THE LITTLE CLINIC OF ARIZONA LLC (NPI# 1619211489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619211489 |
| Entity Type | Organization |
| Organization Name | THE LITTLE CLINIC OF ARIZONA LLC |
| Practice Address |
11425 W Buckeye Rd Avondale AZ 85323-6810 |
| Mailing Address |
2620 Elm Hill Pike Nashville TN 37214-3108 |
| Practice Telephone | 6232415316 |
| Practice Fax Number | 6232415317 |
| Mailing Telephone | 6154254200 |
| Mailing Fax Number | 6154254271 |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2016-12-21 |
| Authorized Official Name | MR. MARC R WATKINS (CMO) |
| Authorized Official Telephone | 6154254200 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE LITTLE CLINIC LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235684853 | The Little Clinic of Arizona LLC | Nurse Practitioner | 13830 W Camelback Rd, Litchfield Park, AZ 85340-3072 | 2016-08-24 |
| 1306395215 | The Little Clinic of Arizona LLC | Physician Assistant | 1311 E Bell Rd, Phoenix, AZ 85022-2724 | 2016-10-04 |
| 1154759322 | The Little Clinic of Arizona LLC | Physician Assistant | 1815 W Glendale Ave, Phoenix, AZ 85021-8582 | 2013-10-24 |
| 1851635627 | The Little Clinic of Arizona LLC | Physician Assistant | 6611 W Bell Rd, Glendale, AZ 85308 | 2012-11-19 |
| 1043554827 | The Little Clinic of Arizona LLC | Physician Assistant | 6470 S Higley Rd, Gilbert, AZ 85298 | 2012-11-19 |
| 1881938660 | The Little Clinic of Arizona LLC | Physician Assistant | 1935 N Stapley Dr, Mesa, AZ 85203 | 2012-11-19 |
| 1174867956 | The Little Clinic of Arizona LLC | Physician Assistant | 15510 W Bell Rd, Surprise, AZ 85374 | 2012-11-19 |
| 1427392299 | The Little Clinic of Arizona LLC | Physician Assistant | 1300 S Watson Rd, Buckeye, AZ 85326-6303 | 2012-11-19 |
| 1417291287 | The Little Clinic of Arizona LLC | Physician Assistant | 2727 W Bell Rd, Phoenix, AZ 85053 | 2012-11-19 |
| 1548504368 | The Little Clinic of Arizona LLC | Physician Assistant | 1575 N Dysart Rd, Avondale, AZ 85392 | 2012-11-16 |
| Street Address |
11425 W BUCKEYE RD |
| City | AVONDALE |
| State | AZ |
| Zip Code | 85323-6810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164465407 | Smiths Food & Drug Centers Inc | Durable Medical Equipment & Medical Supplies | 11425 W Buckeye Rd, Avondale, AZ 85323-6810 | 2006-06-14 |
| 1578089561 | Lily Nguyen | Pharmacist | 11425 W Buckeye Rd, Avondale, AZ 85323-6810 | 2017-08-21 |
| 1366819906 | Steven Meade | Pharmacist | 11425 W Buckeye Rd, Avondale, AZ 85323-6810 | 2015-08-31 |
| 1568762714 | Josefina Uy Llamera-elembabi | Pharmacist | 11425 W Buckeye Rd, Avondale, AZ 85323-6810 | 2010-10-21 |
| 1407164130 | Kent Lenzie | Pharmacist | 11425 W Buckeye Rd, Avondale, AZ 85323-6810 | 2010-09-15 |
| 1912149147 | Shu-ying Hsieh | Nurse Practitioner | 11425 W Buckeye Rd, Avondale, AZ 85323-6810 | 2009-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932663994 | Bridgewater Avondale Operations, LLC | Assisted Living Facility | 295 E Van Buren Street, Avondale, AZ 85323 | 2019-01-24 |
| 1104309152 | Carlos Sifuentes | Physical Therapist | 10750 W Mcdowell Rd., Ste. B-210, Avondale, AZ 85323 | 2018-09-14 |
| 1225534688 | Dayna Sue Kaepp | Registered Nurse | 3300 N. Santa Fe Trail, Avondale, AZ 85323 | 2018-04-04 |
| 1407376700 | Amanda Lynn Radcliffe | Nurse Practitioner | 824 N. 99th Ave Ste 108, Avondale, AZ 85323 | 2017-06-27 |
| 1093253361 | Aquatic-n-writing Rehad | Home Health | 12355 West Cocopah Street, Avondale, AZ 85323 | 2017-02-07 |
| 1750838348 | Annette A Alvarez | Specialist/Technologist | 295 W Western Avenue, Avondale, AZ 85323 | 2016-09-01 |
| 1649726886 | Michelle R Dotson | Contractor | 12115 W Van Buren St Apt 1924, Avondale, AZ 85323 | 2016-08-28 |
| 1619370756 | Amanda Mann | Physical Therapy Assistant | 12804 West Hildalgo, Avondale, AZ 85323 | 2014-10-03 |
| 1326459306 | Ma Caubalejo | Physical Therapist | 350 East La Canada Blvd, Avondale, AZ 85323 | 2014-05-13 |
| 1093139545 | Mark Salvador | Physical Therapy Assistant | 11722 W. Mountain View Dr., Avondale, AZ 85323 | 2014-02-04 |
| Find all providers in zip 85323 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316569759 | Preferred Body Solutions LLC | Nurse Practitioner | 11418 W Rosewood Dr, Avondale, AZ 85392-3421 | 2020-05-07 |
| 1336777424 | Baldish Kaur Khera | Nurse Practitioner | 2202 N 118th Dr, Avondale, AZ 85392-3061 | 2020-04-01 |
| 1336784446 | Heather Hefner | Nurse Practitioner | 3617 N 103rd Dr, Avondale, AZ 85392-4477 | 2019-11-12 |
| 1912413618 | Shawnte Edmond | Nurse Practitioner | 10815 W Mcdowell Rd Ste 201, Avondale, AZ 85392-5010 | 2017-12-18 |
| 1710413497 | Ameeta Chowdhary | Nurse Practitioner | 10575 West Indian School Rd. Suite E-103, Avondale, AZ 85392-5649 | 2017-05-02 |
| 1023556578 | Courtney Standifird | Nurse Practitioner | 10450 W Mcdowell Rd Ste 101, Avondale, AZ 85392-4901 | 2017-02-04 |
| 1992146369 | Arthur Albert Mcdonald II | Nurse Practitioner | 11320 W Primrose Dr, Avondale, AZ 85392-3413 | 2013-07-12 |
| 1962607747 | Leslie Ann Gartley | Nurse Practitioner | 2318 S 113th Ave, Avondale, AZ 85323-9179 | 2007-06-20 |
| 1710509153 | Preferred Healthcare Services | Nurse Practitioner | 11418 W Rosewood Dr, Avondale, AZ 85392-3421 | 2020-05-08 |
| 1033776927 | Amy Christine Amore | Nurse Practitioner | 13075 W Mcdowell Rd Ste D106, Avondale, AZ 85392-6437 | 2019-05-25 |
| Find all providers in AVONDALE | ||||
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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.