LIFE JOURNEY PSYCHIATRIC PLLC (NPI# 1609930932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609930932 |
| Entity Type | Organization |
| Organization Name | LIFE JOURNEY PSYCHIATRIC PLLC |
| Practice Address |
3655 E. Bluebird Place Chandler AZ 85249 |
| Practice Telephone | 4802215532 |
| Practice Fax Number | 4807263795 |
| Mailing Telephone | 4802215532 |
| Mailing Fax Number | 4807263795 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. LANA JEANETTE PETERSON (OWNER) |
| Authorized Official Telephone | 4802215532 |
| Authorized Official Credential | MSN, PSYNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN089291 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 787757 | 05 |
| Street Address |
3655 E. BLUEBIRD PLACE |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124522297 | Bellissimo Dentistry, Pllc | Dentist | 2815 E. Ocotillo Rd., Ste. #3, Chandler, AZ 85249 | 2018-03-22 |
| 1518466903 | Arms of Love Assisted Living Home LLC | Assisted Living Facility | 6086 S Pearl Drive, Chandler, AZ 85249 | 2018-02-12 |
| 1891232120 | Spencer D Weed Dds Pllc | Dentist | 11631 E Navajo Dr, Chandler, AZ 85249 | 2017-01-25 |
| 1760936355 | Fernitrice Dahan Hunter | Contractor | 4204 East Westchester Dr., Chandler, AZ 85249 | 2016-08-11 |
| 1992053524 | Katherine Conley Factor | Physical Therapist | 1372 East Zion Way, Chandler, AZ 85249 | 2012-08-29 |
| 1790064152 | Better Horizons Behavioaral Health | Psychiatric Residential Treatment Facility | 2184 E. Firestone Dr, Chandler, AZ 85249 | 2011-08-16 |
| 1316262561 | Harshadray M. Patel | Pharmacist | 1394 E Las Colinas Drive, Chandler, AZ 85249 | 2010-03-31 |
| 1326361825 | Laura Louise Robertson | Specialist/Technologist | 5990 S. Val Vista Rd, Chandler, AZ 85249 | 2010-03-11 |
| 1043545973 | James Edward Palmateer | Pharmacist | 855 East Riggs Rd, Chandler, AZ 85249 | 2009-10-09 |
| 1528255262 | Steven R Otto | Legal Medicine | 1555 E. Grand Canyon Dr., Chandler, AZ 85249 | 2007-09-26 |
| Find all providers in zip 85249 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356953699 | Rebecca Jane Turley | Nurse Practitioner | 1681 S Villas Ln, Chandler, AZ 85286-6805 | 2020-08-18 |
| 1053923599 | Nancy Ogoti Monyenye | Nurse Practitioner | 2518 E Indian Wells Pl, Chandler, AZ 85249-4166 | 2020-08-17 |
| 1659899045 | Maricopa Christian Psychiatry Group, LLC | Nurse Practitioner | 3130 N Arizona Ave Ste 101, Chandler, AZ 85225-7162 | 2017-09-06 |
| 1356724728 | Chitra Mathew | Nurse Practitioner | 70 N Mcclintock Dr Ste 4, Chandler, AZ 85226-3711 | 2015-07-03 |
| 1104234574 | Lydia Corazon Samin Alvarez | Nurse Practitioner | 4742 W Oakland St, Chandler, AZ 85226-2926 | 2014-07-29 |
| 1982963658 | Shirley Ann Sheroian | Nurse Practitioner | 3873 W Park Ave, Chandler, AZ 85226-1390 | 2012-05-15 |
| 1114199759 | Stephen Earl Pray IIi | Nurse Practitioner | 3283 E Oriole Way, Chandler, AZ 85286-5669 | 2008-03-24 |
| 1184696569 | Grace R Keckeisen | Nurse Practitioner | 2705 S Alma School Rd Ste 2, Chandler, AZ 85286-4400 | 2006-02-01 |
| 1346864238 | Tiffany Stradling | Nurse Practitioner | 335 N Alma School Rd, Chandler, AZ 85224-4363 | 2020-06-05 |
| 1073170684 | Christina Gutierrez | Nurse Practitioner | 2190 N Grace Blvd, Chandler, AZ 85225-3416 | 2019-05-20 |
| Find all providers in CHANDLER | ||||
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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.