REVA MAE MCKENZIE (NPI# 1801955067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801955067 |
Entity Type | Individual |
Full Name | REVA MAE MCKENZIE |
Practice Address |
4615 No 82nd Lane Phoenix AZ 85033 |
Practice Telephone | 6238461873 |
Practice Fax Number | 6238461910 |
Mailing Telephone | 6238461873 |
Mailing Fax Number | 6238461910 |
Enumeration Date | 2006-12-06 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
5333 | AZ | Nursing Service Related Providers |
Street Address |
4615 NO 82ND LANE |
City | PHOENIX |
State | AZ |
Zip Code | 85033 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376162073 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 4136 North 75th Ave, Suite 116, Room P, Phoenix, AZ 85033 | 2020-04-13 |
1942849146 | Risas O.s. Dental Partners Az LLC | Dentist | 7442 W. Thomas Rd., Phoenix, AZ 85033 | 2020-01-06 |
1326458555 | Norman Loya | Private Vehicle | 7620 W Wolf St, Phoenix, AZ 85033 | 2014-04-28 |
1598188641 | Arlena Lawrence | Health Educator | 6602 W. Osborn Rd., Phoenix, AZ 85033 | 2014-01-27 |
1083921076 | Beth Marie Elia | Psychologist | 6601 W. Thomas Rd., Phoenix, AZ 85033 | 2010-09-12 |
1720317647 | Nguyen Quoc Tang | Pharmacist | 8325 W Indian Schood Rd, Phoenix, AZ 85033 | 2009-12-24 |
1760635775 | Sarah Bess Stauffer | Occupational Therapist | 3401 N. 67th Ave, Phoenix, AZ 85033 | 2008-11-04 |
1578748968 | Pain and Rehab Consultants LLC | Pain Medicine | 7400 W Indian School Rd, 114, Phoenix, AZ 85033 | 2008-01-03 |
1902023930 | Smile Dental Group | Dentist | 6524 W Indian School Road, Suite A, Phoenix, AZ 85033 | 2007-04-19 |
1215008727 | Smile Dental Group | Dentist | 6524 W Indian School Rd #1287, Phoenix, AZ 85033 | 2006-11-13 |
Find all providers in zip 85033 |
Taxonomy Code | 3747P1801X |
Grouping | Nursing Service Related Providers |
Classification | Technician |
Specialization | Personal Care Attendant |
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
Notes: [7/1/2003: definition added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528608601 | Kathy Armstrong | Technician | 120 W Dobbins Rd Apt 109120w, Phoenix, AZ 85041-8536 | 2020-01-07 |
1447710652 | Sierrabehavioralhealth.llc | Technician | 18427 N 33rd Ave, Phoenix, AZ 85053-1050 | 2019-03-22 |
1427555689 | Andrew Lopez | Technician | 6730 N 17th Ave Apt 201, Phoenix, AZ 85015-1394 | 2018-04-12 |
1417493115 | Mary Cook | Technician | 2721 E Corona Ave, Phoenix, AZ 85040-2733 | 2017-01-18 |
1205380003 | Deanna La Shun Owens | Technician | 1933 W Burgess Ln, Phoenix, AZ 85041-5440 | 2016-08-09 |
1649655036 | Simone Kjolsrud | Technician | 1326 E Palm Ln, Phoenix, AZ 85006-2201 | 2015-07-27 |
1487056636 | Pamela Renee Govan | Technician | 11624 N 39th Ave, Phoenix, AZ 85029-3119 | 2014-09-18 |
1487920476 | Carma C Umpleby | Technician | 2642 E Willetta St, Phoenix, AZ 85008-4613 | 2012-03-24 |
1093080186 | Thomas Burris | Technician | 6842 S 40th Pl, Phoenix, AZ 85042-5105 | 2012-03-21 |
1538434626 | Tomasa Melendez | Technician | 1320 W Tamarisk St, Phoenix, AZ 85041-2350 | 2012-03-21 |
Find all providers in PHOENIX |
Please comment or provide details below to improve the information on REVA MAE MCKENZIE.
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.