CAROL ANN BODMAN (NPI# 1760689517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760689517 |
| Entity Type | Individual |
| Full Name | CAROL ANN BODMAN |
| Credential | RN |
| Practice Address |
1425 Patrician Dr Lake Havasu City AZ 86404-1917 |
| Mailing Address |
2200 Havasupai Blvd Lake Havasu City AZ 86403-3122 |
| Practice Telephone | 9285056911 |
| Practice Fax Number | 9285056991 |
| Mailing Telephone | 9285056911 |
| Mailing Fax Number | 9285056991 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
RN086484 | AZ | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 566119 | 05 |
| Street Address |
1425 PATRICIAN DR |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86404-1917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770091241 | Scott Schultz | Physician Assistant | 1055 N 500 W Ste 121, Building C, Provo, UT 86404 | 2018-01-17 |
| 1093181968 | Chelsea Bailey | Occupational Therapist | 1515 N. Lake Havasu Avenue, Suite #100, Lake Havasu City, AZ 86404 | 2015-08-14 |
| 1952681520 | Jason John George | Physical Therapist | 1515 N. Lake Havasu Ave, #100, Lake Havasu City, AZ 86404 | 2011-08-26 |
| 1396079323 | Desert Hills Fire District | Personal Emergency Response Attendant | 3983 London Bridge Rd, Lake Havasu City, AZ 86404 | 2009-09-23 |
| 1548446990 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 5651 Hwy 95 North, Lake Havasu, AZ 86404 | 2008-01-16 |
| 1386701431 | Colleen Lynn Mcshea | Speech-Language Pathologist | 1515 N. Lake Havasu Ave., Suite 100, Lake Havasu City, AZ 86404 | 2007-01-01 |
| 1053978593 | Andrew David Skorheim | Pharmacist | Walmart Pharmacy, 5695 Highway 95 N, Lake Havasu City, AZ 86404 | 2019-05-21 |
| 1629507272 | Stephanie Rose Centera | Specialist/Technologist | 1515 N. Lake Havasu Ave., Ste #100, Lake Havasu City, AZ 86404 | 2017-06-07 |
| 1104267491 | Nicole B. Buth | Speech-Language Pathologist | 1515 N. Lake Havasu Ave, Ste #100, Lake Havasu City, AZ 86404 | 2013-07-15 |
| 1518361195 | Steven Elzinga | Occupational Therapist | 1515 Lake Havasu Ave N, Suite #100, Lake Havasu City, AZ 86404-1177 | 2014-10-10 |
| Find all providers in zip 86404 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740890896 | Olivia Yvette Sandoval | Registered Nurse | 3437 Jamaica Blvd S, Lake Havasu City, AZ 86406-5507 | 2020-08-04 |
| 1962014357 | Kelsy Gilmore | Registered Nurse | 1250 Pawnee Dr, Lake Havasu City, AZ 86406-8764 | 2020-08-18 |
| 1952587131 | Heather Roose | Registered Nurse | 2200 Havasupai Blvd, Lake Havasu City, AZ 86403-3122 | 2008-01-17 |
| 1821295189 | Bernice Heinrich | Registered Nurse | 2200 Havasupai Blvd, Lake Havasu City, AZ 86403-3122 | 2007-06-29 |
| 1053484022 | Pamela J Hawkins | Registered Nurse | 2200 Havasupai Blvd, Lake Havasu City, AZ 86403-3798 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992318612 | Mary Jane Zdyrski | Registered Nurse | 4455 S Mission Rd, Tucson, AZ 85746-4014 | 2020-08-24 |
| 1336761303 | Daniel James Emborsky Jr. | Registered Nurse | 3550 Prospector St, Kingman, AZ 86401-1900 | 2020-05-13 |
| 1043857097 | Karen M Garcia | Registered Nurse | 2631 N Brown Avenue, Casa Grande, AZ 85122 | 2019-12-09 |
| 1679110894 | Elizabeth Amber Sim | Registered Nurse | 20873 W Sunrise Ln, Buckeye, AZ 85396-7593 | 2019-12-06 |
| 1306482377 | Cecilia Denise Zepeda | Registered Nurse | 1250 N. 8th Avenue, San Luis, AZ 85349 | 2019-11-25 |
| 1366088635 | Jennifer Lynn White | Registered Nurse | 1193 S 16th Pl, Cottonwood, AZ 86326-6939 | 2019-11-21 |
| 1700421112 | Jill Smith | Registered Nurse | 18601 W. Campbell Avenue, Goodyear, AZ 85395-8539 | 2019-11-08 |
| 1780227413 | Gabriela Flores | Registered Nurse | 44150 W. Maricopa Casa Grande Hwy, Maricopa, AZ 85138 | 2019-10-25 |
| 1033752761 | Lizabeth Joy Stephens | Registered Nurse | 44150 West Maricopa-casa Grand Hwy., Maricopa, AZ 85138 | 2019-10-25 |
| 1154962439 | Amber Dawn Gutierrez | Registered Nurse | 15430 W. Turney Avenue, Goodyear, AZ 85395 | 2019-10-08 |
| Find all providers with the same taxonomy | ||||
| City | LAKE HAVASU CITY |
| Zip Code | 86404 |
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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.