KELSIE DAWN PATE (NPI# 1710315429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710315429 |
| Entity Type | Individual |
| Full Name | KELSIE DAWN PATE |
| Credential | FNP |
| Practice Address |
560 N Camino Mercado Ste 7 Casa Grande AZ 85122-5759 |
| Practice Telephone | 5208365538 |
| Practice Fax Number | 5208760878 |
| Mailing Telephone | 5208365538 |
| Mailing Fax Number | 5208760878 |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2013-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP5237 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
560 N CAMINO MERCADO STE 7 |
| City | CASA GRANDE |
| State | AZ |
| Zip Code | 85122-5759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073110722 | Danielle Laurice Stewart | Physician Assistant | 560 N Camino Mercado Ste 7, Casa Grande, AZ 85122-5759 | 2020-10-06 |
| 1396380366 | Kathryn Digiammarino | Nurse Practitioner | 560 N Camino Mercado Ste 7, Casa Grande, AZ 85122-5759 | 2019-11-13 |
| 1417443995 | Dustin Andrew Smith | Nurse Practitioner | 560 N Camino Mercado Ste 7, Casa Grande, AZ 85122-5743 | 2018-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043857097 | Karen M Garcia | Registered Nurse | 2631 N Brown Avenue, Casa Grande, AZ 85122 | 2019-12-09 |
| 1063060291 | Martha Bollin | Registered Nurse | 2631 N. Brown Ave., Casa Grande, AZ 85122 | 2019-08-30 |
| 1841846920 | Banner Imaging Services LLC | Radiology | 1828 E. Florence Blvd Bldg B Ste 118 & 128, Suite 118 and 128, Casa Grande, AZ 85122 | 2019-08-14 |
| 1629532692 | Kirk Lee Mackley | Physical Therapist | Vibrant Care, 1355 E Florence Blvd #137, Casa Grande, AZ 85122 | 2019-01-24 |
| 1205307436 | Natalie T Trujillo | Physician Assistant | 301 E Cottonwood Ln Ste 1&2, Casa Grande, AZ 85122 | 2018-12-16 |
| 1710455860 | Community Intervention Associates, Inc | Clinic/Center | 1667 N. Trekell Rd, Suite 101 & 102, Casa Grande, AZ 85122 | 2018-11-07 |
| 1245728302 | Jenkins Chiropractic LLC | Chiropractor | 1891 N Trekell Rd Ste 2, Casa Grande, AZ 85122 | 2018-04-24 |
| 1497242408 | Kelly Winnett | Naturopath | 1415 N Trekell Rd Ste 102, Casa Grande, AZ 85122 | 2018-04-16 |
| 1851895783 | Michael Brubaker Counseling | Community/Behavioral Health | 1927 N. Trekell Rd, Ste D, Casa Grande, AZ 85122 | 2018-03-23 |
| 1770095317 | Walmart Stores Inc. | Pharmacy | 1741 E. Florence Blvd, Casa Grande, AZ 85122 | 2017-11-03 |
| Find all providers in zip 85122 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366006199 | Sonia Ivonne Villanueva | Nurse Practitioner | 449 E Silver Reef Rd, Casa Grande, AZ 85122-1521 | 2019-04-26 |
| 1922475789 | Jason Wyatt Sylte | Nurse Practitioner | 2407 N Casa Grande Ave, Casa Grande, AZ 85122-6353 | 2015-08-27 |
| 1417188731 | Linda C. Mitchell | Nurse Practitioner | 1703 E Fontana Dr, Casa Grande, AZ 85122-5865 | 2009-08-04 |
| 1023249893 | Krista Marie Nielsen | Nurse Practitioner | 1676 E. Mcmurray Blvd, Cgrmc Urgent Care, Casa Grande, AZ 85222 | 2009-07-28 |
| 1558328013 | Florence Adenike Oladokun | Nurse Practitioner | 1142 E Mcmurray Blvd, Casa Grande, AZ 85222-3622 | 2006-04-27 |
| 1366426025 | Cathleen Denny | Nurse Practitioner | 1676 E Mcmurray Blvd, Casa Grande Regional Medical Center Urgent Care, Casa Grande, AZ 85122 | 2005-12-05 |
| 1720605462 | Anna Marie Glickman | Nurse Practitioner | 1653 E Mcmurray Blvd Ste 132, Casa Grande, AZ 85122-5934 | 2020-06-29 |
| 1215553938 | Lia Gordon | Nurse Practitioner | 1864 E Florence Blvd Ste 2, Casa Grande, AZ 85122-5504 | 2020-06-18 |
| 1396380366 | Kathryn Digiammarino | Nurse Practitioner | 560 N Camino Mercado Ste 7, Casa Grande, AZ 85122-5759 | 2019-11-13 |
| 1518524982 | Charlene Scarlett Diaz | Nurse Practitioner | 115 W 2nd St, Casa Grande, AZ 85122-4406 | 2019-05-21 |
| Find all providers in CASA GRANDE | ||||
| City | CASA GRANDE |
| Zip Code | 85122 |
Please comment or provide details below to improve the information on KELSIE DAWN PATE.
| 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.