COLLEEN ANNE GUMM (NPI# 1568485951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568485951 |
| Entity Type | Individual |
| Full Name | COLLEEN ANNE GUMM |
| Credential | NP |
| Practice Address |
3902 E Grant Rd Tucson AZ 85712-2558 |
| Practice Telephone | 5204684801 |
| Practice Fax Number | 5203377260 |
| Mailing Telephone | 5204684801 |
| Mailing Fax Number | 5203377268 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2019-11-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0600X |
Registered Nurse Specialization: Gerontology |
RN104226 | AZ | Nursing Service Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AP2459 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750603114 | Colleen M Gumm | Nurse Practitioner | 1414 N Taylor Dr, Suite 144, Sheboygan, WI 53081-1988 | 2010-02-25 |
| Street Address |
3902 E GRANT RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85712-2558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811465784 | Michelle L Johnson | Counselor | 3902 E Grant Rd, Tucson, AZ 85712-2558 | 2018-11-08 |
| 1942681143 | Alessandra Louise Clark | Family Medicine | 3902 E Grant Rd, Tucson, AZ 85712-2558 | 2015-06-12 |
| 1366638561 | John Leander Po | Internal Medicine | 3902 E Grant Rd, Tucson, AZ 85712-2558 | 2007-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104950 | Nancy Rae Klug | Registered Nurse | 2380 N Ferguson Ave., Tucson, AZ 85712 | 2020-08-12 |
| 1013525534 | James Tutu Fiske I | Nurse Practitioner | 5700 E. Pima Street Suite C., Tucson, AZ 85712 | 2020-07-21 |
| 1063031953 | Mehera Tiffanie Hormuz | Student in an Organized Health Care Education/Training Program | 5301 E. Grant Rd., Tucson, AZ 85712 | 2020-04-10 |
| 1770133282 | Elizabeth Nadeschzda Lowell | Nurse Practitioner | 4881 E Grant Road, Suite 101, Tucson, AZ 85712 | 2019-09-17 |
| 1174185649 | Pisa Asc Holdco LLC | Clinic/Center | 4741 E Camp Lowell Drive, Tucson, AZ 85712 | 2019-07-03 |
| 1548821838 | Painted Sky Healthcare, Inc. | Hospice Care, Community Based | 2980 N Swan Rd Ste 222, Tucson, AZ 85712 | 2019-06-26 |
| 1558925644 | Helen Jane Lyall | Registered Nurse | Tucson Medical Centre, 5301 E Grant Road, Tucson, AZ 85712 | 2019-04-24 |
| 1760953541 | Anna Marissa Ramirez | Nurse Practitioner | 5170 E Glenn St Ste 160, Tucson, AZ 85712 | 2018-12-05 |
| 1407343841 | Imran Ata Md Pllc | Internal Medicine | 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712 | 2018-04-20 |
| 1003322926 | Millennium Acupuncture | Acupuncturist | 6161 E Pima St Tucson Az 85712, Apt 2074, Tucson, AZ 85712 | 2017-12-15 |
| Find all providers in zip 85712 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184682502 | Mary Kaye Pierce | Nurse Practitioner | Southern Az Va Healthcare System, 3601 S. Sixth Ave., Tucson, AZ 85723-0001 | 2006-05-03 |
| 1013568542 | Lorraine Y Yentzer | Nurse Practitioner | 5301 E Grant Rd, Tucson, AZ 85712-2874 | 2019-09-25 |
| 1326474982 | Leslie L Ledbetter | Nurse Practitioner | 3945 E Paradise Falls Dr, Suite 201, Tucson, AZ 85712-6683 | 2013-09-15 |
| 1427263094 | Bari Jill Orozco | Nurse Practitioner | 6365 E Tanque Verde Rd, Tucson, AZ 85715-3830 | 2007-05-14 |
| 1801950282 | Carol Ann Bryniarski | Nurse Practitioner | 2122 N Craycroft Rd, Suite 102, Tucson, AZ 85712-2849 | 2006-12-20 |
| 1174633523 | Marion M Adams | Nurse Practitioner | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2006-08-30 |
| 1275599466 | Lorna Cook | Nurse Practitioner | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2006-04-25 |
| 1619933405 | Delores Marie Ellis | Nurse Practitioner | 3601 S 6th Ave, 11-136b4, Tucson, AZ 85723-0001 | 2006-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425123 | Erin Jean Mcmanus-tomanek | Nurse Practitioner | 12851 N 142nd Ave, Surprise, AZ 85379-9502 | 2020-10-21 |
| 1154928463 | Willie Sellers | Nurse Practitioner | 15354 W Charter Oak Rd, Surprise, AZ 85379-9184 | 2020-10-08 |
| 1760090427 | Debra Shannon Witthar | Nurse Practitioner | 10515 W Santa Fe Dr Bldg B, Sun City, AZ 85351-3020 | 2020-07-20 |
| 1255955506 | Christy J Holloway | Nurse Practitioner | 2645 E Southern Ave, Tempe, AZ 85282-7649 | 2020-06-02 |
| 1013552124 | Alliance With The Covenant of The Trinity Arizona Inc | Nurse Practitioner | 2 N Central Ave Fl 18, Phoenix, AZ 85004-2322 | 2019-11-12 |
| 1184197691 | Waheed Olawoyin Olabode | Nurse Practitioner | 12853 S 184th Ave, Goodyear, AZ 85338-2642 | 2019-01-08 |
| 1508381880 | Marcie Marie Camblin | Nurse Practitioner | 16551 N Naegel Dr, Surprise, AZ 85374-5411 | 2017-08-08 |
| 1508105727 | Geriatric Health Services, Plc | Nurse Practitioner | 1013 W Longhorn Rd, Payson, AZ 85541-4282 | 2013-02-07 |
| 1194070227 | Debra Rouse Haber | Nurse Practitioner | 755 S Grapevine Loop, Benson, AZ 85602-7430 | 2012-07-15 |
| 1346504818 | Your Nurse Practitioner LLC | Nurse Practitioner | 6261 Boothwyn St, Prescott Valley, AZ 86314-6726 | 2012-06-29 |
| 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.