KRISTINE WULLENWEBER (NPI# 1629122726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629122726 |
| Entity Type | Individual |
| Full Name | KRISTINE WULLENWEBER |
| Practice Address |
11380 N Onika Ln Flagstaff AZ 86004-5547 |
| Practice Telephone | 9285277992 |
| Mailing Telephone | 9285277992 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | 706 | AZ | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 888547 | 05 |
| Street Address |
11380 N ONIKA LN |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86004-5547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598387805 | Michael Joseph Oxtoby | Counselor | 2625 N. King St., Flagstaff, AZ 86004 | 2020-05-08 |
| 1083264501 | Dazhoni Elizabeth Scott | Counselor | 1500 E. Cedar Avenue #26, 2110 N. East St Apt C, Flagstaff, AZ 86004 | 2019-09-17 |
| 1760948046 | Emily Bauerle | Social Worker | 3009 N West St, Flagstaff, AZ 86004 | 2019-02-12 |
| 1992295745 | Kaibab Behavioral Services, Pllc | Behavioral Analyst | 2323 E Greenlaw Lane, Suite 12a, Flagstaff, AZ 86004 | 2018-05-17 |
| 1083115364 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 8800 Marys Drive, Flagstaff, AZ 86004 | 2018-02-22 |
| 1710391081 | Janet Coleman | Hearing Instrument Specialist | 1851 E Butler Avenue, Flagstaff, AZ 86004 | 2014-06-16 |
| 1568703163 | Mercy Timoh | Pharmacist | 4255 E. Soliere Ave., Flagstaff, AZ 86004 | 2013-03-06 |
| 1053617217 | Scott Nichols | Veterinarian | 6122 Abineau Canyon Drive, Flagstaff, AZ 86004 | 2011-02-07 |
| 1366745218 | Karoline S. Mariano | Registered Nurse | 3480 East Route 66, Flagstaff, AZ 86004 | 2010-12-15 |
| 1912209719 | Payal Parekh | Pharmacist | 1500 E Cedar, Flagstaff, AZ 86004 | 2010-11-30 |
| Find all providers in zip 86004 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072161 | Kellie L Cardoza | Day Training/Habilitation Specialist | 6148 W Frier Dr, Glendale, AZ 85301-1223 | 2020-10-26 |
| 1811595531 | Lester Neal | Day Training/Habilitation Specialist | 1221 W Chicago St, Chandler, AZ 85224-5230 | 2020-10-14 |
| 1033731344 | Bartu C Gray | Day Training/Habilitation Specialist | 5205 W Thunderbird Rd Apt 2174, Glendale, AZ 85306-4859 | 2020-05-08 |
| 1043688336 | Felicia D Adams | Day Training/Habilitation Specialist | 1074 E. Press Rd, San Tan Valley, AZ 85140 | 2015-09-03 |
| 1083930283 | Zena Anne Kimbrell | Day Training/Habilitation Specialist | 13522 Main Street, Mayer, AZ 86333 | 2010-04-13 |
| 1871819441 | Diane Murphy | Day Training/Habilitation Specialist | 7840 E Buena Vista Dr, Prescott Valley, AZ 86314-5531 | 2010-04-07 |
| 1255655676 | Debbie Lynn Smith | Day Training/Habilitation Specialist | 15005 W Piana Trl, Surprise, AZ 85374-4454 | 2010-03-15 |
| 1447494182 | Rozlane Denese Wells | Day Training/Habilitation Specialist | 6233 S 15th Dr, Phoenix, AZ 85041-5516 | 2009-04-24 |
| 1629277066 | Beth-ann Green-stoltzner | Day Training/Habilitation Specialist | 8497 W. Concordia Dr, Rehabilitation Department, Arizona City, AZ 85123-2211 | 2007-07-16 |
| 1639223779 | Sandra Rae Freeman | Day Training/Habilitation Specialist | 3635 W Brown St, Phoenix, AZ 85051-1338 | 2007-01-23 |
| Find all providers with the same taxonomy | ||||
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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.