ELISA STEPHENS (NPI# 1730483082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730483082 |
| Entity Type | Individual |
| Full Name | ELISA STEPHENS |
| Credential | NP |
| Practice Address |
2695 E Industrial Dr Flagstaff AZ 86004-6109 |
| Mailing Address |
2187 N Vickey St Flagstaff AZ 86004-6121 |
| Practice Telephone | 9285271899 |
| Practice Fax Number | 9287146480 |
| Mailing Telephone | 9285271899 |
| Mailing Fax Number | 9287146480 |
| Enumeration Date | 2010-12-30 |
| Last Update Date | 2010-12-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN165748 | AZ | Nursing Service Providers |
| N | 164W00000X | Licensed Practical Nurse | AP3882 | AZ | Nursing Service Providers |
| Street Address |
2695 E INDUSTRIAL DR |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86004-6109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447220207 | Valerie D Guernsey | Psychiatry & Neurology | 2695 E Industrial Dr, Flagstaff, AZ 86004-6109 | 2006-01-25 |
| 1790249464 | Kelly Marie O'donnell | Social Worker | 2695 E Industrial Dr, Flagstaff, AZ 86004-6109 | 2019-01-28 |
| 1760959399 | James Kip W Moyer IIi | Marriage & Family Therapist | 2695 E Industrial Dr, Flagstaff, AZ 86004-6109 | 2018-11-01 |
| 1588193619 | Sirene Rose Lipschutz | Social Worker | 2695 E Industrial Dr, Flagstaff, AZ 86004-6109 | 2017-06-12 |
| 1164892485 | Lyna Munoz-morris | Counselor | 2695 E Industrial Dr, Flagstaff, AZ 86004-6109 | 2015-09-29 |
| 1033551908 | Genoa Healthcare, LLC | Pharmacy | 2695 E Industrial Dr, Flagstaff, AZ 86004-6109 | 2013-07-22 |
| 1659655843 | Lenore A Goetzke | Pharmacist | 2695 E Industrial Dr, Flagstaff, AZ 86004-6109 | 2011-10-05 |
| 1831473024 | Melinda Dowers | Pharmacist | 2695 E Industrial Dr, Flagstaff, AZ 86004-6109 | 2011-10-05 |
| 1457686800 | Tiffany Trunnell | Counselor | 2695 E Industrial Dr, Flagstaff, AZ 86004-6109 | 2009-10-02 |
| 1952536708 | Kimberly Shumway Miner | Social Worker | 2695 E Industrial Dr, Flagstaff, AZ 86004-6109 | 2009-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598387805 | Michael Joseph Oxtoby | Counselor | 2625 N. King St., Flagstaff, AZ 86004 | 2020-05-08 |
| 1083264501 | Dazhoni Elizabeth Scott | Counselor | 1500 E. Cedar Avenue #26, 2110 N. East St Apt C, Flagstaff, AZ 86004 | 2019-09-17 |
| 1760948046 | Emily Bauerle | Social Worker | 3009 N West St, Flagstaff, AZ 86004 | 2019-02-12 |
| 1992295745 | Kaibab Behavioral Services, Pllc | Behavioral Analyst | 2323 E Greenlaw Lane, Suite 12a, Flagstaff, AZ 86004 | 2018-05-17 |
| 1083115364 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 8800 Marys Drive, Flagstaff, AZ 86004 | 2018-02-22 |
| 1710391081 | Janet Coleman | Hearing Instrument Specialist | 1851 E Butler Avenue, Flagstaff, AZ 86004 | 2014-06-16 |
| 1568703163 | Mercy Timoh | Pharmacist | 4255 E. Soliere Ave., Flagstaff, AZ 86004 | 2013-03-06 |
| 1053617217 | Scott Nichols | Veterinarian | 6122 Abineau Canyon Drive, Flagstaff, AZ 86004 | 2011-02-07 |
| 1366745218 | Karoline S. Mariano | Registered Nurse | 3480 East Route 66, Flagstaff, AZ 86004 | 2010-12-15 |
| 1912209719 | Payal Parekh | Pharmacist | 1500 E Cedar, Flagstaff, AZ 86004 | 2010-11-30 |
| Find all providers in zip 86004 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780796268 | Dedra Serafin | Registered Nurse | 2187 N Vickey St, Flagstaff, AZ 86004-6106 | 2006-08-31 |
| 1386757524 | Karen Golowenski | Registered Nurse | 2187 N Vickey St, Flagstaff, AZ 86004-6106 | 2006-08-15 |
| 1548373715 | Deborah Long | Registered Nurse | 2187 N Vickey St, Flagstaff, AZ 86004-6106 | 2006-08-15 |
| 1538272687 | Barbara Walsh | Registered Nurse | 2187 N Vickey St, Flagstaff, AZ 86004-6106 | 2006-08-15 |
| 1578676631 | Judy Weber | Registered Nurse | 2187 N Vickey St, Flagstaff, AZ 86004-6106 | 2006-08-15 |
| 1023021912 | Teresa Block | Registered Nurse | 2187 N Vickey St, Flagstaff, AZ 86004-6106 | 2006-08-14 |
| 1902819873 | Lorraine Bartlett-sung | Registered Nurse | 2187 N Vickey St, Flagstaff, AZ 86004-6106 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053553 | Rachel Rt Wybron | Registered Nurse | 3317 S Higley Rd Ste 114-321, Gilbert, AZ 85297-5474 | 2020-11-04 |
| 1215544911 | Sadaf Carrillo | Registered Nurse | 910 W Calle Arroyo Norte, Green Valley, AZ 85614-3823 | 2020-09-26 |
| 1306458047 | Jeffrey Ralph Twiss | Registered Nurse | 4122 E 6th St, Tucson, AZ 85711-1918 | 2020-08-22 |
| 1053923912 | Julie Kotelman | Registered Nurse | 5170 N Amapola Way, Tucson, AZ 85745-9708 | 2020-08-20 |
| 1750993903 | Weston Tucker Anderson | Registered Nurse | 19060 E Arrowhead Trl, Queen Creek, AZ 85142-6846 | 2020-08-19 |
| 1235741679 | Benjamin Berthold | Registered Nurse | 2514 N Camino Reloj, Green Valley, AZ 85614-4925 | 2020-08-18 |
| 1003424771 | Emetu Onuma | Registered Nurse | 2745 W Jessica Ln, Phoenix, AZ 85041-4442 | 2020-07-20 |
| 1245858893 | Farshad Yahya | Registered Nurse | 7801 N 44th Dr Unit 1012, Glendale, AZ 85301-8106 | 2020-07-10 |
| 1710512462 | Isai Valdez | Registered Nurse | 10342 W Illini St, Tolleson, AZ 85353-4189 | 2020-03-03 |
| 1518506864 | Latanya Darden | Registered Nurse | 3327 W La Salle St, Phoenix, AZ 85041-3491 | 2020-01-04 |
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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.