85012 | 2017-09-05 |
| 1346694627 | Sharareh Najafi | Psychologist | 3450 N. 3rd Street, Phoenix, AZ 85012 | 2016-04-22 |
| 1548635824 | Rebekah June Daroff | Specialist/Technologist | 352 N Camelback Rd, Phoenix, AZ 85012 | 2015-12-11 |
| Find all providers in zip 85012 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225261829 | Jennifer Catherine Miller | Nurse Practitioner | 2023 W Wilshire Dr, Phoenix, AZ 85009-2805 | 2009-08-28 |
| 1578583209 | Roy Lee Evans Jr. | Nurse Practitioner | 2155 W Pinnacle Peak Rd, Suite 201, Phoenix, AZ 85027 | 2006-07-19 |
| 1144287327 | Davita Denise Mitchell | Nurse Practitioner | 300 West Clarendon Ste 375, Neonatology Associates Ltd, Phoenix, AZ 85013 | 2006-04-29 |
| 1831596667 | Anna Lilly | Nurse Practitioner | 7720 N 16th St, Suite 425, Phoenix, AZ 85020-4492 | 2014-11-21 |
| 1093000564 | Christine Joyce Nera Urias | Nurse Practitioner | 3877 N 7th St Ste 400, Phoenix, AZ 85014-5061 | 2011-06-13 |
| 1730474495 | Marcella Celeste Simpson | Nurse Practitioner | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2011-06-10 |
| 1982995585 | Ma Aimee Baradero Benigno | Nurse Practitioner | 300 W Clarendon Ave Ste 375, Phoenix, AZ 85013-3476 | 2011-04-29 |
| 1275833188 | Kristen D Farnsworth | Nurse Practitioner | 350 W Thomas Rd, Phoenix, AZ 85013-4409 | 2010-10-25 |
| 1104130236 | Shelley Anne Akey | Nurse Practitioner | 300 W Clarendon Ave, Suite 375, Phoenix, AZ 85013-3476 | 2010-07-30 |
| 1750600466 | Suzanne Guthrie | Nurse Practitioner | 3877 N 7th St, Suite 400, Phoenix, AZ 85014-5072 | 2010-05-19 |
| 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.