DR. LOUISE M. BACA ELLER (NPI# 1710532023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710532023 |
| Entity Type | Individual |
| Full Name | DR. LOUISE M. BACA ELLER |
| Other Name | DR. LOUISE M. BACA |
| Credential | PH.D. |
| Practice Address |
2946 E. Banner Gateway Drive Gilbert AZ 85234 |
| Mailing Address |
2940 E Banner Gateway Drive Suite 400 Gilbert AZ 85234 |
| Practice Telephone | 4802566444 |
| Practice Fax Number | 4802563682 |
| Mailing Telephone | 4802566444 |
| Mailing Fax Number | 4802563682 |
| Enumeration Date | 2019-08-04 |
| Last Update Date | 2019-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2058 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
2946 E. BANNER GATEWAY DRIVE |
| City | GILBERT |
| State | AZ |
| Zip Code | 85234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689648487 | Michelle Hopkins Carnes | Nurse Practitioner | 2946 E. Banner Gateway Drive, Gilbert, AZ 85234 | 2006-02-16 |
| 1558743716 | Haley Marie Staudt | Physician Assistant | 2946 E. Banner Gateway Drive, Gilbert, AZ 85234 | 2015-06-24 |
| 1164760625 | Ayesha Shaikh | Internal Medicine | 2946 E. Banner Gateway Drive, Gilbert, AZ 85234 | 2013-01-17 |
| 1700028602 | Amanda D Davis | Physician Assistant | 2946 E. Banner Gateway Drive, Suite 450, Gilbert, AZ 85234 | 2009-03-24 |
| 1841444858 | Amanda Gail Dean Martin | Registered Nurse | 2946 E. Banner Gateway Drive, Gilbert, AZ 85234 | 2008-11-05 |
| 1871798488 | Shefali Summant Birdi | Internal Medicine | 2946 E. Banner Gateway Drive, Gilbert, AZ 85234 | 2007-06-15 |
| 1689718264 | Danielle Nance | Internal Medicine | 2946 E. Banner Gateway Drive, Gilbert, AZ 85234 | 2007-02-16 |
| 1699703462 | Melissa Beth Shelby | Nurse Practitioner | 2946 E. Banner Gateway Drive, Gilbert, AZ 85234 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500962 | Fatima Health LLC | Nurse Practitioner | 760 North Swallow Lane, Gilbert, AZ 85234 | 2020-05-22 |
| 1073152070 | American Care Concepts Hospice LLC | Hospice Care, Community Based | 765 N. Lindsay Rd., Ste. 208, Gilbert, AZ 85234 | 2019-12-23 |
| 1457918864 | Intuitive Healing Counseling Services, Pllc | Counselor | 3303 E Baseline Rd, Building 5, Suite 109, Gilbert, AZ 85234 | 2019-05-21 |
| 1487123907 | San Tan Behavioral Health Services LLC | Respite Care | 2671 East Vermont Court, Gilbert, AZ 85234 | 2018-11-14 |
| 1770052292 | San Tan Behavioral Health Services | Respite Care | 3970 East Juanita Avenue, Gilbert, AZ 85234 | 2018-11-14 |
| 1891262887 | Victoria Elizabeth Klennertt | Behavior Technician | 3503 E Michelle Way, Gilbert, AZ 85234 | 2018-10-27 |
| 1225503634 | Julia Elizabeth Wiens | Social Worker | 3651 E Baseline Rd Ste 120, Gilbert, AZ 85234 | 2018-10-11 |
| 1295219798 | Raylene Dawn Cargiulo | Registered Nurse | 55 S. Greenfield Rd., Gilbert, AZ 85234 | 2018-09-20 |
| 1346729092 | Katherine M Winegar | Nurse Practitioner | Banner Md Anderson Cancer Center- Administration Office, 2940 E Banner Gateway Drive, Gilbert, AZ 85234 | 2018-08-13 |
| 1881189199 | Desert Valley Oral Surgery | Oral & Maxillofacial Surgery | 2915 E. Baseline Road, Suite 106, Gilbert, AZ 85234 | 2018-06-28 |
| Find all providers in zip 85234 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881222081 | Ronald C Bean | Psychologist | 1699 W Stanford Ave, Gilbert, AZ 85233-2905 | 2020-04-01 |
| 1326449802 | Sandra Knight | Psychologist | 2902 E Derringer Way, Gilbert, AZ 85297-2135 | 2014-09-15 |
| 1699194852 | Spectrum Psychology and Wellness, LLC | Psychologist | 1772 E Boston St, Bldg 5 Ste 105, Gilbert, AZ 85295-6242 | 2014-04-15 |
| 1689951394 | Rebbeca Lahann | Psychologist | 1772 E Boston St Ste 105, Gilbert, AZ 85295-6243 | 2011-11-08 |
| 1457669798 | Jamie Annette Whalen | Psychologist | 3651 E Baseline Rd Ste E-204, Gilbert, AZ 85234-2689 | 2010-09-21 |
| 1689642829 | Erica E Vanderheyden | Psychologist | 1920 N Higley Rd, Suite 106, Gilbert, AZ 85234-1623 | 2006-03-14 |
| 1982692497 | David Glenn Davidson-methot | Psychologist | 33 N Lindsay Rd, Suite 106, Gilbert, AZ 85234-5807 | 2005-10-10 |
| 1073131892 | Ron Bean, Pllc | Psychologist | 1699 W Stanford Ave, Gilbert, AZ 85233-2905 | 2020-07-08 |
| 1598222879 | Kolette A Butler | Psychologist | 2200 E Williams Field Rd Ste 200, Gilbert, AZ 85295-0764 | 2019-02-22 |
| 1073090452 | Raymonda D Matheka | Psychologist | 2730 S Val Vista Dr Ste 137, Gilbert, AZ 85295-1681 | 2018-07-27 |
| Find all providers in GILBERT | ||||
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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.