MR. CHADD JOSEPH HIATT (NPI# 1548881469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548881469 |
| Entity Type | Individual |
| Full Name | MR. CHADD JOSEPH HIATT |
| Credential | NP-C |
| Practice Address |
500 Indiana Ave Winslow AZ 86047-2169 |
| Practice Telephone | 9282894646 |
| Mailing Telephone | 9282894646 |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2020-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RNP240774 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
500 INDIANA AVE |
| City | WINSLOW |
| State | AZ |
| Zip Code | 86047-2169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013912534 | Christian Jay Thompson | Optometrist | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2005-06-21 |
| 1548886955 | Lily Chen | Student in an Organized Health Care Education/Training Program | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2020-06-22 |
| 1528682929 | Jaeseong Park | Student in an Organized Health Care Education/Training Program | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2020-06-01 |
| 1205465390 | Lindsay Dara Hughes | Student in an Organized Health Care Education/Training Program | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2020-04-02 |
| 1588290514 | Matthew Lee | Student in an Organized Health Care Education/Training Program | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2020-03-21 |
| 1669008082 | Deepa Patel | Student in an Organized Health Care Education/Training Program | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2020-03-17 |
| 1104487222 | Alex Stanco | Dentist | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2019-06-28 |
| 1881254423 | Kerry Lynn Cordier | Registered Nurse | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2019-06-17 |
| 1174182760 | Jorge Phillip Kinds | Registered Nurse | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2019-06-07 |
| 1205492683 | Rahema Haseeb | Student in an Organized Health Care Education/Training Program | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2019-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568097350 | Kalp Juthani | Student in an Organized Health Care Education/Training Program | 500 N Indiana Avenue, Winslow, AZ 86047 | 2020-03-11 |
| 1104461268 | Dental Innovations-winslow | Clinic/Center | 722 Mike's Pike Street, #101, Winslow, AZ 86047 | 2019-11-13 |
| 1417505611 | Association of Indigenous Pioneers, Incorporated (aipi) | Non-emergency Medical Transport (VAN) | Nec Navajo Route 15 & 60, Suite #2, Winslow, AZ 86047 | 2019-08-30 |
| 1790347573 | Wilfred Shirley | Counselor | 1/2 Mile Northeast Dilkon Bashas Store, Winslow, AZ 86047 | 2019-07-02 |
| 1871055624 | Mark Ashcraft | Student in an Organized Health Care Education/Training Program | Winslow Indian Health Care Center, 500 North Indiana Ave, Winslow, AZ 86047 | 2019-04-02 |
| 1568928521 | Winslow Indian Health Care Center, Inc | Pharmacy | 1.5 Mile N. Leupp Chapter House, Leupp, AZ 86047 | 2019-02-14 |
| 1659837615 | Winslow Indian Health Care Center, Inc | Pharmacy | 3 Mls S. of Dilkon Chapter Hse., Dilkon, AZ 86047 | 2019-02-14 |
| 1750809836 | Grassroots Medical Supply | Durable Medical Equipment & Medical Supplies | Nec Navajo Route 15 and 60, Suite #2, Winlsow, AZ 86047 | 2017-09-08 |
| 1538697396 | Janell K Dickson | Counselor | 1/4 Mile Ne of Bashas, Dilkon, AZ 86047 | 2017-05-24 |
| 1235599143 | Dennis Peters | Veterinarian | 4301 W Highway 66, Winslow, AZ 86047 | 2016-03-04 |
| Find all providers in zip 86047 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063069979 | Bonnie Jean Foster | Nurse Practitioner | 219 W Fourth St, Winslow, AZ 86047-3506 | 2019-08-25 |
| 1437576980 | Janelle Dawn Gaddis | Nurse Practitioner | 2100 S Highway 87, Winslow, AZ 86047-9789 | 2014-03-22 |
| 1255600615 | Stephanie M Crihfield | Nurse Practitioner | 1214 Jonnie Ln, Winslow, AZ 86047 | 2011-12-14 |
| 1053971796 | Emma Gibbs | Nurse Practitioner | 1501 N Williamson Ave, Winslow, AZ 86047-2735 | 2019-06-14 |
| 1780197293 | Edmund Allison | Nurse Practitioner | 620 Lee St, Winslow, AZ 86047-2435 | 2017-11-07 |
| 1346750213 | Michael Brathwaite | Nurse Practitioner | 2100 S Highway 87, Winslow, AZ 86047-9789 | 2017-10-05 |
| 1750813754 | Dyanne Medina-jarrin | Nurse Practitioner | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2017-03-29 |
| 1144682584 | Theresa Stone Salvatore | Nurse Practitioner | 620 Lee St, Winslow, AZ 86047-2435 | 2016-03-24 |
| 1669814331 | Adrien Juliana Gupton | Nurse Practitioner | 620 Lee St, Winslow, AZ 86047-2435 | 2013-07-23 |
| 1407015134 | Winslow Community Health Center, Inc. | Nurse Practitioner | 200 N Main St, Winslow, IN 47598-5423 | 2008-06-06 |
| Find all providers in WINSLOW | ||||
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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.