LATOSHA MOOREHEAD (NPI# 1548653942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548653942 |
| Entity Type | Individual |
| Full Name | LATOSHA MOOREHEAD |
| Credential | RN |
| Practice Address |
310 S Extension Rd Mesa AZ 85210-1292 |
| Practice Telephone | 4806153800 |
| Mailing Telephone | 4806153800 |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
RN131602 | AZ | Nursing Service Providers |
| Street Address |
310 S EXTENSION RD |
| City | MESA |
| State | AZ |
| Zip Code | 85210-1292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518082569 | Magellan Health Services of Arizona, Inc. | Case Management | 310 S Extension Rd, Mesa, AZ 85210-1292 | 2007-03-20 |
| 1104219674 | Cindy Gramm | Registered Nurse | 310 S Extension Rd, Mesa, AZ 85210-1292 | 2015-03-09 |
| 1134511397 | Yvette Pena Rhodes | Registered Nurse | 310 S Extension Rd, Mesa, AZ 85210-1292 | 2015-02-25 |
| 1154713345 | Shannon Ryszka | Social Worker | 310 S Extension Rd, Mesa, AZ 85210-1292 | 2015-02-24 |
| 1518101237 | People of Color Network | Clinic/Center | 310 S Extension Rd, Mesa, AZ 85210-1292 | 2009-04-24 |
| 1164621959 | Bridgette Galye Balasko | Psychiatry & Neurology | 310 S Extension Rd, Mesa, AZ 85210-1292 | 2007-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497382501 | Mesa Center for Family Medicine | Internal Medicine | 2034 S Alma School Road, Suite #101, Mesa, AZ 85210 | 2020-03-26 |
| 1780177121 | Jessica Cannata | Speech-Language Pathologist | 2150 S Country Club Rd, Suite 20, Mesa, AZ 85210 | 2018-06-11 |
| 1831680305 | Alexandra Katherine Ebong | Nurse Practitioner | 1950 S. Country Club Drive, Ste 102, Mesa, AZ 85210 | 2018-05-21 |
| 1548762719 | Russell D. Meldrum, M.d. Pllc | Orthopaedic Surgery | 855 W. Southern Ave., #1114, Mesa, AZ 85210 | 2018-03-05 |
| 1023510435 | Denise M Bruno-krupp | Counselor | 1830 S. Alma School Rd. Suite 101, Mesa, AZ 85210 | 2018-03-01 |
| 1609374529 | Gene R Lullo | Social Worker | 1830 S Alma School Rd Suite 101, Mesa, AZ 85210 | 2018-01-25 |
| 1295264000 | Ashley P Smith | Naturopath | 601 S Alma School Rd, Apt 101, Mesa, AZ 85210 | 2017-06-06 |
| 1386184059 | Brittany Johnson | Counselor | 1745 S Alma School Rd Ste 230, Mesa, AZ 85210 | 2017-03-01 |
| 1487190880 | Mesa Valley Modern Dentistry, LLP | Dentist | 1712 S, Country Club Drive, Ste 104, Mesa, AZ 85210 | 2017-01-10 |
| 1821544529 | Sandra Coren | Licensed Practical Nurse | 32 S Mcdonald, Tlc, Mesa, AZ 85210 | 2016-09-01 |
| Find all providers in zip 85210 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134549579 | Pride Behavioral Health | Registered Nurse | 1041 S Lebaron, Mesa, AZ 85210-3630 | 2014-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750996617 | Audu Thomas Seriki | Registered Nurse | 2539 W Spencer Run, Phoenix, AZ 85041-2927 | 2020-09-08 |
| 1588177075 | Kathleen Hornick | Registered Nurse | 3309 W Athenee Ct, Tucson, AZ 85746-1076 | 2017-11-07 |
| 1265852818 | Paulette Carol Compton | Registered Nurse | 10755 N 118th Way, Scottsdale, AZ 85259-4113 | 2014-04-22 |
| 1487076311 | Vicki Hervert | Registered Nurse | 5351 N Blue Bonnet Rd, Tucson, AZ 85745-9494 | 2014-01-12 |
| 1396852737 | Susan Dale Markovich | Registered Nurse | 1601 W. St . Mary's Rd., Tucson, AZ 85745-2623 | 2006-08-23 |
| 1386669885 | Darren J Hammergren | Registered Nurse | 5700 E. Pima St., #1, Tucson, AZ 85712 | 2006-07-13 |
| 1457963852 | Alexandria Penner | Registered Nurse | 1305 N Martin Ave, Tucson, AZ 85721-0001 | 2020-08-18 |
| 1245798909 | Amanda Elizabeth Martinez | Registered Nurse | 6950 E Golf Links Rd, Tucson, AZ 85730-1017 | 2019-03-12 |
| 1225579808 | Dennis George Demers | Registered Nurse | 4755 Campus Dr, Sierra Vista, AZ 85635-2449 | 2017-03-15 |
| 1568905073 | Stuart Haiken | Registered Nurse | 39580 S Lago Del Oro Pkwy, Tucson, AZ 85739-1091 | 2016-12-01 |
| Find all providers with the same taxonomy | ||||
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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.