MISS KIMBERLY IRENE MOISE (NPI# 1750329157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750329157 |
| Entity Type | Individual |
| Full Name | MISS KIMBERLY IRENE MOISE |
| Credential | FNP |
| Practice Address |
255 S Dobson Rd Ste 1 Chandler AZ 85224 |
| Mailing Address |
255 S Dobson Rd Ste 1 Chandler AZ 85224-6231 |
| Practice Telephone | 4807222595 |
| Mailing Telephone | 4807222595 |
| Mailing Fax Number | 4807222599 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2018-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP2364 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 255 S Dobson Rd Ste 1, Chandler, AZ 852246231 | 4807222595 |
| Street Address |
255 S DOBSON RD STE 1 |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467425520 | George Roso | Family Medicine | 255 S Dobson Rd Ste 1, Chandler, AZ 85224-6231 | 2006-02-09 |
| 1194379230 | Christina Haag | Physician Assistant | 255 S Dobson Rd Ste 1, Chandler, AZ 85224-6231 | 2019-07-26 |
| 1730649443 | Samantha Rose Labuda | Physician Assistant | 255 S Dobson Rd Ste 1, Chandler, AZ 85224-6231 | 2019-03-20 |
| 1548631526 | Camilyn Tinoco | Physician Assistant | 255 S Dobson Rd Ste 1, Chandler, AZ 85224 | 2015-10-15 |
| 1265619308 | George Roso, M.d., P.l.l.c | Family Medicine | 255 S Dobson Rd Ste 1, Chandler, AZ 85224-6231 | 2008-01-30 |
| 1902094675 | Christine C. Lagrow | Physician Assistant | 255 S Dobson Rd Ste 1, Chandler, AZ 85224-6231 | 2007-10-09 |
| 1558320333 | Homan Hajbandeh | Family Medicine | 255 S Dobson Rd Ste 1, Chandler, AZ 85224-6231 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878859 | Optum Infusion Services 308, LLC | Durable Medical Equipment & Medical Supplies | 460 S. Benson Lane, Ste. 11-12, Chandler, AZ 85224 | 2019-12-13 |
| 1073172037 | Brennan Allen | Dentist | 610 N Alma School Rd Ste 4, Chandler, AZ 85224 | 2019-06-12 |
| 1518525237 | Rachel Kelly Mador-house | Genetic Counselor, MS | 685 & 695 S Dobson Rd, Chandler, AZ 85224 | 2019-05-29 |
| 1780249748 | Julia Solomon, Md | Obstetrics & Gynecology | 1725 West Frye Road, Suite 120, Chandler, AZ 85224 | 2019-05-06 |
| 1487118717 | Litonrx LLC | Pharmacy | 2080 N. Dobson Road, Suite 3, Chandler, AZ 85224 | 2019-01-31 |
| 1528556495 | Stone Med, LLC | Physical Medicine & Rehabilitation | 77 S Dobson Rd., Phoenix, AZ 85224 | 2018-04-26 |
| 1144739079 | Four Peaks Anesthesia Consultants, LLC | Anesthesiology | 1900 W Chandler Blvd Ste 15-257, Chandler, AZ 85224 | 2017-09-22 |
| 1275061350 | Whitney Carter | Behavioral Analyst | 3200 N Dobson Rd Ste F-1, Chandler, AZ 85224 | 2017-06-01 |
| 1528509171 | Angela M. Navarrete | Specialist/Technologist, Other | 1586 W Maggio Way Apt 2005, 2005, Chandler, AZ 85224 | 2017-03-15 |
| 1063958288 | Glover Family Medical, LLC | Clinic/Center | 901 S Alma School Rd, Apt. 20, Chandler, AZ 85224 | 2017-01-11 |
| Find all providers in zip 85224 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316544844 | Wellness Connection LLC | Nurse Practitioner | 83 N Amber Ct, Chandler, AZ 85225-5726 | 2020-10-07 |
| 1811501968 | Jane Martineau | Nurse Practitioner | 1249 W Straford Dr, Chandler, AZ 85224-1370 | 2020-09-05 |
| 1609489590 | Veronica Acker | Nurse Practitioner | 2815 E Ocotillo Rd Ste 1, Chandler, AZ 85249-6040 | 2020-08-28 |
| 1790395481 | Nyeree Hazelton | Nurse Practitioner | 505 S Chandler Village Dr # 9, Chandler, AZ 85226-5069 | 2020-08-06 |
| 1639788284 | Arizona Biologic Infusion | Nurse Practitioner | 604 W Warner Rd Ste C4, Chandler, AZ 85225-2906 | 2020-07-29 |
| 1467061762 | Jessie Ball | Nurse Practitioner | 730 E Tonto Dr, Chandler, AZ 85249-3056 | 2020-07-23 |
| 1265054688 | William Michalides | Nurse Practitioner | 610 North Aspen Drive, Chandler, AZ 85226-8522 | 2020-05-07 |
| 1053930081 | Mary Jacqueline Ronsayro | Nurse Practitioner | 1100 S Dobson Rd Ste 210, Chandler, AZ 85286-6160 | 2020-04-09 |
| 1568090892 | Krista Karol Chapman | Nurse Practitioner | 501 W Ray Rd Ste 6, Chandler, AZ 85225-7284 | 2020-03-31 |
| 1447888441 | Lori Folden | Nurse Practitioner | 1030 Martin St, Chandler, TX 75758-2052 | 2020-03-27 |
| Find all providers in CHANDLER | ||||
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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.