MRS. ANNETTA RACHELLE MEDAUGH (NPI# 1578897310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578897310 |
| Entity Type | Individual |
| Full Name | MRS. ANNETTA RACHELLE MEDAUGH |
| Credential | R.N. |
| Practice Address |
4175 S Alamo Ave Davis Monthan Afb AZ 85707-4402 |
| Practice Telephone | 5202282894 |
| Practice Fax Number | 5202282185 |
| Mailing Telephone | 5202282894 |
| Mailing Fax Number | 5202282185 |
| Enumeration Date | 2009-09-27 |
| Last Update Date | 2009-09-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN120006 | AZ | Nursing Service Providers |
| Street Address |
4175 S ALAMO AVE |
| City | DAVIS MONTHAN AFB |
| State | AZ |
| Zip Code | 85707-4402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821083536 | Sandra Kay Kuhn | Nurse Practitioner | 4175 S Alamo Ave, Bldg 400, Davis Monthan Afb, AZ 85707 | 2005-09-19 |
| 1598217333 | Samuel Jennings | Physician Assistant | 4175 S Alamo Ave, Davis Monthan Afb, AZ 85707-4402 | 2016-10-27 |
| 1326428509 | Colby C Gray | General Practice | 4175 S Alamo Ave, Bldg 400; Flight Medicine Clinic, Davis Monthan Afb, AZ 85707-4402 | 2015-06-03 |
| 1346592649 | Jennifer Brie Rock | Nurse Practitioner | 4175 S Alamo Ave, Davis Monthan Afb, AZ 85707-4402 | 2012-10-10 |
| 1568741866 | Debbie Rachel Lee | Dentist | 4175 S Alamo Ave, Davis Monthan Afb, AZ 85707-4402 | 2011-08-04 |
| 1730414905 | Josh Reiter | Physical Therapist | 4175 S Alamo Ave, Building 400, Room #71, Davis Monthan Afb, AZ 85707 | 2009-10-06 |
| 1306076377 | Jayme L Cline | Military Health Care Provider | 4175 S Alamo Ave, Davis Monthan Afb, AZ 85707-4402 | 2009-07-23 |
| 1013168418 | James Jay Tschudy IIi | Pediatrics | 4175 S Alamo Ave, Davis Monthan Afb, AZ 85707-4402 | 2008-10-02 |
| 1245495647 | Patricia Ann Bridges | Pharmacist | 4175 S Alamo Ave, Davis Monthan Afb, AZ 85707-6097 | 2008-07-24 |
| 1700957420 | Virginia Ann Underwood | Family Medicine | 4175 S Alamo Ave, Davis Monthan Afb, AZ 85707-4402 | 2006-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699128850 | Megan Dehaven | Specialist/Technologist | 5455 E Comanche St, Tucson, AZ 85707 | 2016-07-22 |
| 1780927954 | Ryan N Taylor | Physician Assistant | 400, 4175 S Alamo Ave, Davis-monthan Afb, AZ 85707 | 2013-04-05 |
| 1154658839 | Alisha A Marchetti | Physician Assistant | 4175 S. Alamo Avenue, 355th Mdg/mdos, Davis-monthan Afb, AZ 85707 | 2009-11-17 |
| 1851529192 | Christopher Thomas Yarbrough | Military Health Care Provider | 4625 South Phoenix Street Bldg 4843, Tucson, AZ 85707 | 2009-06-25 |
| 1144457045 | Denise Fabian | Psychiatry & Neurology | 5427 E. Madera Street, Davis Monthan Afb, AZ 85707 | 2009-06-17 |
| 1942437447 | Emerson M Earle | Military Health Care Provider | 4625 S. Phoenix St, Bld 4843, Tucson, AZ 85707 | 2009-06-11 |
| 1164657136 | Raul Romero | Military Health Care Provider | 4575 S. Phoenix St. 563rd Oss, Dmafb, AZ 85707 | 2009-05-20 |
| 1063647196 | Virginia E. Bailey | Military Health Care Provider | 4837 S Phoenix St., Rm 119 Davis-monthan Air Force Base, Tucson, AZ 85707 | 2009-05-19 |
| 1043417611 | Jacob Riis | Orthopaedic Surgery | 355 Mdg, 4175 South Alamo Ave, Tucson, AZ 85707 | 2007-06-28 |
| 1508989732 | Christopher E. Dunham | Physician Assistant | 4175 S. Alamo Ave Bldg 400, 355th Medical Group-davis Monthan Afb, Tucson, AZ 85707 | 2007-04-10 |
| Find all providers in zip 85707 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
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|---|---|---|---|---|
| 1487255410 | Adriana Crystal Warne | Registered Nurse | 3849 E Flossmoor Ave, Mesa, AZ 85206-2533 | 2020-11-05 |
| 1598366767 | Meta Alpha Galabe | Registered Nurse | 4447 S Rock St, Gilbert, AZ 85297-4557 | 2020-11-04 |
| 1366042988 | Nicole Elizabeth Steen | Registered Nurse | 21751 N 86th Ln, Peoria, AZ 85382-2497 | 2020-11-01 |
| 1992305551 | Alzetta Obahiagbon | Registered Nurse | 1450 S Cooper Rd, Chandler, AZ 85286-0222 | 2020-10-31 |
| 1720688369 | Melinda Marie Arias | Registered Nurse | 14205 E Via Cerro Del Molino, Vail, AZ 85641-2251 | 2020-10-30 |
| 1740880913 | Raquel Orozco Castro | Registered Nurse | 14076 E Wild Jesse Way, Vail, AZ 85641-6607 | 2020-10-27 |
| 1831798073 | Vanessa Alfaro | Registered Nurse | 2085 S Voyager Dr, Gilbert, AZ 85295-5638 | 2020-10-20 |
| 1407455777 | Christine Holly | Registered Nurse | 16620 N 40th St Ste D5, Phoenix, AZ 85032-3350 | 2020-10-19 |
| 1386242162 | Valerie Gene Nelson | Registered Nurse | 5012 E Diamond Ave, Mesa, AZ 85206-4105 | 2020-10-13 |
| 1144828187 | Chelsea Dawn Apperson | Registered Nurse | 2505 E Williams Field Rd Apt 2046, Gilbert, AZ 85295-0817 | 2020-10-12 |
| Find all providers with the same taxonomy | ||||
| City | DAVIS MONTHAN AFB |
| Zip Code | 85707 |
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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.