VINCENT NICASIO JR. (NPI# 1578953477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578953477 |
| Entity Type | Individual |
| Full Name | VINCENT NICASIO JR. |
| Practice Address |
471 N Marshall Loop Rd Somerton AZ 85350-6216 |
| Practice Telephone | 9283884453 |
| Mailing Telephone | 9283884453 |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
471 N MARSHALL LOOP RD |
| City | SOMERTON |
| State | AZ |
| Zip Code | 85350-6216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992310312 | Jacob Richard Bromley | Student in an Organized Health Care Education/Training Program | 725 E Main St, Apt #1c, Somerton, AZ 85350 | 2020-09-11 |
| 1144859539 | Saguaro Foundation Community Living Programs | Community Based Residential Treatment Facility, Mental Illness | 274 Avenue B Suite B, Somerton, AZ 85350 | 2020-04-07 |
| 1932755840 | Nohemi Azucena Ramirez | Specialist/Technologist | 215 N. Carlisle Ave., Somerton, AZ 85350 | 2019-08-15 |
| 1285164244 | Alexandra Pierre-bez | Dentist | 115 North Somerton Ave, Somerton, AZ 85350 | 2017-06-13 |
| 1427402965 | Saguaro Foundation Community Living Programs | Community Based Residential Treatment Facility, Mental Illness | 726 W. Jackson Street, Somerton, AZ 85350 | 2016-04-21 |
| 1619346905 | Katya Madrid | Specialist/Technologist | 806 E Ramona St, Somerton, AZ 85350 | 2015-09-17 |
| 1972999605 | Portable Practical Education Preparation, Inc. | Clinic/Center | 201 S. Bingham Avenue, Somerton, AZ 85350 | 2015-04-09 |
| 1659765329 | City of Somerton | Ambulance | 445 E Main St., Somerton, AZ 85350 | 2015-03-20 |
| 1437307196 | Patricia A. Parks | Physical Therapist | 215 N Carlisle Ave, Somerton, AZ 85350 | 2008-09-05 |
| 1639336936 | Brenda Valenzuela | Counselor | 215 N. Carlisle Ave, Somerton, AZ 85350 | 2008-05-22 |
| Find all providers in zip 85350 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679181457 | Justin David Lee Harvey | Peer Specialist | 1616 E Main St Ste 207a-1, Mesa, AZ 85203-9071 | 2020-07-17 |
| 1689295636 | Native Music Coalition | Peer Specialist | 4814 S Warren Ave, Tucson, AZ 85714-1749 | 2020-04-30 |
| 1063031532 | Grace Irene Tang | Peer Specialist | 3023 N Calle Castellon, Tucson, AZ 85745-9512 | 2020-04-14 |
| 1407493687 | Vincent Merced Flores | Peer Specialist | 1706 E Calle Salamanca, Tucson, AZ 85714-1729 | 2019-12-05 |
| 1043737497 | Penny Pulz Golf LLC | Peer Specialist | 10315 W Wininger Cir Ste B, Sun City, AZ 85351-4758 | 2017-08-26 |
| 1275917379 | Diedra Y Kinne | Peer Specialist | 240 West Jensen St., Fredonia, AZ 86022-0491 | 2015-07-17 |
| 1861884157 | Valena F Eisenhart | Peer Specialist | 1745 N Kadota Ave, Casa Grande, AZ 85122-2131 | 2015-02-24 |
| 1235737156 | Timothy Chakos-kender | Peer Specialist | 4343 N 16th St, Phoenix, AZ 85016-5338 | 2020-10-13 |
| 1518565696 | Aaron R Fry | Peer Specialist | 4343 N 16th St, Phoenix, AZ 85016-5338 | 2020-10-12 |
| 1508474917 | Chauncey Bradford | Peer Specialist | 1616 E Main St Ste 207a-1, Mesa, AZ 85203-9071 | 2020-07-21 |
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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.