MARCI BASTIEN (NPI# 1811304272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811304272 |
| Entity Type | Individual |
| Full Name | MARCI BASTIEN |
| Credential | NP |
| Practice Address |
1111 S Stapley Dr Mesa AZ 85204-5059 |
| Mailing Address |
3003 N Central Ave Suite 200 Phoenix AZ 85012-2902 |
| Practice Telephone | 6026856000 |
| Practice Fax Number | 4808345703 |
| Mailing Telephone | 6026856000 |
| Mailing Fax Number | 6023027925 |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2017-01-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP5721 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 930341 | 05 |
| Street Address |
1111 S STAPLEY DR |
| City | MESA |
| State | AZ |
| Zip Code | 85204-5059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568433787 | Jennifer Elhabiby | Optometrist | 1111 S Stapley Dr, Mesa, AZ 85204-5015 | 2006-01-27 |
| 1063013506 | Geoffrey B Carr | Counselor | 1111 S Stapley Dr, Mesa, AZ 85204-5059 | 2020-11-02 |
| 1639777220 | Mary E Pals | Counselor | 1111 S Stapley Dr, Mesa, AZ 85204-5059 | 2020-10-15 |
| 1467050195 | Linsey M Mettenbrink | Counselor | 1111 S Stapley Dr, Mesa, AZ 85204-5059 | 2020-10-14 |
| 1578198479 | Adrienne Rabick | Counselor | 1111 S Stapley Dr, Mesa, AZ 85204-5059 | 2020-03-11 |
| 1972135390 | Terros, Inc. | Community/Behavioral Health | 1111 S Stapley Dr, Mesa, AZ 85204-5059 | 2020-02-05 |
| 1366072399 | Jennifer L Spaude | Social Worker | 1111 S Stapley Dr, Mesa, AZ 85204-5059 | 2020-01-17 |
| 1124664362 | Diana M Kirby | Social Worker | 1111 S Stapley Dr, Mesa, AZ 85204-5059 | 2019-11-22 |
| 1376189894 | Amanda M Chavez | Social Worker | 1111 S Stapley Dr, Mesa, AZ 85204-5059 | 2019-11-19 |
| 1720555030 | Terros Inc | Clinic/Center | 1111 S Stapley Dr, Mesa, AZ 85204-5059 | 2018-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194374819 | Luminations Healing Center, LLC | Social Worker | 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 | 2019-09-05 |
| 1881160356 | Wanjiru Landers | Student in an Organized Health Care Education/Training Program | 550 S Linda Circle, Mesa, AZ 85204 | 2018-10-22 |
| 1649754235 | Adam Desnous | Specialist/Technologist | 751 S Daley, Mesa, AZ 85204 | 2018-09-19 |
| 1982128187 | Michael Anthony Jones | Counselor | 1107 North Gilbert Rd, Mesa, AZ 85204 | 2017-07-29 |
| 1295287225 | Scottsdale Healthcare Corp | Family Medicine | 2530 W. Southern Ave, Mesa, AZ 85204 | 2016-10-25 |
| 1427504158 | Richard White | Physician Assistant | 2345 E Southern Ave # 101, Mesa, AZ 85204 | 2016-09-01 |
| 1548716780 | Pain Stop Accident Injury LLC | Chiropractor | 425 E 11th Ave, Mesa, AZ 85204 | 2016-08-28 |
| 1154704252 | Glenn Taylor Lesueur | Dentist | 1056 S. Val Vista Dr., Suite 1, Mesa, AZ 85204 | 2015-07-07 |
| 1073932513 | Naomi Devine | Nurse Practitioner | 1840 South Stapley Drive, Suite 101, Mesa, AZ 85204 | 2014-04-14 |
| 1609292531 | John Kamau | Counselor | 1060 S Lobin Ln, Mesa, AZ 85204 | 2014-03-17 |
| Find all providers in zip 85204 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487149 | Sunitha Jose | Nurse Practitioner | 3308 N Higley Rd, Mesa, AZ 85215-9781 | 2020-08-10 |
| 1447877972 | Reena Pathak | Nurse Practitioner | 1111 S Stapley Dr # 5060, Mesa, AZ 85204-5059 | 2020-07-01 |
| 1760021885 | Matthew Deise | Nurse Practitioner | 460 N Mesa Dr Ste 201, Mesa, AZ 85201-5957 | 2020-01-06 |
| 1639713621 | Summit Place Mental Health, LLC | Nurse Practitioner | 625 W Southern Ave Ste E, Mesa, AZ 85210-5018 | 2019-11-01 |
| 1063062149 | Makenna Francis | Nurse Practitioner | 2730 S. Val Vista Dr, 146, Mesa, AZ 85215 | 2019-09-19 |
| 1891341947 | James M Theiss | Nurse Practitioner | 5439 E Ellis St, Mesa, AZ 85205-5470 | 2019-08-14 |
| 1134527534 | Susan Willever | Nurse Practitioner | 11331 E Starfire Cir, Mesa, AZ 85212-7062 | 2014-12-17 |
| 1326443003 | Jennifer Anderson | Nurse Practitioner | 6262 E Brown Rd Unit 43, Mesa, AZ 85205-4846 | 2014-10-24 |
| 1356616205 | Sukanlaya Hughes | Nurse Practitioner | 2444 E. Southern Ave. Ste. 103, Mesa, AZ 85204 | 2012-03-11 |
| 1942403076 | Shosamana | Nurse Practitioner | 3740 E Southern Ave Ste 207, Mesa, AZ 85206-2512 | 2007-06-06 |
| Find all providers in MESA | ||||
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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.