MARILYN YELDER (NPI# 1689813032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689813032 |
| Entity Type | Individual |
| Full Name | MARILYN YELDER |
| Other Name | MARILYN NEGRON |
| Credential | NP |
| Practice Address |
635 East Baseline Road Phoenix AZ 85042-6551 |
| Mailing Address |
2702 North 3rd Street 4020 Phoenix AZ 85004-4608 |
| Practice Telephone | 6022437277 |
| Practice Fax Number | 6022431235 |
| Mailing Telephone | 6023233344 |
| Mailing Fax Number | 6023233496 |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2013-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN154374 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP3258 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 623525 | 05 |
| Street Address |
635 EAST BASELINE ROAD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85042-6551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194724732 | Christina L Shelley | Registered Nurse | 635 East Baseline Road, Phoenix, AZ 85042-6551 | 2005-07-15 |
| 1922376193 | Alexa Marie Diaz | Nutritionist | 635 East Baseline Road, Phoenix, AZ 85042-6551 | 2011-12-02 |
| 1588949770 | Laverne Alfred-allen | Dental Hygienist | 635 East Baseline Road, Phoenix, AZ 85042-6551 | 2011-10-19 |
| 1073891750 | Renee Thomas | Counselor | 635 East Baseline Road, Phoenix, AZ 85042-6551 | 2011-07-28 |
| 1851692594 | Ngoc Jade Hoang | Pharmacist | 635 East Baseline Road, Phoenix, AZ 85042-6551 | 2010-11-11 |
| 1699096115 | Tamara Neshae Sumler | Nurse Practitioner | 635 East Baseline Road, Phoenix, AZ 85042-6551 | 2010-06-18 |
| 1356668107 | Irma Herrera-olson | Dietitian, Registered | 635 East Baseline Road, Phoenix, AZ 85042-6551 | 2010-05-03 |
| 1891959896 | Karen Sheri Grayberg | Registered Nurse | 635 East Baseline Road, Phoenix, AZ 85042-6551 | 2008-07-18 |
| 1932363876 | Anitha Gaddam | Internal Medicine | 635 East Baseline Road, Phoenix, AZ 85042 | 2008-07-10 |
| 1366503245 | Daniel Brower | Pharmacist | 635 East Baseline Road, Phoenix, AZ 85042-6551 | 2006-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443197 | Da Homes LLC | Case Management | 8026 S. 24th Way, Phoenix, AZ 85042 | 2020-10-05 |
| 1144790460 | Ebony House Inc | Substance Abuse Rehabilitation Facility | 6222 S. 13th Street, Phoenix, AZ 85042 | 2018-11-29 |
| 1427538362 | Abigail Mcgrath | Dietitian, Registered | 303 E Baseline Rd Ste 200, Phoenix, AZ 85042 | 2018-08-20 |
| 1174028310 | Olufemi A Omodara | Pharmacist | 7227 S. Central Ave, #1080, Phoenix, AZ 85042 | 2018-03-29 |
| 1720537699 | Mary Youngblood | Registered Nurse | 7210 S 27th Way, Phoenix, AZ 85042 | 2016-10-03 |
| 1922490382 | Brian Zembower | Optometrist | 610 E Baseline Rd Ste C3, Phoenix, AZ 85042 | 2015-02-23 |
| 1417299819 | Robert Murphy Portley | Psychiatry & Neurology | 2320 E Baseline Rd Ste 148-225, Phoenix, AZ 85042 | 2013-03-23 |
| 1972807998 | Obinna Chukwuka Akubukwe | Pharmacist | 6006 S. Central Avenue, Phoenix, AZ 85042 | 2011-01-05 |
| 1104120328 | Gisheys Patient Care LLC | Custodial Care Facility | 7232 South 12th Place, Phoeniz, AZ 85042 | 2011-01-03 |
| 1245463488 | Lois Ann Hammitt | Registered Nurse | 6218 S. 7th Street, Phoenix, AZ 85042 | 2009-09-03 |
| Find all providers in zip 85042 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083258354 | Stephenie Ann Lechuga | Nurse Practitioner | 3415 W Glendale Ave Ste 32a, Phoenix, AZ 85051-8485 | 2019-10-30 |
| 1215455605 | Shampa Nasreen | Nurse Practitioner | 2711 E Roosevelt St, Phoenix, AZ 85008-4946 | 2017-09-06 |
| 1306275581 | Melissa Kay Reichenbach | Nurse Practitioner | 444 W. Osborn Rd, Ste 301, Phoenix, AZ 85013-3896 | 2013-11-07 |
| 1831539410 | Michelle Lea Byers | Nurse Practitioner | 17624 North 31st Ave, Phoenix, AZ 85053 | 2013-06-27 |
| 1922356518 | April A Colon | Nurse Practitioner | 1919 E Thomas Road, Phoenix, AZ 85016-7710 | 2012-08-29 |
| 1043518707 | Lisette V Hill | Nurse Practitioner | 3802 N 53rd Avenue, Suite 160, Phoenix, AZ 85031 | 2011-03-04 |
| 1376853077 | Tara Leigh Pierce | Nurse Practitioner | 1661 E Camelback Rd Ste 170, Phoenix, AZ 85016-3921 | 2010-10-15 |
| 1144385634 | Deborah Biringer Anderson | Nurse Practitioner | 26224 N Tatum Blvd Ste 1, Phoenix, AZ 85050-7500 | 2006-12-26 |
| 1952408411 | Genny Marie Stiller | Nurse Practitioner | 1919 E. Thomas Road, Department of Hem/onc, Phoenix, AZ 85016 | 2006-09-19 |
| 1437256153 | Pamela K. Grant | Nurse Practitioner | 15420 N. 32nd Drive, Phoenix, AZ 85053-3998 | 2006-09-17 |
| Find all providers in PHOENIX | ||||
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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.