JULIE ANN SUPPLE (NPI# 1598831315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598831315 |
| Entity Type | Individual |
| Full Name | JULIE ANN SUPPLE |
| Other Name | JULIE ANN BACKES |
| Credential | APNC |
| Practice Address |
2910 N 3rd Ave Phoenix AZ 85013-4434 |
| Practice Telephone | 6024064856 |
| Practice Fax Number | 6024063369 |
| Mailing Telephone | 6024064856 |
| Mailing Fax Number | 6024063369 |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2015-01-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN086670 | AZ | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP7333 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 163WR0006X |
Registered Nurse Specialization: Registered Nurse First Assistant |
AP7333 | AZ | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 960933 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831464510 | Julie A Supple | Social Worker | 5537 N Broadway St, Chicago, IL 60640-1405 | 2012-03-14 |
| Street Address |
2910 N 3RD AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85013-4434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043202484 | Neurosurgical Associates, Ltd | Physical Medicine & Rehabilitation | 2910 N 3rd Ave, Phoenix, AZ 85013-4434 | 2005-08-22 |
| 1013365956 | Beth N Conway | Registered Nurse | 2910 N 3rd Ave, Phoenix, AZ 85013-4434 | 2016-06-01 |
| 1417323718 | Tauree Rose Blankenship | Physical Therapist | 2910 N 3rd Ave, Phoenix, AZ 85013-4434 | 2015-08-20 |
| 1538574991 | Ifije Ohiorhenuan | Neurological Surgery | 2910 N 3rd Ave, Phoenix, AZ 85013-4434 | 2014-06-24 |
| 1467718916 | Eileen C. Warbington | Nurse Practitioner | 2910 N 3rd Ave, Phoenix, AZ 85013-4434 | 2012-04-10 |
| 1881985323 | Robert Thomas Wicks | Neurological Surgery | 2910 N 3rd Ave, Phoenix, AZ 85013-4434 | 2011-05-02 |
| 1669763918 | Michael Joseph Lang | Neurological Surgery | 2910 N 3rd Ave, Phoenix, AZ 85013-4434 | 2011-04-20 |
| 1750602645 | Zaman Zacharya Mirzadeh | Neurological Surgery | 2910 N 3rd Ave, Phoenix, AZ 85013-4434 | 2010-06-15 |
| 1154558021 | Jay Turner | Neurological Surgery | 2910 N 3rd Ave, Phoenix, AZ 85013-4434 | 2009-06-17 |
| 1326272618 | Alim P Mitha | Neurological Surgery | 2910 N 3rd Ave, Phoenix, AZ 85013-4434 | 2009-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833700 | Marco Antonio Valdez Espinoza | Student in an Organized Health Care Education/Training Program | 500 W. Thomas Road, Suite 900 A, Phoenix, AZ 85013 | 2020-05-28 |
| 1518588292 | Santiago Garcia Ortiz | Student in an Organized Health Care Education/Training Program | 350w Thomas Rd St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013 | 2020-05-04 |
| 1356811970 | Lynne Shaunte Coleman | Nurse Practitioner | 3633 N 3rd Ave 2019, Phoenix, AZ 85013 | 2018-11-26 |
| 1467949156 | Solterra 3rd Indian School Operations, LLC | Assisted Living Facility | 4000 N 3rd Avenue, Phoenix, AZ 85013 | 2018-04-18 |
| 1083018345 | Romelda Antonio | Nurse Practitioner | 222 W Thomas Rd Ste 212, Phoenix, AZ 85013 | 2014-10-15 |
| 1760890131 | Emmitt Michael Thompson | General Practice | 822 West Earll Drive, Phoenix, AZ 85013 | 2014-07-29 |
| 1902218480 | Sreeja Biswas Roy | Internal Medicine | 350 W Thomas Road, Phoenix, AZ 85013 | 2014-06-02 |
| 1417381120 | Osama Qasim Agha | Internal Medicine | 350 W. Thomas Road, Suite 900a, Phoenix, AZ 85013 | 2013-08-29 |
| 1245679604 | Oculist Exceptional Eyewear Pllc | Optometrist | 5043-b N 7th Ave, Phoenix, AZ 85013 | 2013-06-19 |
| 1760829352 | Gina Wilding | Nurse Practitioner | 500 W Thomas Rd Ste 720, Phoenix, AZ 85013 | 2013-05-23 |
| Find all providers in zip 85013 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819230 | Care On Pllc | Nurse Practitioner | 7171 S 51 Ave, Phoenix, AZ 85339-2923 | 2020-07-23 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1710522024 | Kelsey Conrad | Nurse Practitioner | 1 E Lexington Ave Unit 1602, Phoenix, AZ 85012-4203 | 2019-11-11 |
| 1124662408 | Rayiom Health and Wellness, Inc | Nurse Practitioner | 11225 N 28th Dr Ste A102-22, Phoenix, AZ 85029-5606 | 2019-10-30 |
| 1699259580 | Keith Dibenedetto | Nurse Practitioner | 2617 Stockton Rd, Phoenix, MD 21131-1117 | 2018-09-18 |
| 1467975698 | Samantha June Collett | Nurse Practitioner | 3201 W Peoria Ave Ste 804, Phoenix, AZ 85029 | 2017-07-19 |
| 1598135741 | Sandra Shearer | Nurse Practitioner | 513 W Lavitt Ln, Phoenix, AZ 85086-6346 | 2015-09-30 |
| 1023499860 | Kelly Lynn Schultz | Nurse Practitioner | 3944 E Hillery Dr, Phoenix, AZ 85032-5245 | 2015-06-17 |
| 1609298900 | Lorna Ann Hill | Nurse Practitioner | 13224 N 31st Pl, Phoenix, AZ 85032-6041 | 2014-01-06 |
| 1801217765 | Trifit Pain Management LLC | Nurse Practitioner | 505 E Camelback Rd, Phoenix, AZ 85012-1615 | 2013-12-19 |
| Find all providers in PHOENIX | ||||
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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.