MS. MARY NOEL GROSSKOPF (NPI# 1508151507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508151507 |
| Entity Type | Individual |
| Full Name | MS. MARY NOEL GROSSKOPF |
| Credential | FNP-C |
| Practice Address |
2915 E Baseline Rd Suite 101 Gilbert AZ 85234-2425 |
| Mailing Address |
1345 E Rockledge Rd Phoenix AZ 85048-6215 |
| Practice Telephone | 4807760626 |
| Practice Fax Number | 4807760627 |
| Mailing Telephone | 6024031110 |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2011-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
AP4025 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | STATE NURSE PRACTIONER LICENSE | AP4025 | 01 |
| Street Address |
2915 E BASELINE RD SUITE 101 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85234-2425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447210935 | Earl Alan Labovitz | Allergy & Immunology | 2915 E Baseline Rd, Suite 121, Gilbert, AZ 85234-2425 | 2006-03-27 |
| 1467081331 | Cline Foot and Ankle Consultants Pllc | Podiatrist | 2915 E Baseline Rd, Gilbert, AZ 85234-2425 | 2020-04-03 |
| 1215389028 | Chyna Coleman | Occupational Therapist | 2915 E Baseline Rd, Suite 108, Gilbert, AZ 85234-2425 | 2016-07-05 |
| 1891017950 | Rick J Gomez Md Pllc | Pain Medicine | 2915 E Baseline Rd, Suite 107, Gilbert, AZ 85234-2425 | 2010-02-17 |
| 1609108877 | Rick J.gomez, M.d.,pllc | Family Medicine | 2915 E Baseline Rd, Suite 107, Gilbert, AZ 85234-2425 | 2010-02-12 |
| 1407185093 | Jessica Prebish | Podiatrist | 2915 E Baseline Rd, 103, Gilbert, AZ 85234-2425 | 2009-12-10 |
| 1649509258 | Xtrim Med Spa | Family Medicine | 2915 E Baseline Rd, Suite 107, Gilbert, AZ 85234-2425 | 2009-12-09 |
| 1942477724 | Natalie Joelle Wiggins | Naturopath | 2915 E Baseline Rd, Suite 101, Gilbert, AZ 85234-2425 | 2008-05-12 |
| 1518142298 | Orozco Living Chiropractic PC | Chiropractor | 2915 E Baseline Rd, Suite 126, Gilbert, AZ 85234-2425 | 2007-12-31 |
| 1225224660 | Sandra L Levitt | Internal Medicine | 2915 E Baseline Rd, Suite 101, Gilbert, AZ 85234-2425 | 2007-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500962 | Fatima Health LLC | Nurse Practitioner | 760 North Swallow Lane, Gilbert, AZ 85234 | 2020-05-22 |
| 1073152070 | American Care Concepts Hospice LLC | Hospice Care, Community Based | 765 N. Lindsay Rd., Ste. 208, Gilbert, AZ 85234 | 2019-12-23 |
| 1457918864 | Intuitive Healing Counseling Services, Pllc | Counselor | 3303 E Baseline Rd, Building 5, Suite 109, Gilbert, AZ 85234 | 2019-05-21 |
| 1487123907 | San Tan Behavioral Health Services LLC | Respite Care | 2671 East Vermont Court, Gilbert, AZ 85234 | 2018-11-14 |
| 1770052292 | San Tan Behavioral Health Services | Respite Care | 3970 East Juanita Avenue, Gilbert, AZ 85234 | 2018-11-14 |
| 1891262887 | Victoria Elizabeth Klennertt | Behavior Technician | 3503 E Michelle Way, Gilbert, AZ 85234 | 2018-10-27 |
| 1225503634 | Julia Elizabeth Wiens | Social Worker | 3651 E Baseline Rd Ste 120, Gilbert, AZ 85234 | 2018-10-11 |
| 1295219798 | Raylene Dawn Cargiulo | Registered Nurse | 55 S. Greenfield Rd., Gilbert, AZ 85234 | 2018-09-20 |
| 1346729092 | Katherine M Winegar | Nurse Practitioner | Banner Md Anderson Cancer Center- Administration Office, 2940 E Banner Gateway Drive, Gilbert, AZ 85234 | 2018-08-13 |
| 1881189199 | Desert Valley Oral Surgery | Oral & Maxillofacial Surgery | 2915 E. Baseline Road, Suite 106, Gilbert, AZ 85234 | 2018-06-28 |
| Find all providers in zip 85234 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700407426 | Joan N Nunoo | Nurse Practitioner | 3852 E Santa Fe Ln, Gilbert, AZ 85297-8529 | 2020-05-04 |
| 1275187718 | Guylene Lucien | Nurse Practitioner | 1689 S. Parkcrest Street, Gilbert, AZ 85295 | 2019-08-01 |
| 1952892655 | Anna Marie Decker | Nurse Practitioner | 4915 E Baseline Rd Ste 108, Gilbert, AZ 85234-2966 | 2018-05-29 |
| 1912402306 | Paula Ann Nelson | Nurse Practitioner | 2512 E Arrowhead Trl, Gilbert, AZ 85297-8102 | 2018-03-27 |
| 1548234404 | Dawn Marie Groff | Nurse Practitioner | 1684 E Boston St Ste 102, Gilbert, AZ 85295-6220 | 2006-02-15 |
| 1730792482 | Neena Varghese | Nurse Practitioner | 3555 S Val Vista Dr, Gilbert, AZ 85297-7323 | 2020-08-24 |
| 1427560218 | Shiny Shibu | Nurse Practitioner | 3555 S Val Vista Dr, Gilbert, AZ 85297-7323 | 2017-11-02 |
| 1720458334 | Chiro Corp Management Pllc | Nurse Practitioner | 1450 W Guadalupe Rd, #124, Gilbert, AZ 85233-3042 | 2015-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447864202 | Soma Care, LLC | Nurse Practitioner | 6944 E Broadway Rd Ste A, Mesa, AZ 85208-1916 | 2020-08-31 |
| 1497367403 | Daryl Lyons | Nurse Practitioner | 18095 W Santa Irene Dr, Goodyear, AZ 85338-5456 | 2020-08-20 |
| 1538787072 | Brijeshaben Urvish Patel | Nurse Practitioner | 13300 N 88th Ave Apt 2007, Peoria, AZ 85381-2614 | 2020-07-10 |
| 1043835424 | Us Live Clinic LLC | Nurse Practitioner | 12610 E Laurel Ln, Scottsdale, AZ 85259-3460 | 2020-06-11 |
| 1831713148 | Alexis Petra Md | Nurse Practitioner | 21835 N 51st St, Phoenix, AZ 85054-7140 | 2020-06-02 |
| 1245851955 | Amy Rachelle Dunn | Nurse Practitioner | 7563 E Plata Ave, Mesa, AZ 85212-9729 | 2020-05-04 |
| 1326675166 | Kendrick Wright | Nurse Practitioner | 2727 E Camelback Rd Apt 525, Phoenix, AZ 85016-4481 | 2020-03-23 |
| 1518591510 | Laura Larson | Nurse Practitioner | 1929 W Fillmore St Bldg C, Phoenix, AZ 85009-3812 | 2020-02-27 |
| 1538791512 | Silverleaf Health LLC | Nurse Practitioner | 20715 N Pima Rd Ste 108, Scottsdale, AZ 85255-6685 | 2020-02-07 |
| 1114559366 | Stephanie J Dockins | Nurse Practitioner | 14831 N 177th Ave, Surprise, AZ 85388-8740 | 2020-02-05 |
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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.