EAST VALLEY MENTAL WELLNESS PLLC (NPI# 1891043311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891043311 |
| Entity Type | Organization |
| Organization Name | EAST VALLEY MENTAL WELLNESS PLLC |
| Practice Address |
1166 E Warner Rd Suite 101 Gilbert AZ 85296-3064 |
| Practice Telephone | 4805700497 |
| Practice Fax Number | 4804520145 |
| Mailing Telephone | 4805700497 |
| Mailing Fax Number | 4804520145 |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2013-11-15 |
| Authorized Official Name | ANN MARIE CASEY (MEMBER) |
| Authorized Official Telephone | 4805700497 |
| Authorized Official Credential | PMHNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP4476 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 726497 | 05 |
| Street Address |
1166 E WARNER RD SUITE 101 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85296-3064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770750697 | Alan David Nesbit | Social Worker | 1166 E Warner Rd, Suite 101-l, Gilbert, AZ 85296-3064 | 2008-05-09 |
| 1750925103 | Karin Quinn | Counselor | 1166 E Warner Rd, Gilbert, AZ 85296-3064 | 2019-10-29 |
| 1669013116 | Sarah Anderson | Social Worker | 1166 E Warner Rd, Gilbert, AZ 85296-3064 | 2019-10-07 |
| 1417457623 | Jeffrey Ray Fulkerson | Counselor | 1166 E Warner Rd, Suite 203, Gilbert, AZ 85296 | 2018-02-14 |
| 1174979603 | The Act of Healing LLC | Social Worker | 1166 E Warner Rd, Suite 101t, Gilbert, AZ 85296-3064 | 2016-05-13 |
| 1952764128 | Spencer Williamson | Specialist/Technologist | 1166 E Warner Rd, Suite 101, Gilbert, AZ 85296-3064 | 2016-04-04 |
| 1417313842 | Backsmith Chiropractic Pa | Chiropractor | 1166 E Warner Rd, 219, Gilbert, AZ 85296-3064 | 2016-01-14 |
| 1912327628 | Sean E Mccoy Sr. | Massage Therapist | 1166 E Warner Rd, Suite 101, Gilbert, AZ 85296-3064 | 2014-04-21 |
| 1457771164 | Veronica Farrow | Massage Therapist | 1166 E Warner Rd, Suite 101, Gilbert, AZ 85296-3064 | 2014-04-21 |
| 1821357732 | Ann Marie Casey | Nurse Practitioner | 1166 E Warner Rd, Suite 101, Gilbert, AZ 85296-3064 | 2012-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124625793 | Gilbert Crossroads Kids' Dentists and Orthodontics, LLP | Dentist | 835 S. Gilbert Rd, Suite 104, Gilbert, AZ 85296 | 2020-10-06 |
| 1306455969 | Calm Care Living | Community/Behavioral Health | 1525 S Higley Rd, #104-6769, Gilbert, AZ 85296 | 2020-07-29 |
| 1366080970 | Hannah Golladay | Behavior Technician | 1166 S Gilbert Road, Suite 106, Mesa, AZ 85296 | 2019-12-13 |
| 1194284729 | Kege Health, LLC | Nurse Practitioner | 1206 E Warner Rd Ste 101f, Gilbert, AZ 85296 | 2019-03-13 |
| 1841757762 | Windhorse Counseling | Counselor | 1166 E Warner Road, Suite 203, Gilbert, AZ 85296 | 2019-02-27 |
| 1417424284 | Ashton N Wright | Behavior Technician | 1166 E Gilbert Rd, #106, Gilbert, AZ 85296 | 2018-10-30 |
| 1346717246 | Robison Orthodontics LLC | Dentist | 1355 S Higley Rd # 105, Gilbert, AZ 85296 | 2018-10-29 |
| 1518441831 | Kara Lyn Holyoak | Physician Assistant | 1359 S. Porter St., Gilbert, AZ 85296 | 2018-09-21 |
| 1225519119 | Jennifer Anne Goodman | Specialist/Technologist | 70 S Val Vista Dr A3, Gilbert, AZ 85296 | 2018-08-28 |
| 1437642329 | Greta Shumway | Counselor | 690 E. Warner Road, #115, Gilbert, AZ 85296 | 2018-06-14 |
| Find all providers in zip 85296 | ||||
| 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 |
|---|---|---|---|---|
| 1871191593 | Lisa E Legg | Nurse Practitioner | 1480 E Pecos Rd Apt 3107, Gilbert, AZ 85295-1851 | 2020-10-14 |
| 1215549274 | Maria Graciela Cornejo | Nurse Practitioner | 3421 S Loback Ln, Gilbert, AZ 85297-7913 | 2020-08-20 |
| 1407475999 | Amanda Lowry | Nurse Practitioner | 3634 E Leslie Dr, Gilbert, AZ 85296-2862 | 2020-04-14 |
| 1780243295 | June Elizabeth Rolph | Nurse Practitioner | 1400 N Gilbert Rd Ste G-2, Gilbert, AZ 85234-2321 | 2019-06-08 |
| 1194284729 | Kege Health, LLC | Nurse Practitioner | 1206 E Warner Rd Ste 101f, Gilbert, AZ 85296 | 2019-03-13 |
| 1194946012 | Joan Ili | Nurse Practitioner | 1240 E Century Ave, Gilbert, AZ 85296-1304 | 2007-05-01 |
| 1619993458 | Elizabeth A. Mcmorran | Nurse Practitioner | 690 E Warner Rd Ste 127, Gilbert, AZ 85296-3057 | 2006-07-14 |
| 1689271645 | Melinda Marra | Nurse Practitioner | 2730 S Val Vista Dr Ste 146, Gilbert, AZ 85295-1679 | 2020-10-02 |
| 1376160978 | Landis Brook Stokum | Nurse Practitioner | 2730 S Val Vista Dr Ste 146, Gilbert, AZ 85295-1679 | 2020-06-30 |
| 1073142386 | Amber Valerie Leonhardt | Nurse Practitioner | 3271 E Queen Creek Rd Ste 101, Gilbert, AZ 85297-8511 | 2020-04-07 |
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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.