OMETRIS ELAINE KING (NPI# 1558547729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558547729 |
| Entity Type | Individual |
| Full Name | OMETRIS ELAINE KING |
| Credential | MASTER OF ARTS |
| Practice Address |
2210 W Southern Ave #c-11 Mesa AZ 85202-4714 |
| Mailing Address |
1140 E Flint St Chandler AZ 85225-5472 |
| Practice Telephone | 4802338654 |
| Practice Fax Number | 4808212888 |
| Mailing Telephone | 4802338654 |
| Mailing Fax Number | 4808212888 |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2008-01-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
11910 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
2210 W SOUTHERN AVE #C-11 |
| City | MESA |
| State | AZ |
| Zip Code | 85202-4714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982811170 | Nancy Elaine Yeamans | Psychologist | 2210 W Southern Ave, Suite B-5, Mesa, AZ 85202-4714 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
| Find all providers in zip 85202 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063154 | Cleshaun A Dubose | Counselor | 6344 E Brown Rd Ste 104, Mesa, AZ 85205-4843 | 2020-11-02 |
| 1538780572 | Larry Jay Solomon | Counselor | 10710 E Medina Ave, Mesa, AZ 85209-3213 | 2020-04-30 |
| 1902427263 | Kelly Ann Meis I | Counselor | 3707 E Southern Ave Ste 1023, Mesa, AZ 85206-6202 | 2020-04-28 |
| 1518592971 | Debra L Delvecchio-lee | Counselor | 2152 S Vineyard Bldg 4, Mesa, AZ 85210-6871 | 2020-03-05 |
| 1093355356 | Kristen Eldridge | Counselor | 2929 N. Power Rd. Suite 101, Mesa, AZ 85215 | 2020-01-14 |
| 1861041733 | Belinda Wiens | Counselor | 2135 E University Dr., Suite 116, Mesa, AZ 85213 | 2019-09-04 |
| 1205497187 | Bonita Belinda Becker | Counselor | 3740 E Southern Ave Ste 120, Mesa, AZ 85206-2568 | 2019-06-22 |
| 1558927996 | Angeline Reine | Counselor | 4111 E Valley Auto Dr Ste 209-4, Mesa, AZ 85206-4605 | 2019-05-10 |
| 1639733520 | Randi Shuriee Gray | Counselor | 3740 E Southern Ave Ste 209, Mesa, AZ 85206-2512 | 2019-04-25 |
| 1396210324 | Austin Christopher Reina | Counselor | 2407 E Jacinto Ave, Mesa, AZ 85204-7008 | 2018-10-05 |
| 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.