MR. KEVIN PATRICK MCCORMICK (NPI# 1700165255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700165255 |
| Entity Type | Individual |
| Full Name | MR. KEVIN PATRICK MCCORMICK |
| Credential | NUTRITIONIST |
| Practice Address |
2702 E Corrine Dr. Suite 1 Phoenix AZ 85032 |
| Mailing Address |
2702 E Corrine Dr Phoenix AZ 85032-6942 |
| Practice Telephone | 6023481004 |
| Mailing Telephone | 6023481004 |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2011-08-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144522665 | Kevin Leo Mccormick | Respiratory Therapist, Registered | 2920 Ketch St, Kenai, AK 99611-8845 | 2010-12-04 |
| 1265627137 | Kevin Robert Mccormick | Physical Therapist | 227 Madison St, New York, NY 10002-7537 | 2007-09-13 |
| 1891834123 | Kevin Andrew Mccormick | Physician Assistant | 400 N Pepper Ave, Colton, CA 92324-1801 | 2007-02-05 |
| 1720185358 | Kevin R Mccormick | Internal Medicine | 990 South Ave, Suite 207, Rochester, NY 14620-2740 | 2006-09-17 |
| 1114917234 | Kevin Mccormick | Internal Medicine | 3946 Oneida St, New Hartford, NY 13413-9702 | 2005-10-28 |
| 1043215486 | Kevin Mccormick | Internal Medicine | 4444 Kalamazoo Ave Se, Kentwood, MI 49508-4600 | 2005-06-14 |
| Street Address |
2702 E CORRINE DR. SUITE 1 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689298838 | Eboni Nicole Morris | Psychologist | 166001 N. 40th St., Suite 210, Phoenix, AZ 85032 | 2020-06-03 |
| 1326688573 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3227 E Bell Road, Suite 170, Room P1, Phoenix, AZ 85032 | 2020-01-15 |
| 1740836642 | Integrated Medical Services Inc | Internal Medicine | 3815 W Bell Rd, Ste 3200, Phoenix, AZ 85032 | 2019-08-15 |
| 1639739576 | Sarah Martin | Physical Therapy Assistant | Ridgecrest Healthcare, 16640 North 38th Street, Phoenix, AZ 85032 | 2019-06-13 |
| 1750846168 | Conte Sport Performance Therapy LLC | Physical Therapist | 18413 N. Cave Creed Rd, Suite 8, Phoenix, AZ 85032 | 2019-02-11 |
| 1659848208 | Pacific Dental Services Foundation | Physician Assistant | 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032 | 2018-10-31 |
| 1083100812 | Phoenix Interventional Pain Management, Pllc | Anesthesiology | 3815 E Bell Rd Ste 3500a, Phoenix, AZ 85032 | 2018-07-04 |
| 1770074635 | Np Professional LLC | Clinic/Center | 3329 E Bell Rd Ste A1, Phoenix, AZ 85032 | 2018-05-25 |
| 1932600020 | North Phoenix Asc LLC | Clinic/Center | 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 | 2018-02-23 |
| 1396263307 | Cheryl Anne Miller | Registered Nurse | 15002 N. 32nd St., Phoenix, AZ 85032 | 2017-08-30 |
| Find all providers in zip 85032 | ||||
| Taxonomy Code | 133NN1002X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| Specialization | Nutrition, Education |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285143115 | Charles Higgins Jr. | Nutritionist | 600 N 4th St Apt 272, Phoenix, AZ 85004-4485 | 2017-09-22 |
| 1114301967 | Peggy Gomez | Nutritionist | 15251 N 45th Pl, Phoenix, AZ 85032-4840 | 2015-07-10 |
| 1003157975 | Elizabeth Berry | Nutritionist | 2018 E Granite View Dr, Phoenix, AZ 85048-4344 | 2013-03-02 |
| 1801143276 | Hannah Marie Tully | Nutritionist | 1030 E Utopia Rd, Phoenix, AZ 85024-1703 | 2012-08-05 |
| 1275708505 | Jennifer Louise Koslo | Nutritionist | 5633 South 42nd Street, Phoenix, AZ 85040 | 2008-04-28 |
| 1891940672 | Suzanne Legleiter | Nutritionist | 2302 N 75th Ave, Phoenix, AZ 85035-1216 | 2008-11-20 |
| 1801087150 | Jean L. Duncan | Nutritionist | 755 E Mcdowell Rd, Phoenix, AZ 85006-2506 | 2007-08-01 |
| 1164534095 | Diabetic Nutritional Education | Nutritionist | 25500 N Norterra Dr, Attn: Hcfs, Phoenix, AZ 85085-8200 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029385 | Charlotte Marie Mcintyre | Nutritionist | 1000 E Water St Apt 7, Tucson, AZ 85719-3075 | 2020-10-01 |
| 1881219707 | Gabrielle Hungate | Nutritionist | 10754 N Chapin Ct, Tucson, AZ 85737-6634 | 2020-06-16 |
| 1538780598 | Penny Jean Stadick | Nutritionist | 20259 N Ryans Trl, Maricopa, AZ 85138-2446 | 2020-04-30 |
| 1275099020 | David Medansky | Nutritionist | 11980 W Shifting Sands Dr, Peoria, AZ 85383-2623 | 2019-02-18 |
| 1306345780 | Christine Inez Cintron | Nutritionist | 9231 E Carol Ave, Mesa, AZ 85208-2497 | 2018-02-12 |
| 1326568486 | Damian Dube | Nutritionist | 1503 N Rockwell St, Gilbert, AZ 85234-1436 | 2017-06-20 |
| 1427593391 | Martha Imelda Huizar | Nutritionist | 2214 E Vera Cruz Vis, Tucson, AZ 85713-5199 | 2016-12-30 |
| 1639622434 | Jenny Woelk | Nutritionist | 2757 S Pewter Dr, 102, Gilbert, AZ 85295-1282 | 2016-07-27 |
| 1356790158 | Banner Umc Dpec | Nutritionist | 3950 S Country Club Road, Suite 130, Tucson, AZ 85714 | 2016-06-13 |
| 1053783829 | Debra L Mcdaniel-perez | Nutritionist | 28784 E Aster Ln, Marana, AZ 85658-9223 | 2015-10-20 |
| 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.