MR. JOSEPH DEMICHELE (NPI# 1669711271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669711271 |
| Entity Type | Individual |
| Full Name | MR. JOSEPH DEMICHELE |
| Credential | RN |
| Practice Address |
6411 N Robert Rd Room 416 Prescott Valley AZ 86314-9146 |
| Practice Telephone | 9287594042 |
| Practice Fax Number | 9287594030 |
| Mailing Telephone | 9288530155 |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2013-02-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
RN169380 | AZ | Nursing Service Providers |
| Street Address |
6411 N ROBERT RD ROOM 416 |
| City | PRESCOTT VALLEY |
| State | AZ |
| Zip Code | 86314-9146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033660600 | Kim Wheeler | Registered Nurse | 6411 N Robert Rd, Room 416, Prescott Valley, AZ 86314-9146 | 2016-10-19 |
| 1528416872 | Jared Gamble | Occupational Therapist | 6411 N Robert Rd, Prescott Valley, AZ 86314-9146 | 2016-05-26 |
| 1912316233 | Diana Lazenby | Registered Nurse | 6411 N Robert Rd, Room 416, Prescott Valley, AZ 86314-9146 | 2014-08-12 |
| 1235548595 | Cathy Johnson | Registered Nurse | 6411 N Robert Rd, Room 416, Prescott Valley, AZ 86314-9146 | 2014-08-11 |
| 1588073902 | Heidi White | Registered Nurse | 6411 N Robert Rd, Room 416, Prescott Valley, AZ 86314-9146 | 2014-08-11 |
| 1831508258 | Taja Kolack | Registered Nurse | 6411 N Robert Rd, Room 416, Prescott Valley, AZ 86314-9146 | 2014-08-11 |
| 1457780967 | Carol Lynn Sanderford | Registered Nurse | 6411 N Robert Rd, Room 416, Prescott Valley, AZ 86314-9146 | 2013-11-05 |
| 1649609199 | Amy Marie Stooks | Registered Nurse | 6411 N Robert Rd, Rm 416, Prescott Valley, AZ 86314-9146 | 2013-11-05 |
| 1962831479 | Lauren Kathleen Postula | Registered Nurse | 6411 N Robert Rd, Room 416, Prescott Valley, AZ 86314-9146 | 2013-11-05 |
| 1528300993 | Joyce Cherhoniak | Registered Nurse | 6411 N Robert Rd, Prescott Valley, AZ 86314-9146 | 2013-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992326029 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 3001 N. Mountain View Rd, Prescott Valley, AZ 86314 | 2020-04-29 |
| 1124666516 | Best Care Behavioral Homes LLC | Community/Behavioral Health | 5385 W Saddleback Drive, Prescott Valley, AZ 86314 | 2019-12-16 |
| 1912541558 | The Stateserv Companies, LLC | Durable Medical Equipment & Medical Supplies | 8926 E. Long Mesa Drive, Prescott Valley, AZ 86314 | 2019-11-06 |
| 1003398983 | Richard Telck | Pharmacist | 7720 E. Highway 69, Prescott Valley, AZ 86314 | 2018-09-06 |
| 1912493065 | Akdhc,llc | Internal Medicine | 7862 E Florentine Rd, Suite 120, Prescott Valley, AZ 86314 | 2018-07-02 |
| 1700377983 | Pronghorn Psychiatry | Clinic/Center | 5940 E. Copper Hill Dr, Suite E, Prescott Valley, AZ 86314 | 2018-05-23 |
| 1689185126 | Thumb Butte Urgent Care | Clinic/Center | 6496 East Highway 69, Prescott Valley, AZ 86314 | 2017-10-23 |
| 1740738046 | Janine Kauffmann | Pharmacist | 7720 East Highway 69, Prescott Valley, AZ 86314 | 2016-09-14 |
| 1528415650 | Nazcare, Inc. | Exclusive Provider Organization | 8200 E. Jacque Dr., Prescott Valley, AZ 86314 | 2016-05-18 |
| 1184087009 | William Beverly | Marriage & Family Therapist | 8603 E. Eastridge Dr., Ste A, Prescott Valley, AZ 86314 | 2016-03-29 |
| Find all providers in zip 86314 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124302476 | Olivia Ann Leon | Registered Nurse | 6411 N. Robert Rd., Humboldt Unified School Districk #22/sso, Prescott Valley, AZ 86314 | 2011-10-05 |
| 1609175223 | Caitlyn Casperson | Registered Nurse | 6411 N. Robet Rd., Rm. 416, Humboldt Unified School District, Prescott Valley, AZ 86314 | 2011-03-22 |
| 1356651400 | Meagan Sue Anderson | Registered Nurse | 6411 N. Robert Rd., Rm 916, Humboldt Unified School District #22/sso, Prescott Valley, AZ 86314 | 2010-10-07 |
| 1063740611 | Anne Stone | Registered Nurse | 9331 E Serpentine Ln, Prescott Valley, AZ 86314-7564 | 2009-11-19 |
| 1316170335 | Wendy Farnsworth | Registered Nurse | 8766 E. Hwy 69, C/o Donna Thaxton Humboldt Unified School District/sso, Prescott Valley, AZ 86314 | 2009-08-25 |
| 1972792927 | Roberta Knowles | Registered Nurse | Humboldt Unified School District, 8766 E. Hwy. 69/sso, Prescott Valley, AZ 86314-0000 | 2007-10-16 |
| 1356486096 | Linda Shaetze | Registered Nurse | 8766 East Hwy 69, Humboldt Unified School District 22, Prescott Valley, AZ 86314 | 2007-02-20 |
| 1659416394 | Patrice Mcgregor Sparks | Registered Nurse | Humboldt Unified School District 22 Special Serv Office, 8766 East Hwy 69, Prescott Valley, AZ 86314 | 2007-02-20 |
| 1073167623 | Krista Iverson | Registered Nurse | 6411 N Robert Rd Rm 416, Prescott Valley, AZ 86314-9146 | 2019-07-31 |
| 1821500885 | Jane Miller Hynes | Registered Nurse | 6411 N Robert Rd Rm 416, Prescott Valley, AZ 86314-9146 | 2017-10-31 |
| Find all providers in PRESCOTT VALLEY | ||||
| City | PRESCOTT VALLEY |
| Zip Code | 86314 |
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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.