MRS. CONNIE MARIE WORTHCOTA (NPI# 1679658082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679658082 |
| Entity Type | Individual |
| Full Name | MRS. CONNIE MARIE WORTHCOTA |
| Credential | COTA |
| Practice Address |
682 W School Bus Ln Snowflake AZ 85937-5262 |
| Mailing Address |
112 Power Lane Taylor AZ 85939-0000 |
| Practice Telephone | 9285364156 |
| Practice Fax Number | 9285364156 |
| Mailing Telephone | 9285367526 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 2253 | AZ | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | COTA | 2253 | 01 |
| Street Address |
682 W SCHOOL BUS LN |
| City | SNOWFLAKE |
| State | AZ |
| Zip Code | 85937-5262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225126576 | James Scott Flake | Psychologist | 682 W School Bus Ln, Snowflake, AZ 85937-5262 | 2006-10-11 |
| 1326658907 | Sarah Fischer | Occupational Therapist | 682 W School Bus Ln, Snowflake, AZ 85937-5262 | 2020-08-07 |
| 1407189798 | Melody Ann Hoffmann | Licensed Practical Nurse | 682 W School Bus Ln, Snowflake, AZ 85937-5262 | 2009-09-17 |
| 1518107010 | Darwin Rawlins | Counselor | 682 W School Bus Ln, Snowflake, AZ 85937-5262 | 2009-02-24 |
| 1215184718 | Starr Penrod Ollerton | Registered Nurse | 682 W School Bus Ln, Snowflake, AZ 85937-5262 | 2008-08-26 |
| 1588704043 | Gaylan I Jones | Psychologist | 682 W School Bus Ln, Snowflake, AZ 85937-5262 | 2007-02-07 |
| 1609915040 | Daniel Rowles | Speech-Language Pathologist | 682 W School Bus Ln, Snowflake, AZ 85937-5262 | 2007-02-05 |
| 1649326497 | Debra Ann Bennett | Speech-Language Pathologist | 682 W School Bus Ln, Snowflake, AZ 85937-5262 | 2007-01-26 |
| 1558417303 | Judy W Ballard | Speech-Language Pathologist | 682 W School Bus Ln, Snowflake, AZ 85937-5262 | 2007-01-26 |
| 1649325192 | Kimberly Stevens | Registered Nurse | 682 W School Bus Ln, Snowflake, AZ 85937-5262 | 2007-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275990368 | Traumacare Institute, Pllc | Counselor | 61 West Center Street, Snowflake, AZ 85937 | 2016-01-21 |
| 1659736338 | Michael Shane Luck | Counselor | 61 West Center, Snowflake, AZ 85937 | 2015-12-22 |
| 1093128589 | Mark Porter Caldwell | Physical Therapist | 1788 Prairie Rd, Snowflake, AZ 85937 | 2014-06-03 |
| 1528329331 | Craig Reed West Dds PC | Dentist | 439 South Main, Snowflake, AZ 85937 | 2012-06-07 |
| 1295972651 | C and K Home Furnishings | Durable Medical Equipment & Medical Supplies | 1355 S. Main Street, Snowflake, AZ 85937 | 2009-01-07 |
| 1821274408 | Jackie C Blair | Counselor | 146 School Bus Lane, Snowflake, AZ 85937 | 2008-01-14 |
| 1164575650 | Snowflake Unified School District #5 | Local Education Agency (LEA) | 682 School Bus Lane, Snowflake, AZ 85937 | 2007-01-19 |
| 1225009608 | Larry W Nichols | Family Medicine | 590 S Main St, Snowflake, AZ 85937 | 2006-02-01 |
| 1326123720 | Snowflake School District | Local Education Agency (LEA) | 682 School Bus Lane, Snowflake School District, Snowflake, AZ 85937-0000 | 2006-10-25 |
| 1679710529 | White Mountain Eye Care Center PC | Optometrist | 176 N Main St, Snowflake, AZ 85937-5054 | 2009-01-14 |
| Find all providers in zip 85937 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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| 1902462179 | Physician Group of Arizona Inc | Specialist | 4801 E Washington St Ste 200, Phoenix, AZ 85034-2019 | 2019-05-14 |
| 1447814751 | Carmen Tasse | Specialist | 3260 N Hayden Rd Ste 110, Scottsdale, AZ 85251-6650 | 2019-04-23 |
| 1790246924 | Mark A Meyers | Specialist | 715 S Beeline Hwy Ste A, Payson, AZ 85541-5344 | 2019-03-29 |
| 1386113538 | Wound Care Associates LLC | Specialist | 2600 E Southern Ave Ste F2, Tempe, AZ 85282-7626 | 2018-11-16 |
| 1366920910 | Haleys Designer Wigs | Specialist | 6017 E Mckellips Rd Ste 109, Mesa, AZ 85215-2824 | 2018-08-04 |
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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.