AUDU THOMAS SERIKI (NPI# 1750996617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750996617 |
| Entity Type | Individual |
| Full Name | AUDU THOMAS SERIKI |
| Practice Address |
2539 W Spencer Run Phoenix AZ 85041-2927 |
| Mailing Address |
3554 W Hidden Mountain Ln Phoenix AZ 85086-2783 |
| Practice Telephone | 6029756765 |
| Mailing Telephone | 6023869196 |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-09-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
RN152606 | AZ | Nursing Service Providers |
| Street Address |
2539 W SPENCER RUN |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85041-2927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558915843 | Our Home of Unity LLC | Counselor | 6804 S 21st Dr, Phoenix, AZ 85041 | 2019-07-25 |
| 1447816590 | Mbong Jerry Ngwese | Physical Therapist | 2546 West Bloch Rd, Phoenix, AZ 85041 | 2019-05-14 |
| 1588228373 | Arizona Dental Management | Dentist | 3515 West Southern Avenue, Suite #152, Phoenix, AZ 85041 | 2019-04-26 |
| 1447780135 | Mesa Dental Arizona LLC | Dentist | 3320 W Southern Ave #111, Phoenix, AZ 85041 | 2017-06-14 |
| 1932564697 | Job Elliott | Counselor | 4105 W Saint Charles Ave, Phoenix, AZ 85041 | 2015-12-23 |
| 1376914739 | Black Family and Child Services Inc | Community/Behavioral Health | 6811 West 33rd Ave, Phoenix, AZ 85041 | 2015-10-12 |
| 1972900983 | Love Living Life | Assisted Living Facility | 5737 S. 34th Ave, Phoenix, AZ 85041 | 2014-11-20 |
| 1891114641 | Maricopa County Special Health Care District | General Acute Care Hospital | 5650 S 35th Ave, Phoenix, AZ 85041 | 2014-04-09 |
| 1265616213 | Southern Dental | Dentist | 3320 W. Southern Avenue, Suite # 108, Phoenix, AZ 85041 | 2007-12-27 |
| 1518140086 | Arizona Cvs Stores,l.l.c. | Durable Medical Equipment & Medical Supplies | 7550 South 19th Ave, Phoenix, AZ 85041 | 2007-12-07 |
| Find all providers in zip 85041 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750635207 | Della Behavioral Health Services, LLC | Registered Nurse | 13932 Blenheim Rd N, Phoenix, MD 21131-1832 | 2012-11-06 |
| 1477790947 | Mary Ann Fogarty | Registered Nurse | 702 W Dunlap Ave, Phoenix, AZ 85021-3529 | 2009-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588177075 | Kathleen Hornick | Registered Nurse | 3309 W Athenee Ct, Tucson, AZ 85746-1076 | 2017-11-07 |
| 1265852818 | Paulette Carol Compton | Registered Nurse | 10755 N 118th Way, Scottsdale, AZ 85259-4113 | 2014-04-22 |
| 1487076311 | Vicki Hervert | Registered Nurse | 5351 N Blue Bonnet Rd, Tucson, AZ 85745-9494 | 2014-01-12 |
| 1396852737 | Susan Dale Markovich | Registered Nurse | 1601 W. St . Mary's Rd., Tucson, AZ 85745-2623 | 2006-08-23 |
| 1386669885 | Darren J Hammergren | Registered Nurse | 5700 E. Pima St., #1, Tucson, AZ 85712 | 2006-07-13 |
| 1457963852 | Alexandria Penner | Registered Nurse | 1305 N Martin Ave, Tucson, AZ 85721-0001 | 2020-08-18 |
| 1245798909 | Amanda Elizabeth Martinez | Registered Nurse | 6950 E Golf Links Rd, Tucson, AZ 85730-1017 | 2019-03-12 |
| 1225579808 | Dennis George Demers | Registered Nurse | 4755 Campus Dr, Sierra Vista, AZ 85635-2449 | 2017-03-15 |
| 1568905073 | Stuart Haiken | Registered Nurse | 39580 S Lago Del Oro Pkwy, Tucson, AZ 85739-1091 | 2016-12-01 |
| 1144602988 | Kathy Brock | Registered Nurse | 1821 N Trekell Rd, Suite 7, Casa Grande, AZ 85122-1705 | 2015-06-28 |
| 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.