DEBRA LANG (NPI# 1720132574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720132574 |
| Entity Type | Individual |
| Full Name | DEBRA LANG |
| Practice Address |
11110 W Windsor Ave Avondale AZ 85323-5875 |
| Practice Telephone | 6239075428 |
| Mailing Telephone | 6239075428 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | 10432 | AZ | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 968696 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972756435 | Debra Teresa Lang | Physical Therapist | 234 Mamaroneck Rd, Scarsdale, NY 10583-7215 | 2008-10-28 |
| 1174739023 | Debra A Lang | Psychologist | 65b W Kagy Blvd, Bozeman, MT 59715-6052 | 2007-05-15 |
| Street Address |
11110 W WINDSOR AVE |
| City | AVONDALE |
| State | AZ |
| Zip Code | 85323-5875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932663994 | Bridgewater Avondale Operations, LLC | Assisted Living Facility | 295 E Van Buren Street, Avondale, AZ 85323 | 2019-01-24 |
| 1104309152 | Carlos Sifuentes | Physical Therapist | 10750 W Mcdowell Rd., Ste. B-210, Avondale, AZ 85323 | 2018-09-14 |
| 1225534688 | Dayna Sue Kaepp | Registered Nurse | 3300 N. Santa Fe Trail, Avondale, AZ 85323 | 2018-04-04 |
| 1407376700 | Amanda Lynn Radcliffe | Nurse Practitioner | 824 N. 99th Ave Ste 108, Avondale, AZ 85323 | 2017-06-27 |
| 1093253361 | Aquatic-n-writing Rehad | Home Health | 12355 West Cocopah Street, Avondale, AZ 85323 | 2017-02-07 |
| 1750838348 | Annette A Alvarez | Specialist/Technologist | 295 W Western Avenue, Avondale, AZ 85323 | 2016-09-01 |
| 1649726886 | Michelle R Dotson | Contractor | 12115 W Van Buren St Apt 1924, Avondale, AZ 85323 | 2016-08-28 |
| 1619370756 | Amanda Mann | Physical Therapy Assistant | 12804 West Hildalgo, Avondale, AZ 85323 | 2014-10-03 |
| 1326459306 | Ma Caubalejo | Physical Therapist | 350 East La Canada Blvd, Avondale, AZ 85323 | 2014-05-13 |
| 1093139545 | Mark Salvador | Physical Therapy Assistant | 11722 W. Mountain View Dr., Avondale, AZ 85323 | 2014-02-04 |
| Find all providers in zip 85323 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982758926 | Margaret Monteith | Day Training/Habilitation Specialist | 10934 W Citrus Grove Way, Avondale, AZ 85323-4309 | 2007-01-23 |
| 1205980083 | Askia Muhammad | Day Training/Habilitation Specialist | 12335 W Hazelwood St, Avondale, AZ 85323-4276 | 2007-01-22 |
| 1700922622 | Nandi Muhammad | Day Training/Habilitation Specialist | 12335 W Hazelwood St, Avondale, AZ 85323-4276 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072161 | Kellie L Cardoza | Day Training/Habilitation Specialist | 6148 W Frier Dr, Glendale, AZ 85301-1223 | 2020-10-26 |
| 1811595531 | Lester Neal | Day Training/Habilitation Specialist | 1221 W Chicago St, Chandler, AZ 85224-5230 | 2020-10-14 |
| 1033731344 | Bartu C Gray | Day Training/Habilitation Specialist | 5205 W Thunderbird Rd Apt 2174, Glendale, AZ 85306-4859 | 2020-05-08 |
| 1043688336 | Felicia D Adams | Day Training/Habilitation Specialist | 1074 E. Press Rd, San Tan Valley, AZ 85140 | 2015-09-03 |
| 1083930283 | Zena Anne Kimbrell | Day Training/Habilitation Specialist | 13522 Main Street, Mayer, AZ 86333 | 2010-04-13 |
| 1871819441 | Diane Murphy | Day Training/Habilitation Specialist | 7840 E Buena Vista Dr, Prescott Valley, AZ 86314-5531 | 2010-04-07 |
| 1255655676 | Debbie Lynn Smith | Day Training/Habilitation Specialist | 15005 W Piana Trl, Surprise, AZ 85374-4454 | 2010-03-15 |
| 1447494182 | Rozlane Denese Wells | Day Training/Habilitation Specialist | 6233 S 15th Dr, Phoenix, AZ 85041-5516 | 2009-04-24 |
| 1629277066 | Beth-ann Green-stoltzner | Day Training/Habilitation Specialist | 8497 W. Concordia Dr, Rehabilitation Department, Arizona City, AZ 85123-2211 | 2007-07-16 |
| 1639223779 | Sandra Rae Freeman | Day Training/Habilitation Specialist | 3635 W Brown St, Phoenix, AZ 85051-1338 | 2007-01-23 |
| 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.