KAREN LYNN MODRZEJEWSKI


Address: 630 N Alvernon Way, Tucson, AZ 85711
Phone: 5203274505

KAREN LYNN MODRZEJEWSKI (NPI# 1831491059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831491059
Entity Type Individual
Full Name KAREN LYNN MODRZEJEWSKI
Credential PMHNP-BC
Practice Address 630 N Alvernon Way
Tucson
AZ 85711
Mailing Address 973 E Josephine Saddle Pl
Green Valley
AZ 85614-6300
Practice Telephone 5203274505
Mailing Telephone 5203428395
Enumeration Date 2010-11-19
Last Update Date 2018-08-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 114985 AZ Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
10946 AZ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 630 N ALVERNON WAY
City TUCSON
State AZ
Zip Code 85711

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730189655 James M Gillard Emergency Medicine 630 N Alvernon Way, Suite 250, Tucson, AZ 85711-1843 2005-07-21
1720568223 Mary Elizabeth Hunter Counselor 630 N Alvernon Way, Tucson, AZ 85711-1843 2018-08-15
1770070732 Andrew Ryan Dorsett Registered Nurse 630 N Alvernon Way, Tucson, AZ 85711-1843 2018-04-16
1417463316 Wade Arden Vero Gage Social Worker 630 N Alvernon Way, Tucson, AZ 85711-1843 2017-12-14
1598201295 Jessica Ganz Nurse Practitioner 630 N Alvernon Way, Suite 250, Tucson, AZ 85711-1843 2017-01-18
1396105797 Smsj Tucson Holdings, LLC Radiology 630 N Alvernon Way, Suite 150, Tucson, AZ 85711-1843 2016-02-26
1336556596 Ronald A. Kline, Md., PC Surgery 630 N Alvernon Way, Suite 180, Tucson, AZ 85711-1843 2014-07-18
1174862007 Codac Health, Recovery & Wellness, Inc. Clinic/Center 630 N Alvernon Way, Ste 161, Tucson, AZ 85711-1843 2013-02-13
1639416084 Genoa Healthcare, LLC Pharmacy 630 N Alvernon Way, 1st Fl, Suite 161, Tucson, AZ 85711-1843 2013-01-04
1023308962 El Rio Santa Cruz Neighborhood Health Center, Inc Clinic/Center 630 N Alvernon Way, Tucson, AZ 85711-1843 2011-04-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356959951 Ridgeline Practice Counselor 4625 N Broadway, Suite 105, Tucson, AZ 85711 2020-07-20
1881229946 Famiglia Amore II LLC Assisted Living Facility 632 N. Wilmot, Tucson, AZ 85711 2020-03-10
1992343362 Laurie Anne Mcmahon Family Medicine 899 N. Wilmot, Building B, Tucson, AZ 85711 2019-12-17
1063060093 Sharese Ann Bailey Counselor 300 S Craycroft Rd, Tucson, AZ 85711 2019-09-03
1467940015 Jin Zhang Ophthalmology 655 N Alvernon Way Ste 204, Tucson, AZ 85711 2018-04-30
1447779525 Catherine Butler Hobart Pharmacist 535 North Wilmont Road, Suite 101, Tucson, AZ 85711 2017-09-11
1689196420 Cope Community Services, Inc. Case Management 924 N Alvernon Way, Tucson, AZ 85711 2017-07-13
1124561477 Regina Maendler Behavioral Analyst 630 N. Craycroft Rd, Tucson, AZ 85711 2016-11-18
1881140184 Elleda Linsmeyer Speech-Language Pathologist St. Joesph's Hosptial, 350 N. Wilmont Rd., Tucson, AZ 85711 2016-08-28
1962856260 Csl-tucson, LLC Assisted Living Facility 1020 N. Woodland Avenue, Tucson, AZ 85711 2016-04-22
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164031563 Yun Bunch Nurse Practitioner 3220 W Ina Rd Apt 3102, Tucson, AZ 85741-2163 2020-07-31
1013525534 James Tutu Fiske I Nurse Practitioner 5700 E. Pima Street Suite C., Tucson, AZ 85712 2020-07-21
1497370258 Summit Behavioral Health Pllc Nurse Practitioner 8230 E Broadway Blvd Ste E7, Tucson, AZ 85710-4002 2020-06-08
1811523210 Phillip Allen Stensrud Nurse Practitioner 1416 E Linden St, Tucson, AZ 85719-3634 2020-03-17
1952948911 Esteem Behavioral Healthcare LLC Nurse Practitioner 6650 N Oracle Rd Ste 110, Tucson, AZ 85704-5604 2019-12-09
1679115489 Eric James Mccracken Nurse Practitioner 1230 South Cherrybell Stravanue, Tucson, AZ 85713 2019-10-14
1326583014 Tucson Treatment Center, Inc Nurse Practitioner 10573 E Oakbrook St, Tucson, AZ 85747-5966 2017-01-04
1801266556 Jennifer Budd Nurse Practitioner 2435 N. Castro Avenue, Tucson, AZ 85730 2015-10-06
1215303946 Joy Kwakuyi Nurse Practitioner 4400 E Broadway Blvd Ste 411, Tucson, AZ 85711-3554 2015-08-17
1659776557 Mahmoud Moghaddami Nurse Practitioner 1075 E Ft Lowell, Tucson, AZ 85749 2014-11-04
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Competitor

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City TUCSON
Zip Code 85711

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Dataset Information

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.

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