MARK RICO (NPI# 1710385612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710385612 |
| Entity Type | Individual |
| Full Name | MARK RICO |
| Practice Address |
17593 W Polaris Dr Goodyear AZ 85338-5473 |
| Practice Telephone | 6026863990 |
| Mailing Telephone | 6026863990 |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2014-12-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 762067 | CA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CALIFORNIA BOARD OF REGISTERED NURSES | 163W00000X | 01 |
| Street Address |
17593 W POLARIS DR |
| City | GOODYEAR |
| State | AZ |
| Zip Code | 85338-5473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295226884 | Caroline Chang | Dentist | 15530 W Roosevelt St Ste E106, Goodyear, AZ 85338 | 2018-05-20 |
| 1609376714 | Rosanna Alvarez | Licensed Practical Nurse | 17432 W Elaine Dr, Goodyear, AZ 85338 | 2018-02-15 |
| 1023534419 | Jennifer Elizabeth Lawrence Dixon | Social Worker | 319 N Lichfield Rd, Suite 105, Goodyear, AZ 85338 | 2017-08-17 |
| 1346774916 | Vanessa Castillo | Specialist/Technologist | 18035 W. Yuma Rd, Goodyear, AZ 85338 | 2017-04-20 |
| 1386008076 | Hope Behavioral Health Residential Care | Substance Abuse Rehabilitation Facility | 15985 W.williams Street, Goodyear, AZ 85338 | 2016-04-08 |
| 1952760241 | Jeremy John Abdul-haqq | Dentist | 15661 W Roosevelt St Ste 102, Goodyear, AZ 85338 | 2016-02-16 |
| 1417206897 | Kelly Renee Filo | Occupational Therapy Assistant | 10189 S. Hacienda Dr., Goodyear, AZ 85338 | 2012-08-31 |
| 1194015545 | Nancy Ann Amore | Licensed Practical Nurse | 15578 W Yuma Road, Goodyear, AZ 85338 | 2011-04-19 |
| 1932409208 | Chung Counihan | Pharmacist | 9890 S Estrella Parkway, Goodyear, AZ 85338 | 2010-11-02 |
| 1053611327 | Traven Anderson | Pharmacist | 9890 South Estrella Parkway, Goodyear, AZ 85338 | 2010-11-02 |
| Find all providers in zip 85338 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316559289 | Paula Hernandez | Registered Nurse | 17919 W Jojoba Rd, Goodyear, AZ 85338-5640 | 2020-08-20 |
| 1326650813 | Anitha Shaju | Registered Nurse | 15373 W Windsor Ave, Goodyear, AZ 85395-8953 | 2020-08-18 |
| 1154941896 | Jaleaa Lewis | Registered Nurse | 16236 W Woodlands Ave, Goodyear, AZ 85338-6864 | 2020-04-22 |
| 1225531551 | Erik Jason Martinez | Registered Nurse | 4565 N 153rd Ln, Goodyear, AZ 85395 | 2018-03-13 |
| 1902271166 | Coby Kempton | Registered Nurse | 15067 W Windsor Ave, Goodyear, AZ 85395-8958 | 2015-12-14 |
| 1205220225 | Joslyn Desiree Reyes | Registered Nurse | 4485 N 152nd Dr, Goodyear, AZ 85395-8386 | 2015-03-27 |
| 1962846691 | Melissa Kristine Dyck | Registered Nurse | 4095 North 144th Ave., Goodyear, AZ 85395 | 2013-04-24 |
| 1437424983 | Pablo C Acosta | Registered Nurse | 16113 W Coronado Rd, Goodyear, AZ 85395-7130 | 2012-03-16 |
| 1811293723 | Pamela Hensley | Registered Nurse | 13555 W Mcdowell Rd Ste 201, Goodyear, AZ 85395-2630 | 2011-02-10 |
| 1093023970 | Adriana Gonzales | Registered Nurse | 15778 West Yuma Road, Desert Edge High School, Goodyear, AZ 85338-3358 | 2010-09-14 |
| Find all providers in GOODYEAR | ||||
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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.