EMILY N. MICKELSON (NPI# 1700393097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700393097 |
| Entity Type | Individual |
| Full Name | EMILY N. MICKELSON |
| Practice Address |
815 E Warner Rd Ste 106 Chandler AZ 85225-1057 |
| Practice Telephone | 4809635800 |
| Practice Fax Number | 4809635805 |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2018-01-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
SLPA10914 | AZ | Speech, Language and Hearing Service Providers |
| Street Address |
815 E WARNER RD STE 106 |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85225-1057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548265564 | Ruth Nina Dimalanta Castillo | Occupational Therapist | 815 E Warner Rd Ste 106, Chandler, AZ 85225-1057 | 2005-06-16 |
| 1497370712 | Elizabeth Marie Kaul | Occupational Therapist | 815 E Warner Rd Ste 106, Chandler, AZ 85225-1057 | 2020-06-11 |
| 1588220388 | Karly Marie Dierckens | Speech-Language Pathologist | 815 E Warner Rd Ste 106, Chandler, AZ 85225-1057 | 2019-05-16 |
| 1083278444 | Danielle Marie Hardy | Speech-Language Pathologist | 815 E Warner Rd Ste 106, Chandler, AZ 85225-1057 | 2019-04-30 |
| 1427494822 | Dena Beth Berg | Speech-Language Pathologist | 815 E Warner Rd Ste 106, Chandler, AZ 85225-1057 | 2013-05-13 |
| 1578791885 | Regina M Buban | Occupational Therapist | 815 E Warner Rd Ste 106, Chandler, AZ 85225-1057 | 2009-06-24 |
| 1992982300 | Lara Taggart | Occupational Therapist | 815 E Warner Rd Ste 106, Chandler, AZ 85225-0994 | 2008-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528609724 | Marina Hinojos | Social Worker | 1205 E Frye Rd, Building A, Chandler, AZ 85225 | 2019-09-30 |
| 1396308854 | Fit Kids, Inc | Local Education Agency (LEA) | 250 S. Mcqueen Road, Chandler, AZ 85225 | 2019-04-19 |
| 1811489594 | Skyler Jay Smith | Dentist | 1992 E Ray Rd, Suite #2, Chandler, AZ 85225 | 2018-05-30 |
| 1881190049 | Novocur Surgery Center, LLC | Clinic/Center | 604 W. Warner Road, Building A, Chandler, AZ 85225 | 2018-04-04 |
| 1467961292 | Shameka Uzell Rodriguez | Licensed Practical Nurse | 2222 N Mcqueen Rd, 1068, Chandler, AZ 85225 | 2017-09-25 |
| 1174069546 | Cynthia Taylor | Contractor | 2800 N Arizona Ave Ste 229, Chandler, AZ 85225 | 2017-01-10 |
| 1134679582 | Rebecca Nelson | Specialist/Technologist | 860 N. Mcqueen Rd., Unit 1142, Chandler, AZ 85225 | 2016-10-10 |
| 1134675077 | Anything Is Possible Youth & Family Services, LLC | Community/Behavioral Health | 128 West Boxelder Place, Suite #101, Chandler, AZ 85225 | 2016-08-31 |
| 1871954255 | Jillian Perna | Occupational Therapist | 3310 N Sunridge Ln, Chandler, AZ 85225 | 2016-03-14 |
| 1922482017 | Advanced Neurologic Rehabilitation | Clinic/Center | 3160 N. Arizona Ave, Suite 106, Chandler, AZ 85225 | 2015-07-17 |
| Find all providers in zip 85225 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356948970 | Kaylee M Peterson | Specialist/Technologist | 4150 E Winged Foot Pl, Chandler, AZ 85249-7279 | 2020-10-06 |
| 1477194389 | Daniel Abraham Arellano-macias Sr. | Specialist/Technologist | 2248 N Alma School Rd Ste 102, Chandler, AZ 85224-2488 | 2019-10-01 |
| 1023669850 | Erika Collette Hill | Specialist/Technologist | 3800 W Chandler Blvd Apt 1174, Chandler, AZ 85226-3898 | 2019-09-23 |
| 1710531025 | Christina Preda | Specialist/Technologist | 1588 E Iris Dr, Chandler, AZ 85286-2278 | 2019-07-25 |
| 1285196154 | Rebekah Anne Lee | Specialist/Technologist | 1909 E Ray Rd Ste 9-244, Chandler, AZ 85225-8724 | 2019-04-01 |
| 1104304997 | Melissa Zamora | Specialist/Technologist | 3206 N Woodburne Dr, Chandler, AZ 85224-1061 | 2018-08-02 |
| 1891271086 | Kathryn Marie Stockwell | Specialist/Technologist | 2450 W Pecos Rd Apt 1127, Chandler, AZ 85224-4841 | 2018-07-11 |
| 1750809174 | Rebecca Rouleau | Specialist/Technologist | 250 W New Dawn Dr, Chandler, AZ 85248-5190 | 2017-09-06 |
| 1073042610 | Lindsey Peru | Specialist/Technologist | 3330 S Gilbert Rd Unit 2006, Chandler, AZ 85286-5156 | 2017-06-07 |
| 1134679582 | Rebecca Nelson | Specialist/Technologist | 860 N. Mcqueen Rd., Unit 1142, Chandler, AZ 85225 | 2016-10-10 |
| Find all providers in CHANDLER | ||||
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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.