CASSANDRA KOONTZ (NPI# 1609222827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609222827 |
| Entity Type | Individual |
| Full Name | CASSANDRA KOONTZ |
| Credential | NP |
| Practice Address |
1800 E Florence Blvd Casa Grande AZ 85122-5303 |
| Practice Telephone | 5203816648 |
| Practice Fax Number | 5203816068 |
| Mailing Telephone | 5203816648 |
| Mailing Fax Number | 5203816068 |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2017-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP8492 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1800 E FLORENCE BLVD |
| City | CASA GRANDE |
| State | AZ |
| Zip Code | 85122-5303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023000486 | Anne Borik | Internal Medicine | 1800 E Florence Blvd, Casa Grande, AZ 85122-5303 | 2005-08-21 |
| 1952915449 | Maria Kojs | Nurse Practitioner | 1800 E Florence Blvd, Casa Grande, AZ 85122-5303 | 2020-09-02 |
| 1265065288 | Aesk LLC | Internal Medicine | 1800 E Florence Blvd, Casa Grande, AZ 85122-5303 | 2020-02-18 |
| 1013567361 | Rustom Araia | Pharmacist | 1800 E Florence Blvd, Casa Grande, AZ 85122-5303 | 2019-09-18 |
| 1164919056 | East Valley Infectious Diseases LLC | Internal Medicine | 1800 E Florence Blvd, Casa Grande, AZ 85122-5303 | 2018-04-17 |
| 1144694266 | Earl Asante | Pharmacist | 1800 E Florence Blvd, Casa Grande, AZ 85122-5303 | 2015-12-01 |
| 1922475698 | Soniyasri Koochana | Internal Medicine | 1800 E Florence Blvd, Attn: Hospitalist Team, Casa Grande, AZ 85122-5303 | 2015-08-28 |
| 1851785968 | Banner Pharmacy Services LLC | Pharmacy | 1800 E Florence Blvd, Casa Grande, AZ 85122-5303 | 2015-03-26 |
| 1538553227 | Sheridan Childrens Healthcare Services of Arizona, Inc. | Pediatrics | 1800 E Florence Blvd, Casa Grande, AZ 85122-5303 | 2015-03-20 |
| 1750771861 | Anne Donos | Nurse Practitioner | 1800 E Florence Blvd, Wound Center, Casa Grande, AZ 85122-5303 | 2015-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043857097 | Karen M Garcia | Registered Nurse | 2631 N Brown Avenue, Casa Grande, AZ 85122 | 2019-12-09 |
| 1063060291 | Martha Bollin | Registered Nurse | 2631 N. Brown Ave., Casa Grande, AZ 85122 | 2019-08-30 |
| 1841846920 | Banner Imaging Services LLC | Radiology | 1828 E. Florence Blvd Bldg B Ste 118 & 128, Suite 118 and 128, Casa Grande, AZ 85122 | 2019-08-14 |
| 1629532692 | Kirk Lee Mackley | Physical Therapist | Vibrant Care, 1355 E Florence Blvd #137, Casa Grande, AZ 85122 | 2019-01-24 |
| 1205307436 | Natalie T Trujillo | Physician Assistant | 301 E Cottonwood Ln Ste 1&2, Casa Grande, AZ 85122 | 2018-12-16 |
| 1710455860 | Community Intervention Associates, Inc | Clinic/Center | 1667 N. Trekell Rd, Suite 101 & 102, Casa Grande, AZ 85122 | 2018-11-07 |
| 1245728302 | Jenkins Chiropractic LLC | Chiropractor | 1891 N Trekell Rd Ste 2, Casa Grande, AZ 85122 | 2018-04-24 |
| 1497242408 | Kelly Winnett | Naturopath | 1415 N Trekell Rd Ste 102, Casa Grande, AZ 85122 | 2018-04-16 |
| 1851895783 | Michael Brubaker Counseling | Community/Behavioral Health | 1927 N. Trekell Rd, Ste D, Casa Grande, AZ 85122 | 2018-03-23 |
| 1770095317 | Walmart Stores Inc. | Pharmacy | 1741 E. Florence Blvd, Casa Grande, AZ 85122 | 2017-11-03 |
| Find all providers in zip 85122 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831684851 | Sara Jean Eberline | Nurse Practitioner | 1821 N Trekell Rd Ste 2, Casa Grande, AZ 85122-1705 | 2018-06-22 |
| 1972578946 | Mary Christine Seals | Nurse Practitioner | 453 E Cottonwood Ln, Suite 3, Casa Grande, AZ 85222-2008 | 2006-02-22 |
| 1255826806 | Melissa Monson | Nurse Practitioner | 865 N Arizola Rd, Casa Grande, AZ 85122 | 2018-06-26 |
| 1295269959 | Nikki Lynn Parkinson | Nurse Practitioner | 1876 E Sabin Dr Ste 10, Casa Grande, AZ 85122 | 2017-04-19 |
| 1649648882 | Camille Mccarley | Nurse Practitioner | 865 N Arizola Rd, Casa Grande, AZ 85122-6011 | 2015-09-04 |
| 1821419490 | Debra Vigil | Nurse Practitioner | 865 N Arizola Rd, Casa Grande, AZ 85122-6011 | 2013-12-26 |
| 1053484337 | Sara R Perotti | Nurse Practitioner | 1800 E Florence Blvd, Casa Grande, AZ 85222-5303 | 2006-11-16 |
| 1710996434 | James Ray Lamb | Nurse Practitioner | 865 N Arizola Rd, Casa Grande, AZ 85122-6011 | 2006-08-05 |
| 1225001118 | Thomas P. Morris | Nurse Practitioner | 1800 E Florence Blvd, Casa Grande, AZ 85222-5303 | 2006-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023339 | Flor Avila Fimbres | Nurse Practitioner | 5418 W Placita Del Risco, Tucson, AZ 85745-9550 | 2020-11-04 |
| 1205435781 | April Michelle Power | Nurse Practitioner | 198 S Coronado Dr Ste D, Sierra Vista, AZ 85635-6357 | 2020-10-26 |
| 1861091514 | Restoration Dermatology Lounge LLC | Nurse Practitioner | 8753 E Bell Rd Ste D101, Scottsdale, AZ 85260-1307 | 2020-10-23 |
| 1699374371 | Kelley Brooke Corl | Nurse Practitioner | 872 S Pheasant Dr, Gilbert, AZ 85296-0440 | 2020-10-22 |
| 1225637184 | Amy Chan Matchett | Nurse Practitioner | 2754 W Checkerspot Dr, Tucson, AZ 85741-5255 | 2020-10-21 |
| 1013514348 | Alecia L Brown | Nurse Practitioner | 1099 W Calle Del Libro Dorado, Sahuarita, AZ 85629-8148 | 2020-10-09 |
| 1912504812 | Jason Allen Vincent | Nurse Practitioner | 4970 N Azul Cir, Litchfield Park, AZ 85340-2734 | 2020-10-04 |
| 1376150219 | Whitney Griffin | Nurse Practitioner | 2700 N Hayden Rd Apt 1093, Scottsdale, AZ 85257-1750 | 2020-09-24 |
| 1114539335 | Kimberly Harken | Nurse Practitioner | 2270 S Ridgeview Dr Ste 300, Yuma, AZ 85364-8866 | 2020-08-19 |
| 1558972752 | Iva Tirres | Nurse Practitioner | 11000 N Scottsdale Rd Ste 110, Scottsdale, AZ 85254-6168 | 2020-08-11 |
| Find all providers with the same taxonomy | ||||
| City | CASA GRANDE |
| Zip Code | 85122 |
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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.