ELIZABETH AXTELL LONGBOTHUM (NPI# 1760698278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760698278 |
| Entity Type | Individual |
| Full Name | ELIZABETH AXTELL LONGBOTHUM |
| Credential | ANP |
| Practice Address |
1460 W Valencia Rd Tucson AZ 85746-6001 |
| Mailing Address |
1669 W Ina Rd Ste 101 Tucson AZ 85704-1976 |
| Practice Telephone | 5205730966 |
| Practice Fax Number | 5205733930 |
| Mailing Telephone | 5205730966 |
| Mailing Fax Number | 5207847226 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2014-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0600X |
Registered Nurse Specialization: Gerontology |
TAP2661 | AZ | Nursing Service Providers |
| Street Address |
1460 W VALENCIA RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85746-6001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922086206 | John Martin Wadleigh | Family Medicine | 1460 W Valencia Rd, Tucson, AZ 85746-6001 | 2006-01-05 |
| 1356985774 | Ana Maria Burger | Nurse Practitioner | 1460 W Valencia Rd, Tucson, AZ 85746-6001 | 2019-10-29 |
| 1750827077 | Kaitlyn Leigh Spradling | Nurse Practitioner | 1460 W Valencia Rd, Tucson, AZ 85746-6001 | 2017-01-10 |
| 1619353026 | Jamie Crede | Nurse Practitioner | 1460 W Valencia Rd, Tucson, AZ 85746-6001 | 2015-08-07 |
| 1386076958 | Kevin T Ralls | Nurse Practitioner | 1460 W Valencia Rd, Tucson, AZ 85746-6001 | 2013-08-05 |
| 1770899619 | Lena Alexandra Harris | Nurse Practitioner | 1460 W Valencia Rd, Tucson, AZ 85746-6001 | 2010-08-30 |
| 1689704090 | Gordon J Cuzner | Family Medicine | 1460 W Valencia Rd, Tucson, AZ 85746-6001 | 2007-03-06 |
| 1588736938 | Devonna Anne Johnson | Nurse Practitioner | 1460 W Valencia Rd, Tucson, AZ 85746-6001 | 2006-11-14 |
| 1679583306 | Arizona Medical Services, PC | Family Medicine | 1460 W Valencia Rd, Tucson, AZ 85746-6001 | 2006-08-08 |
| 1124088927 | David Raschi Schoenbaum | Family Medicine | 1460 W Valencia Rd, Tucson, AZ 85746-6001 | 2006-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497303465 | Sighle U Singh | Registered Nurse | San Xavier Clinic, 7900 S. J. Stock Rd, Tucson, AZ 85746 | 2019-09-03 |
| 1669026167 | Midvale Park Dental Partners LLC | Dentist | 1979 W Valencia Rd, Tucson, AZ 85746 | 2019-08-01 |
| 1073167854 | Michael Whiting | Dentist | 1979 West Valencia Road, Tucson, AZ 85746 | 2019-07-30 |
| 1609328350 | Tucson Orthopaedic Institute Professional Corporation | Physical Therapist | 10350 E. Drexel Rd. #130, Tucson, AZ 85746 | 2016-10-28 |
| 1790139624 | Jason Wilhoit | Counselor | 2345 N Castro Ave, Tucson, AZ 85746 | 2016-04-18 |
| 1851764344 | Yvonne M Escobar | Registered Nurse | 4400 W. Irvington Rd, Tucson, AZ 85746 | 2015-11-05 |
| 1841543626 | Dora Palacios | Contractor | 3042 W. Capistrano Rd., Tucson, AZ 85746 | 2012-10-18 |
| 1972854347 | Alfonzo Lopez II | Social Worker | 5436 South Camino De La Tiera, Tucson, AZ 85746 | 2012-09-26 |
| 1497030449 | Bhavin Patel | Pharmacist | 1550 W Valencia, Tucson, AZ 85746 | 2011-10-20 |
| 1427333012 | Brita A. Reams | Registered Nurse | 4700 S. Settler Avenue, Tucson, AZ 85746 | 2011-10-15 |
| Find all providers in zip 85746 | ||||
| Taxonomy Code | 163WG0600X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568485951 | Colleen Anne Gumm | Registered Nurse | 3902 E Grant Rd, Tucson, AZ 85712-2558 | 2006-07-26 |
| 1164498895 | Annie S Mccarter-bayer | Registered Nurse | 2155 W Orange Grove Rd, Tucson, AZ 85741-3118 | 2006-02-23 |
| 1447277165 | Karen Marie Sharrah | Registered Nurse | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2006-07-17 |
| 1669406476 | Mary A Welch | Registered Nurse | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255854246 | Spencer Claussen | Registered Nurse | 1090 Commerce Dr, Prescott, AZ 86305-3700 | 2017-07-21 |
| 1912432691 | Eric Michael Noll | Registered Nurse | 340 E Palm Ln Ste A175, Phoenix, AZ 85004-4603 | 2017-05-01 |
| 1093250870 | Jenna Leigh Volstromer | Registered Nurse | 13460 N 94th Dr Ste J1, Peoria, AZ 85381-4246 | 2017-01-03 |
| 1184647570 | Kathryn A Scherger | Registered Nurse | 16117 N 76th St, Scottsdale, AZ 85260-1793 | 2006-07-26 |
| 1992782007 | Nurudeen Dintie Mahama | Registered Nurse | 2400 S Avenue A, 24onphysicians, P.C. Hospitalist Group, Yuma, AZ 85364-7127 | 2005-12-29 |
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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.