LISA D'ALESSANDRO-BETANCOURT (NPI# 1730251034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730251034 |
| Entity Type | Individual |
| Full Name | LISA D'ALESSANDRO-BETANCOURT |
| Credential | N.P. |
| Practice Address |
11361 N 99th Ave Ste 200 Peoria AZ 85345-5470 |
| Mailing Address |
3450 N 3rd St Phoenix AZ 85012-2331 |
| Practice Telephone | 6026361212 |
| Mailing Telephone | 6022658338 |
| Mailing Fax Number | 6022658574 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP3012 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN086946 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 897960 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1255 W Baseline Rd, Mesa, AZ 852025820 | 4808205422 | 4807754938 |
| Street Address |
11361 N 99TH AVE STE 200 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85345-5470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992266712 | Caroline Waceke Miya | Registered Nurse | 11361 N 99th Ave Ste 200, Peoria, AZ 85345-5470 | 2019-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215575824 | Maricopa County Special Health Care District | Pharmacy | 8088 W Whitney Dr, Peoria, AZ 85345 | 2019-12-13 |
| 1528604923 | Maricopa County Special Health Care District | Clinic/Center | 8088 West Whitney Dr., Peoria, AZ 85345 | 2019-11-20 |
| 1578057378 | Marigold Home Care LLC | In Home Supportive Care | 8917 N 90th Ave, Peoria, AZ 85345 | 2018-06-15 |
| 1518341551 | Recovery Innovations, Inc | Respite Care | 11361 N 99th Avenue, Suite 107, Peoria, AZ 85345 | 2015-07-18 |
| 1952655110 | Pmc Pain Management Center Pllc | Clinic/Center | 8914 N.91 Ave, Peoria, AZ 85345 | 2012-11-08 |
| 1831462993 | Mary Kate Burdick | Veterinarian | 9960 N 91st Ave, Peoria, AZ 85345 | 2012-02-20 |
| 1144545120 | Lawrence William Wolfe | Pharmacist | 9043 W. Olive Ave., Fry's Food and Drug, Peoria, AZ 85345 | 2010-04-01 |
| 1306169917 | Katherine Thompson Hinkle | Pharmacist | 7455 West Cactus, Frys Food and Drug, Peoria, AZ 85345 | 2010-03-10 |
| 1033307715 | American Current Care of Arizona Pa | Clinic/Center | 7400 West Olive Avenue, Suite 1, Peoria, AZ 85345 | 2007-10-09 |
| 1184746802 | Assisted Living Concepts Inc | Assisted Living Facility | 10401 North 79th Avenue, Peoria, AZ 85345 | 2007-04-04 |
| Find all providers in zip 85345 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821632126 | Mental Health Azforvets LLC | Nurse Practitioner | 20469 N 95th Dr, Peoria, AZ 85382-5133 | 2019-10-30 |
| 1881258416 | Tammy E. Hostetler | Nurse Practitioner | 14100 N 83rd Ave Ste 100, Peoria, AZ 85381-4621 | 2019-04-29 |
| 1811483480 | Kimberly Ann Cochran | Nurse Practitioner | 8194 W Deer Valley Rd Ste 106-516, Peoria, AZ 85382 | 2018-07-07 |
| 1992233977 | Jennifer Christine Alexander | Nurse Practitioner | 4215 N Prospect Rd, Peoria, IL 61616-7754 | 2017-06-02 |
| 1801322755 | Juan Gabriel Gomez | Nurse Practitioner | 8203 W Oraibi Dr, Apartment 1142, Peoria, AZ 85382-4680 | 2017-05-11 |
| 1538498738 | Ronnie Abush Brown-woodhull | Nurse Practitioner | Partners In Recovery - West Valley Clinic, 14100 W 83rd Avenue Ste 100, Peoria, AZ 85381 | 2009-12-17 |
| 1336307495 | Courtney Ann Keller | Nurse Practitioner | 9165 W Thunderbird Rd Suite 201, Peoria, AZ 85381-4847 | 2008-05-27 |
| 1932713435 | Lori Sue Trilikis | Nurse Practitioner | 7317 N Willow Lake Ct, Peoria, IL 61614-8227 | 2020-09-02 |
| 1821614520 | Shawna Steffes | Nurse Practitioner | 11361 N 99th Ave, Peoria, AZ 85345-5470 | 2020-06-18 |
| 1205458429 | Mosunmoluwa Sokoya | Nurse Practitioner | 9165 W Thunderbird Rd Ste 201, Peoria, AZ 85381-4847 | 2020-05-11 |
| Find all providers in PEORIA | ||||
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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.