LYNN PREUDHOMME (NPI# 1538597885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538597885 |
| Entity Type | Individual |
| Full Name | LYNN PREUDHOMME |
| Credential | ARNP |
| Practice Address |
2727 W Bell Rd Phoenix AZ 85053-3059 |
| Mailing Address |
635 E Baseline Rd Phoenix AZ 85042-6551 |
| Practice Telephone | 6154254200 |
| Mailing Telephone | 6022437277 |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2018-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP5253 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
AP5253 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 635 E Baseline Rd, Phoenix, AZ 850426551 | 6022437277 |
| Street Address |
2727 W BELL RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85053-3059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750326765 | Smiths Food & Drug Centers Inc | Durable Medical Equipment & Medical Supplies | 2727 W Bell Rd, Phoenix, AZ 85053-3059 | 2006-06-17 |
| 1578088340 | Alicia Marie Harrington | Pharmacist | 2727 W Bell Rd, Phoenix, AZ 85053-3059 | 2017-08-13 |
| 1790151066 | Ali Pederson | Pharmacist | 2727 W Bell Rd, Phoenix, AZ 85053-3059 | 2015-08-20 |
| 1417291287 | The Little Clinic of Arizona LLC | Physician Assistant | 2727 W Bell Rd, Phoenix, AZ 85053 | 2012-11-19 |
| 1295085900 | Linh Lopez | Pharmacist | 2727 W Bell Rd, Phoenix, AZ 85053-3059 | 2012-09-11 |
| 1407158090 | Shawna Rae Underwood | Clinic/Center | 2727 W Bell Rd, Phoenix, AZ 85053-3059 | 2010-12-02 |
| 1851692057 | Leo Rogitz | Pharmacist | 2727 W Bell Rd, Fry's Pharmacy, Phoenix, AZ 85053-3059 | 2010-11-04 |
| 1952636896 | Hieu Thien Nguyen | Pharmacist | 2727 W Bell Rd, Phoenix, AZ 85053-3059 | 2009-10-09 |
| 1083853485 | Sandra Abrams | Nurse Practitioner | 2727 W Bell Rd, Phoenix, AZ 85053-3059 | 2009-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871065615 | Valley Addiction & Mental Health Services LLC | Nurse Practitioner | 16845 N. 29th Ave, Ste 1-211, Phoenix, AZ 85053 | 2018-12-18 |
| 1417439100 | Amanda M Sherwin | Dietitian, Registered | 15640 N 28h Drive, Phoenix, AZ 85053 | 2018-08-30 |
| 1568970135 | Sage Counseling, Inc. | Community/Behavioral Health | 2734 W Bell Rd., #1385 & 1390, Phoenix, AZ 85053 | 2018-01-17 |
| 1366966434 | Penny L Reamer | Registered Nurse | 17624 N. 31st Ave., Phoenix, AZ 85053 | 2017-08-01 |
| 1043749302 | Jacob Stephen Lawrence | Occupational Therapy Assistant | 3116 W. Hartford Dr., Phoenix, AZ 85053 | 2017-06-08 |
| 1770022923 | Horizon Dental Group West Valley | Dentist | 4025 W. Bell Road, Suite 20, Phoenix, AZ 85053 | 2017-02-21 |
| 1235594938 | Linda Thi Trinh | Optometrist | 16020 North 35th Ave Suite #2, Phoenix, AZ 85053 | 2015-12-22 |
| 1003230301 | Continuum Group West, LLC. | Clinic/Center | 3710 W Greenway Rd, Suite 104, Phoenix, AZ 85053 | 2014-02-07 |
| 1831539410 | Michelle Lea Byers | Nurse Practitioner | 17624 North 31st Ave, Phoenix, AZ 85053 | 2013-06-27 |
| 1437446580 | Candace Faith Gershkovich | Dentist | 4235 W. Thunderbird Rd, Phoenix, AZ 85053 | 2011-07-08 |
| Find all providers in zip 85053 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831713148 | Alexis Petra Md | Nurse Practitioner | 21835 N 51st St, Phoenix, AZ 85054-7140 | 2020-06-02 |
| 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 |
| 1538709415 | Bertha Nambuye Mbatau | Nurse Practitioner | 2332 W Calle Marita, Phoenix, AZ 85085-7064 | 2020-01-08 |
| 1790346443 | Elena Nickolaevna Klimova | Nurse Practitioner | 2218 E Wahalla Ln, Phoenix, AZ 85024-1231 | 2019-06-24 |
| 1306341748 | Kerry L Oliver | Nurse Practitioner | 12010 S Warner Elliot Loop Ste 1, Phoenix, AZ 85044-2731 | 2018-03-28 |
| 1891294583 | Helena Taboy | Nurse Practitioner | 34975 N North Valley Pkwy Ste 138, Phoenix, AZ 85086-4030 | 2018-02-07 |
| 1528431152 | Judith Harmon | Nurse Practitioner | 12413 N 41st Pl, Phoenix, AZ 85032-7439 | 2015-11-04 |
| 1669865408 | Sj Medical Group | Nurse Practitioner | 4622 N 35th Ave, Phoenix, AZ 85017-3403 | 2015-03-17 |
| 1386032753 | Abcore Medical Group | Nurse Practitioner | 2023 W Bethany Home Rd, Phoenix, AZ 85015-2444 | 2015-01-07 |
| 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.