MRS. WENDY KAYE POURBASTANI (NPI# 1508801218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508801218 |
| Entity Type | Individual |
| Full Name | MRS. WENDY KAYE POURBASTANI |
| Credential | ANP-BC |
| Practice Address |
6950 E Williams Field Rd Carl T. Hayden Va Medical Center, Southeast Clinic Mesa AZ 85212-6033 |
| Mailing Address |
1120 E Hearne Way Gilbert AZ 85234-6018 |
| Practice Telephone | 6022226568 |
| Practice Fax Number | 6022226496 |
| Mailing Telephone | 4804979882 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2013-05-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN068727 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6950 E WILLIAMS FIELD RD CARL T. HAYDEN VA MEDICAL CENTER, SOUTHEAST CLINIC |
| City | MESA |
| State | AZ |
| Zip Code | 85212-6033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710983804 | James Randolph Sexton | Nurse Practitioner | 6950 E Williams Field Rd, Mesa, AZ 85212-6033 | 2005-06-23 |
| 1164662920 | Cassandra L Knight | Registered Nurse | 6950 E Williams Field Rd, Mesa, AZ 85212-6033 | 2009-03-05 |
| 1629274360 | John Kehoe | Social Worker | 6950 E Williams Field Rd, Mesa, AZ 85212-6033 | 2007-06-21 |
| 1881718211 | Angela Marie Kittling | Nurse Practitioner | 6950 E Williams Field Rd, Mesa, AZ 85212-6033 | 2007-03-19 |
| 1104928662 | Martha Leticia Gonzalez | Military Health Care Provider | 6950 E Williams Field Rd, Mesa, AZ 85212-6033 | 2006-09-03 |
| 1225043912 | Sreeja J Pillai | Internal Medicine | 6950 E Williams Field Rd, Carl T Hayden Vamc Se Extension Clinic, Mesa, AZ 85212-6033 | 2006-07-30 |
| 1275554388 | Kimberly Assaker | Dietitian, Registered | 6950 E Williams Field Rd, Mesa, AZ 85212-6033 | 2006-07-22 |
| 1043240641 | Mark Steven Vernon | Internal Medicine | 6950 E Williams Field Rd, Mesa, AZ 85212-6033 | 2006-07-03 |
| 1255370086 | Michael Gregory Langley | Physician Assistant | 6950 E Williams Field Rd, Mesa, AZ 85212-6033 | 2006-06-06 |
| 1699728576 | Joelle Oizumi | Psychologist | 6950 E Williams Field Rd, Mesa, AZ 85212-6033 | 2006-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610302 | West Point Optical Group | Optometrist | 10706 E Point Twenty-two Blvd, #107, Mesa, AZ 85212 | 2020-08-18 |
| 1215553565 | Andrew Eugene Pak | Dentist | 10664 East Point Twenty-two Blvd, Mesa, AZ 85212 | 2020-06-23 |
| 1588200265 | Signal Butte Kids Dentistry and Orthodontics, LLP | Dentist | 10664 E. Point Twenty Two Blvd, Mesa, AZ 85212 | 2019-11-18 |
| 1194371526 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 4316 S Signal Butte Rd, Mesa, AZ 85212 | 2019-08-12 |
| 1194200980 | Highbury Dental Management, LLC | Dentist | 4425 S Mountain Rd, Suite 109, Mesa, AZ 85212 | 2018-09-27 |
| 1033623541 | Latanya Olivia Edenburgs | Case Manager/Care Coordinator | 10436 E Radiant Ave., Mesa, AZ 85212 | 2017-11-20 |
| 1205355880 | Linda Okafor | Nurse Practitioner | 4719 S Calderon Circle, Mesa, AZ 85212 | 2017-09-14 |
| 1689121188 | Agh Mesa LLC | General Acute Care Hospital | 9130 East Elliot Road, Mesa, AZ 85212 | 2016-09-01 |
| 1861841918 | Ryan Blake | Dentist | 4425 S. Mountain Road, Ste 109, Mesa, AZ 85212 | 2016-06-09 |
| 1083089460 | White Glove Health | Nurse Practitioner | 2906 S Lynch Cr, Mesa, AZ 85212 | 2015-12-10 |
| Find all providers in zip 85212 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083089460 | White Glove Health | Nurse Practitioner | 2906 S Lynch Cr, Mesa, AZ 85212 | 2015-12-10 |
| 1023489192 | Janine Hope Altobelli | Nurse Practitioner | 6840 E Brown Rd Ste 101, Mesa, AZ 85207-3759 | 2015-10-14 |
| 1205144946 | Jonna O Anderson | Nurse Practitioner | 1106 N Gilbert Rd Ste 2, Pmb188, Mesa, AZ 85203-5143 | 2010-09-15 |
| 1538476072 | Manuela Vital | Nurse Practitioner | 6859 E. Rembrandt Ave, Suite 117, Mesa, AZ 85212-3630 | 2010-09-03 |
| 1538200530 | Karen Kay Ballard | Nurse Practitioner | 1710 W. Southern Ave, Concentra - Mesa, Mesa, AZ 85034 | 2007-02-11 |
| 1083703045 | Joellen Beard Embry | Nurse Practitioner | 2204 S Dobson Rd Ste 203, Mesa, AZ 85202 | 2006-10-11 |
| 1487637906 | Pamela L Morris | Nurse Practitioner | 7214 E Avesta Cir, Mesa, AZ 85208-1128 | 2005-11-29 |
| 1255336905 | Julie A Stott | Nurse Practitioner | 7254 E Southern Ave, Ste. 105, Mesa, AZ 85209-1817 | 2005-06-18 |
| 1477012045 | Sleepwerx, LLC | Nurse Practitioner | 3514 N Power Rd Ste 127, Mesa, AZ 85215-2911 | 2019-03-13 |
| 1821441718 | Amy Kleinhans | Nurse Practitioner | 6750 E Baywood Ave, Suite 301, Mesa, AZ 85206-1749 | 2016-07-15 |
| Find all providers in MESA | ||||
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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.