ANDREA JEANNE KLOCK


Address: 2525 E Roosevelt St, Phoenix, AZ 85008
Phone: 6023441015

ANDREA JEANNE KLOCK (NPI# 1629575246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629575246
Entity Type Individual
Full Name ANDREA JEANNE KLOCK
Credential FNP-C
Practice Address 2525 E Roosevelt St
Phoenix
AZ 85008
Mailing Address 2929 E Thomas Rd
Phoenix
AZ 85016-8034
Practice Telephone 6023441015
Practice Fax Number 6023441112
Mailing Telephone 6024705000
Enumeration Date 2018-04-10
Last Update Date 2018-06-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner AP11361 AZ Physician Assistants & Advanced Practice Nursing Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP11361 AZ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2525 E ROOSEVELT ST
City PHOENIX
State AZ
Zip Code 85008

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083698955 Surabhi Amar Internal Medicine 2525 E Roosevelt St, Phoenix, AZ 85008-4948 2005-12-02
1982202982 Katherine Brown Dietitian, Registered 2525 E Roosevelt St, Phoenix, AZ 85008-4948 2020-10-12
1295360287 Stephanie Nicole Steeves Dietitian, Registered 2525 E Roosevelt St, Phoenix, AZ 85008-4948 2020-03-10
1154967602 Danielle Fleck Occupational Therapist 2525 E Roosevelt St, Phoenix, AZ 85008-4948 2019-11-19
1336614858 Teresa Dejesus Loera Registered Nurse 2525 E Roosevelt St, Phoenix, AZ 85008-4948 2018-10-11
1518445519 Ari Blechner Counselor 2525 E Roosevelt St, Phoenix, AZ 85008-4948 2018-08-01
1194211755 Adrienne Anne Jean Robb Student in an Organized Health Care Education/Training Program 2525 E Roosevelt St, Phoenix, AZ 85008-4948 2018-07-06
1003320904 Sarah Taraborelli Physician Assistant 2525 E Roosevelt St, Phoenix, AZ 85008-4948 2017-11-30
1538680079 Tessa Bowie Physician Assistant 2525 E Roosevelt St, Phoenix, AZ 85008-4948 2017-07-06
1295255669 Meily Arevalo Internal Medicine 2525 E Roosevelt St, Phoenix, AZ 85008-4948 2017-06-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821607060 Am Apnea and Tmj LLC Durable Medical Equipment & Medical Supplies 2303 N. 44thst., Suite 14-1008, Phoenix, AZ 85008 2020-07-23
1194341131 Abdulbaril Olandapo Olagunju Student in an Organized Health Care Education/Training Program 2601 E Roosevelt Street, Valleywise Health, Phoenix, AZ 85008 2020-06-24
1376164632 Abdul Rahman Raed Mustafa Halawa Student in an Organized Health Care Education/Training Program 2601 E Roosevelt St Valleywise Health, Phoenix, AZ 85008 2020-04-28
1245869460 Zachary Masuda Student in an Organized Health Care Education/Training Program Valleywise Health Medical Center, 2601 E Roosevelt St, Phoenix, AZ 85008 2020-04-08
1942840145 Cana Behavior LLC Physical Therapist 2412 N 36 Pl, Phoenix, AZ 85008 2020-01-15
1871158188 Fred Gardezy Student in an Organized Health Care Education/Training Program Maricopa Integrated Health System 2601 E. Roosevelt St., Phoenix, AZ 85008 2019-05-02
1225692346 Navkaran Singh Girgla Student in an Organized Health Care Education/Training Program 2601 East Roosevelt St., Phoenix, AZ 85008 2019-04-24
1316412323 Southwest Human Developement Early Intervention Provider Agency 2850 N 24h Street, Phoenix, AZ 85008 2018-10-05
1558885970 Mona Ridhwan Ziems Midwife 1919 N 31st St, Phoenix, AZ 85008 2017-07-27
1093244451 Shana Cynamon Audiologist 1801 N 37th Pl, Phoenix, AZ 85008 2017-06-08
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407456783 Brenna Michelle Clements Nurse Practitioner 3226 W Donatello Dr, Phoenix, AZ 85086-2200 2020-10-27
1932712825 Grace Wanjiru Karanja Adams Nurse Practitioner 200 E Thomas Rd Unit 217, Phoenix, AZ 85012-1182 2020-08-28
1649895574 Jozzette Elaine Rubio Nurse Practitioner 1924 E Vineyard Rd, Phoenix, AZ 85042-5793 2020-06-16
1396360749 Ulivvo Inc. Nurse Practitioner 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 2020-06-11
1568087955 Christa Ann Colvin Nurse Practitioner 6800 E Mayo Blvd Apt 1211, Phoenix, AZ 85054-5619 2020-06-10
1497378541 Sharon Uchechi Joshua Nurse Practitioner 9117 W Virginia Ave, Phoenix, AZ 85037-4233 2020-05-23
1992326102 Ashley Elizabeth Hall Nurse Practitioner 15810 N 18th St, Phoenix, AZ 85022-3302 2020-04-28
1750916797 Sebastian Freeman Smith Nurse Practitioner 2716 W Cedarwood Ln, Phoenix, AZ 85045-2224 2020-03-10
1295365724 Jessica Veasy Nurse Practitioner 7251 N 23rd Ave, Phoenix, AZ 85021-7714 2020-01-23
1568092526 Anuradha Lingamneni Nurse Practitioner 2313 E Dry Wood Rd, Phoenix, AZ 85024-8688 2020-01-18
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Competitor

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City PHOENIX
Zip Code 85008

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Dataset Information

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.

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