CAROL PICHARDO (NPI# 1740810274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740810274 |
Entity Type | Individual |
Full Name | CAROL PICHARDO |
Practice Address |
2395 Smoketree Ave N Lake Havasu City AZ 86403-5876 |
Mailing Address |
2200 Havasupai Blvd Lake Havasu City AZ 86403-3122 |
Practice Telephone | 9285056020 |
Mailing Telephone | 9285056900 |
Enumeration Date | 2020-01-23 |
Last Update Date | 2020-01-23 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
11173 | AZ | Speech, Language and Hearing Service Providers |
Street Address |
2395 SMOKETREE AVE N |
City | LAKE HAVASU CITY |
State | AZ |
Zip Code | 86403-5876 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104225192 | Lindsey Werbiskis | Specialist/Technologist | 2395 Smoketree Ave N, Lake Havasu City, AZ 86403-5876 | 2014-08-15 |
1639783897 | Rebecca Howe | Speech-Language Pathologist | 2395 Smoketree Ave N, Lake Havasu City, AZ 86403-5876 | 2020-09-04 |
1396378600 | Shannon Ward | Licensed Practical Nurse | 2395 Smoketree Ave N, Lake Havasu City, AZ 86403-5876 | 2020-02-14 |
1306292974 | Shannon Michele Plane | Registered Nurse | 2395 Smoketree Ave N, Lake Havasu City, AZ 86403-5876 | 2016-05-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104479039 | Liska's Apothecary Shop, Inc. | Assisted Living Facility | 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403 | 2019-07-19 |
1275033227 | Ayad Costy | Pharmacist | 75 North Lake Havasu City, Lake Havasu City, AZ 86403 | 2018-02-16 |
1942727250 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 | 2017-08-28 |
1063965036 | Cerner Health Connections, Inc | Clinic/Center | 89 Civic Center Blvd, Lake Havasu City, AZ 86403 | 2016-07-26 |
1447643358 | Lundin Dental PC | Durable Medical Equipment & Medical Supplies | 1741 Mesquite Avenue Ste B 100, Lake Havasu City, AZ 86403 | 2015-03-17 |
1912301425 | Arizona Havasu Bdm Pak LLC | Dentist | 1799 North Kiowa Blvd, Unit 109, Lake Havasu, AZ 86403 | 2014-10-13 |
1386047850 | Emily E Vona | Nurse Practitioner | 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403 | 2014-09-29 |
1750700589 | Thomas Wennergren | Pharmacist | 25 S Lake Havasu Ave, Lake Havasu City, AZ 86403 | 2014-04-09 |
1285997460 | Jamie L Lemire | Pharmacist | 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403 | 2012-06-21 |
1053694448 | Goodwill of Northern Arizona | Exclusive Provider Organization | 1990 Mcculloch Blvd North, Lake Havasu City, AZ 86403 | 2011-09-22 |
Find all providers in zip 86403 |
Taxonomy Code | 2355S0801X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Specialist/Technologist |
Specialization | Speech-Language Assistant |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740771674 | Stefanie Jeane Alliss | Specialist/Technologist | 3180 Arapaho Dr Apt 101, Lake Havasu City, AZ 86406-5778 | 2018-05-26 |
1255865648 | Cassidy Flenner | Specialist/Technologist | 3887 Bluegrass Dr, Lake Havasu City, AZ 86406-4362 | 2017-04-12 |
1104225192 | Lindsey Werbiskis | Specialist/Technologist | 2395 Smoketree Ave N, Lake Havasu City, AZ 86403-5876 | 2014-08-15 |
1376884700 | Allison Joy Fuoco | Specialist/Technologist | 1795 Bimini Ln, Lake Havasu City, AZ 86403-4785 | 2013-03-11 |
1275853871 | Karen Ann Olsavsky | Specialist/Technologist | 1515 Lake Havasu Ave N Ste 100, Lake Havasu City, AZ 86404-1177 | 2010-06-04 |
1205168564 | Susan Falzon | Specialist/Technologist | 1230 Crater Cir, Lake Havasu City, AZ 86404-1441 | 2010-02-10 |
1588282586 | Teoni Kosters | Specialist/Technologist | 1515 Lake Havasu Ave N Ste 100, Lake Havasu City, AZ 86404-1177 | 2020-07-07 |
1376187641 | Lauren Irene Cooper | Specialist/Technologist | 1515 Lake Havasu Ave N Ste 100, Lake Havasu City, AZ 86404-1177 | 2019-10-30 |
1629507272 | Stephanie Rose Centera | Specialist/Technologist | 1515 N. Lake Havasu Ave., Ste #100, Lake Havasu City, AZ 86404 | 2017-06-07 |
1588198345 | Carissa Farrington | Specialist/Technologist | 2200 Havasupai Blvd, Lake Havasu City, AZ 86403-3122 | 2017-04-18 |
Find all providers in LAKE HAVASU CITY |
City | LAKE HAVASU CITY |
Zip Code | 86403 |
Please comment or provide details below to improve the information on CAROL PICHARDO.
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.