MRS. MARY LYNN TIESZEN (NPI# 1568650190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568650190 |
| Entity Type | Individual |
| Full Name | MRS. MARY LYNN TIESZEN |
| Credential | F.N.P. |
| Practice Address |
13555 W Mcdowell Rd Ste. 209 Goodyear AZ 85395-2624 |
| Practice Telephone | 6235124310 |
| Practice Fax Number | 6235124311 |
| Mailing Telephone | 6235124310 |
| Mailing Fax Number | 6235124311 |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2015-04-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN104549 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
13555 W MCDOWELL RD STE. 209 |
| City | GOODYEAR |
| State | AZ |
| Zip Code | 85395-2624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669476917 | Cynthia Lynne Collins | Surgery | 13555 W Mcdowell Rd, Ste 204, Goodyear, AZ 85338-2626 | 2005-06-01 |
| 1770025439 | Arizona Urology LLC | Urology | 13555 W Mcdowell Rd, Suite 302, Goodyear, AZ 85395-2624 | 2016-11-12 |
| 1528413929 | Southwest Valley Surgical Associates, Pllc | Surgery | 13555 W Mcdowell Rd, Suite 204, Goodyear, AZ 85395-2626 | 2016-05-04 |
| 1184020182 | Jacqueline Lindsey Lepetit | Nurse Practitioner | 13555 W Mcdowell Rd, Ste#205, Goodyear, AZ 85395-2624 | 2014-11-18 |
| 1548532807 | Cherilyn L Larson | Audiologist | 13555 W Mcdowell Rd, Suite 202, Goodyear, AZ 85395 | 2012-02-02 |
| 1104117696 | Arizona Center for Hematology and Oncology, Plc | Urology | 13555 W Mcdowell Rd, 304, Goodyear, AZ 85395-2624 | 2011-05-02 |
| 1699065243 | Dallas Christopher Smith | Anesthesiology | 13555 W Mcdowell Rd, Ste 201, Goodyear, AZ 85395-2624 | 2011-04-17 |
| 1447566302 | Danielle Moller | Physician Assistant | 13555 W Mcdowell Rd, #302, Goodyear, AZ 85395-2624 | 2010-08-29 |
| 1073837209 | Arizona Center for Hematology and Oncology, Plc | Radiology | 13555 W Mcdowell Rd, Suite 210, Goodyear, AZ 85395-2624 | 2010-03-17 |
| 1780915538 | Associated Ophthalmologist | Ophthalmology | 13555 W Mcdowell Rd, #102, Goodyear, AZ 85395 | 2010-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154962439 | Amber Dawn Gutierrez | Registered Nurse | 15430 W. Turney Avenue, Goodyear, AZ 85395 | 2019-10-08 |
| 1851947865 | Az Care Partners Home Care, LLC | Chore Provider | 14122 W. Mcdowell Rd., Suite 102a, Goodyear, AZ 85395 | 2019-08-15 |
| 1407334329 | Hana M Eichele | Occupational Therapist | 13385 W Mcdowell Road, Goodyear, AZ 85395 | 2018-08-02 |
| 1639662406 | Kristen Henderson | Occupational Therapist | 14577 W Indian School Road, Goodyear, AZ 85395 | 2018-06-07 |
| 1114419389 | Eric Seabaugh | Specialist/Technologist | 13385 W. Mcdowell Rd., Goodyear, AZ 85395 | 2018-06-04 |
| 1912497504 | Goodyear Modern Dentistry, LLP | Dentist | 15260 West Mcdowell Rd, Goodyear, AZ 85395 | 2018-05-18 |
| 1225531551 | Erik Jason Martinez | Registered Nurse | 4565 N 153rd Ln, Goodyear, AZ 85395 | 2018-03-13 |
| 1538677042 | Kacie Bartlett | Speech-Language Pathologist | 14557 W Mcdowel Rd, Suiet 500, Goodyear, AZ 85395 | 2018-01-18 |
| 1942717277 | Deeann Guymon | Specialist/Technologist | 13385 W. Mcdowell Road, Goodyear, AZ 85395 | 2018-01-09 |
| 1023520228 | Kathy Lynn Gorchesky | Registered Nurse | 15430 West Turney Avenue, Goodyear, AZ 85395 | 2017-10-27 |
| Find all providers in zip 85395 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543067 | Cristina Norman | Nurse Practitioner | 16081 W Papago St, Goodyear, AZ 85338-7908 | 2019-11-25 |
| 1184286809 | Jana Hollyann White | Nurse Practitioner | 18666 W Mcneil St, Goodyear, AZ 85338-4910 | 2019-07-02 |
| 1962960187 | Kelly Lynn Zabierek | Nurse Practitioner | 15046 W Coolidge St, Goodyear, AZ 85395-7712 | 2019-03-06 |
| 1457817306 | Danielle Placencia Tafoya | Nurse Practitioner | 1325 N Litchfield Rd Ste 120, Goodyear, AZ 85395-1214 | 2019-02-15 |
| 1184123788 | Jennifer Garcia Rodriguez | Nurse Practitioner | 15749 W Vernon Ave, Goodyear, AZ 85395-7534 | 2018-02-08 |
| 1790206159 | James Stangle | Nurse Practitioner | 3050 N Litchfield Rd Ste 130, Goodyear, AZ 85395-7806 | 2017-07-06 |
| 1740730944 | Rebecca Valdez Kirkley | Nurse Practitioner | 16798 W Hammond St, Goodyear, AZ 85338-7438 | 2016-10-12 |
| 1851741607 | Milvia Nwunfor Suh Fominyam | Nurse Practitioner | 16778 W Apache St, Goodyear, AZ 85338-7433 | 2016-06-13 |
| 1447605639 | Tracy Von Aspen | Nurse Practitioner | 1325 N Litchfield Rd # 125, Goodyear, AZ 85395-1228 | 2016-04-26 |
| 1255700506 | Jane-frances Ndemanu | Nurse Practitioner | 18168 W Wind Song Ave, Goodyear, AZ 85338-5063 | 2015-09-16 |
| Find all providers in GOODYEAR | ||||
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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.