DENISE RENEE STAKER (NPI# 1851631725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851631725 |
| Entity Type | Individual |
| Full Name | DENISE RENEE STAKER |
| Practice Address |
2010 Hunt Ranch Rd Taylor AZ 85939 |
| Mailing Address |
Po Box 561 Taylor AZ 85939-0561 |
| Practice Telephone | 9282432030 |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2013-02-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
12354 | AZ | Nursing Service Related Providers |
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | FOSTER CARE LICENSE | 12354 | 01 |
| Street Address |
2010 HUNT RANCH RD |
| City | TAYLOR |
| State | AZ |
| Zip Code | 85939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821564949 | Joseph Kyle Allen | Pharmacist | 3768 Papermill Rd, 1614, Taylor, AZ 85939 | 2018-10-16 |
| 1487145835 | Byrd Family Medical Center, LLC | Clinic/Center | 14 E Tumbleweed Ln, Taylor, AZ 85939 | 2018-05-22 |
| 1467817007 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 715 N Main Street, Taylor, AZ 85939 | 2015-12-28 |
| 1114320405 | Cooper Johnson Np LLC | Nurse Practitioner | 815 N Main Street, Taylor, AZ 85939 | 2014-10-01 |
| 1194963942 | April Dawn Olmos | Occupational Therapy Assistant | 17 South 400 Easty, Taylor, AZ 85939 | 2009-02-02 |
| 1881619617 | Rhett Flake | Pharmacist | 660 N Main St, Taylor, AZ 85939 | 2006-07-13 |
| 1992702658 | Carl Skouson Freestone | Chiropractor | 34 Casa Linda Drive, Ste D, Taylor, AZ 85939 | 2005-07-07 |
| 1639538937 | Wal-mart Stores, Inc. | Technician/Technologist | 715 N Main Street, Taylor, AZ 85939 | 2016-02-15 |
| 1023055399 | Town of Taylor | Ambulance | 425 Papermill Rd, Taylor, AZ 85939-0158 | 2006-06-02 |
| 1659455566 | German Dobson Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 718 N. Main St, P.o. Box 1179, Taylor, AZ 85939-0919 | 2006-10-25 |
| Find all providers in zip 85939 | ||||
| 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] |
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| 1255942702 | A2z Caregivers, LLC | Technician | 4365 E Pecos Rd Ste 119, Gilbert, AZ 85295-8052 | 2020-08-10 |
| 1528608601 | Kathy Armstrong | Technician | 120 W Dobbins Rd Apt 109120w, Phoenix, AZ 85041-8536 | 2020-01-07 |
| 1548723372 | Sonia Monique Aguilar | Technician | 3140 Kearsage Dr # F230, Lake Havasu City, AZ 86406-9086 | 2019-04-09 |
| 1447710652 | Sierrabehavioralhealth.llc | Technician | 18427 N 33rd Ave, Phoenix, AZ 85053-1050 | 2019-03-22 |
| 1891277406 | Elsa Delcid | Technician | 14192 N Calico Dr, Dolan Springs, AZ 86441-9543 | 2018-08-30 |
| 1972089639 | Maria Moreno-branch | Technician | 16202 W Williams St, Goodyear, AZ 85338-3491 | 2018-07-16 |
| 1619465887 | Jacqueline Kate Jamison | Technician | 3148 E 2nd St Unit 2, Tucson, AZ 85716-4240 | 2018-04-24 |
| 1285121624 | Tamara Twellman | Technician | 562 N Chippewa Dr, Chandler, AZ 85224-4328 | 2018-04-20 |
| 1427555689 | Andrew Lopez | Technician | 6730 N 17th Ave Apt 201, Phoenix, AZ 85015-1394 | 2018-04-12 |
| Find all providers with the same taxonomy | ||||
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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.