CASEY MANZANEDO (NPI# 1528496031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528496031 |
| Entity Type | Individual |
| Full Name | CASEY MANZANEDO |
| Credential | LPN |
| Practice Address |
35900 E Charbray Dr. San Tan Valley AZ 85143 |
| Mailing Address |
Po Box 2850 Florence AZ 85132-3053 |
| Practice Telephone | 4809877608 |
| Practice Fax Number | 4808880349 |
| Mailing Telephone | 4809877608 |
| Mailing Fax Number | 4808880349 |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2013-10-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LP042617 | AZ | Nursing Service Providers |
| Street Address |
35900 E CHARBRAY DR. |
| City | SAN TAN VALLEY |
| State | AZ |
| Zip Code | 85143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619457785 | Shalom Behavioral Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 35301 N Belgian Blue Ct, San Tan Valley, AZ 85143 | 2018-08-18 |
| 1336662337 | House of Dignity Assisted Living LLC | Assisted Living Facility | 214 W Danish Red Trl, San Tan Valley, AZ 85143 | 2017-07-21 |
| 1942744081 | Arizona Dental Professionals, PC | Dentist | 545 E Hunt Hwy, San Tan Valley, AZ 85143 | 2016-12-08 |
| 1285000786 | Jared Scott Snyder | Physical Therapy Assistant | 1745 E Hunt Hwy, Suite 103, San Tan Valley, AZ 85143 | 2015-08-19 |
| 1801289236 | Tiffany Battle | Behavioral Analyst | 2626 E. Manuel Road, San Tan Valley, AZ 85143 | 2015-03-10 |
| 1437541091 | Kelly Denise Griffin | Registered Nurse | 35945 N. Gary Rd, Suite 101, San Tan Valley, AZ 85143 | 2015-02-19 |
| 1891136461 | Lisa Kay Scarpa | Home Health Aide | 925 E Canyon Rock Rd, San Tan Valley, AZ 85143 | 2013-07-11 |
| 1790969426 | Emilia Elizabeth Gomez Vieytez | Pediatrics | 22707 S. Ellsworth Rd H 101, Queen Creek, AZ 85143 | 2007-12-17 |
| 1205814621 | Janet F Rinehart | Family Medicine | 30046 N Varnum Rd, San Tan Valley, AZ 85143 | 2006-01-05 |
| 1750629952 | Dustin M Germaine | Specialist/Technologist | 1462 E Poncho Ln, San Tan Valley, AZ 85143-3218 | 2013-01-22 |
| Find all providers in zip 85143 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508210873 | Julie Denis | Licensed Practical Nurse | 785 E Cowboy Cove Trl, San Tan Valley, AZ 85143-6126 | 2016-04-22 |
| 1588294268 | Dalene Vasconcelles | Licensed Practical Nurse | 32375 N Gantzel Rd, San Tan Valley, AZ 85143-5110 | 2020-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313033 | Stephanie Lyn Medina | Licensed Practical Nurse | 2349 N 83rd Dr, Phoenix, AZ 85037-3742 | 2020-10-13 |
| 1134736291 | Rosa Luz Helm | Licensed Practical Nurse | 3434 S 67th Ave, Phoenix, AZ 85043-6523 | 2020-09-23 |
| 1588270441 | Undre Webb | Licensed Practical Nurse | 567 W 11th St, Florence, AZ 85132-9126 | 2020-09-16 |
| 1639783160 | Jennifer Nadine Stockton | Licensed Practical Nurse | 2702 W Yorkshire Dr Apt 3100, Phoenix, AZ 85027-3939 | 2020-09-02 |
| 1487277844 | Lake Havasu Unified School Distrct | Licensed Practical Nurse | 1250 Pawnee Dr, Lake Havasu City, AZ 86406-8764 | 2020-05-20 |
| 1982248399 | Barbara Frazey | Licensed Practical Nurse | 3404 Santa Maria Rd., Golden Valley, AZ 86413 | 2019-10-30 |
| 1215587795 | Payton Caliste | Licensed Practical Nurse | 21646 W Hilton Ave, Buckeye, AZ 85326-6555 | 2019-09-16 |
| 1770131336 | Margaret A Dusold | Licensed Practical Nurse | 21827 E Creosote Dr, Queen Creek, AZ 85142-4932 | 2019-08-27 |
| 1225684046 | Denise Plott | Licensed Practical Nurse | 13825 W Desert Cove Rd, Surprise, AZ 85379-9702 | 2019-08-16 |
| 1871149765 | Victoria Elizabeth Bare | Licensed Practical Nurse | 1718 W Vineyard Rd, Phoenix, AZ 85041-5804 | 2019-08-15 |
| Find all providers with the same taxonomy | ||||
| City | SAN TAN VALLEY |
| Zip Code | 85143 |
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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.