MARY HALVERSON (NPI# 1578544052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578544052 |
| Entity Type | Individual |
| Full Name | MARY HALVERSON |
| Credential | RN |
| Practice Address |
505 S Cortez West Yayapai Gudiance Clinic Inc Cortez Clinic Prescott AZ 86303 |
| Mailing Address |
642 Dameron Dr Prescott AZ 86301 |
| Practice Telephone | 9284455211 |
| Practice Fax Number | 9287768484 |
| Mailing Telephone | 9284455211 |
| Mailing Fax Number | 9287768484 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN029291 | AZ | Nursing Service Providers |
| Street Address |
505 S CORTEZ WEST YAYAPAI GUDIANCE CLINIC INC CORTEZ CLINIC |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871547430 | West Yavapai Guidance Clinic Cortez | Clinic/Center | 505 S Cortez, Prescott, AZ 86303 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518447598 | Jacqueline Schlosser | Respite Care | 237 S. Washington Ave., Prescott, AZ 86303 | 2018-08-18 |
| 1033699210 | Anna Rachel Seno | Psychologist | 300 S Granite Street, Prescott, AZ 86303 | 2018-08-17 |
| 1871944322 | Jessie Deverna | Counselor | 450 W Goodwin St Suite 103b, Prescott, AZ 86303 | 2016-06-27 |
| 1154782845 | Walmart | Pharmacy | 1120 N. Opal Dr., Prescott, AZ 86303 | 2016-03-09 |
| 1710377650 | Compass Recovery Center LLC | Clinic/Center | 711 S. Granite St, Prescott, AZ 86303 | 2015-01-30 |
| 1154727527 | Anne Gurley Klever | Pharmacist | 500 Arizona 89, Prescott, AZ 86303 | 2014-11-13 |
| 1295131860 | Kathi Sabot | Registered Nurse | 146 S. Granite Street, Prescott Unified School District, Prescott, AZ 86303 | 2014-11-10 |
| 1457697989 | Kim K. Mcintyre | Counselor | 505 S. Cortez St., Prescott, AZ 86303 | 2013-01-03 |
| 1578885257 | Wesley Carl Kitchens | Counselor | 315 W Goodwin St, Prescott, AZ 86303 | 2010-02-22 |
| 1588805907 | Jacob Lee Bean | Physical Therapist | 6820 El Dorado Dr, Prescott, AZ 86303 | 2009-03-14 |
| Find all providers in zip 86303 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235117003 | Mary Louise Burroughs | Registered Nurse | 642 Dameron Dr, Prescott, AZ 86301 | 2006-01-03 |
| 1235115163 | Sharon Henshaw | Registered Nurse | 642 Dameron Dr, Prescott, AZ 86301-2411 | 2005-12-22 |
| 1659354264 | Maryjane Dicken | Registered Nurse | 625 W Hillside Ave, Prescott, AZ 86301-1936 | 2005-11-29 |
| 1407839475 | Beverly Zwak | Registered Nurse | 642 Dameron Dr, Prescott, AZ 86301-2411 | 2005-11-23 |
| 1164405049 | Darlene Beth Arnold | Registered Nurse | 642 Dameron Dr, Prescott, AZ 86301-2411 | 2005-11-23 |
| 1871576751 | Marcia Sovey | Registered Nurse | 642 Dameron Dr, Prescott, AZ 86301-2411 | 2005-11-23 |
| 1053393173 | Laurel Freeman | Registered Nurse | 505 S Cortez St, Prescott, AZ 86303-4319 | 2005-11-15 |
| 1508848862 | Judy Lynn Hayes | Registered Nurse | 642 Dameron Dr, Prescott, AZ 86301-2411 | 2005-11-14 |
| 1326020686 | Rhonda Kyanko | Registered Nurse | 642 Dameron Dr, Prescott, AZ 86301-2411 | 2005-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053553 | Rachel Rt Wybron | Registered Nurse | 3317 S Higley Rd Ste 114-321, Gilbert, AZ 85297-5474 | 2020-11-04 |
| 1215544911 | Sadaf Carrillo | Registered Nurse | 910 W Calle Arroyo Norte, Green Valley, AZ 85614-3823 | 2020-09-26 |
| 1306458047 | Jeffrey Ralph Twiss | Registered Nurse | 4122 E 6th St, Tucson, AZ 85711-1918 | 2020-08-22 |
| 1053923912 | Julie Kotelman | Registered Nurse | 5170 N Amapola Way, Tucson, AZ 85745-9708 | 2020-08-20 |
| 1750993903 | Weston Tucker Anderson | Registered Nurse | 19060 E Arrowhead Trl, Queen Creek, AZ 85142-6846 | 2020-08-19 |
| 1235741679 | Benjamin Berthold | Registered Nurse | 2514 N Camino Reloj, Green Valley, AZ 85614-4925 | 2020-08-18 |
| 1003424771 | Emetu Onuma | Registered Nurse | 2745 W Jessica Ln, Phoenix, AZ 85041-4442 | 2020-07-20 |
| 1245858893 | Farshad Yahya | Registered Nurse | 7801 N 44th Dr Unit 1012, Glendale, AZ 85301-8106 | 2020-07-10 |
| 1710512462 | Isai Valdez | Registered Nurse | 10342 W Illini St, Tolleson, AZ 85353-4189 | 2020-03-03 |
| 1518506864 | Latanya Darden | Registered Nurse | 3327 W La Salle St, Phoenix, AZ 85041-3491 | 2020-01-04 |
| 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.