KATHLEEN DAWN IVERS (NPI# 1891178513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891178513 |
| Entity Type | Individual |
| Full Name | KATHLEEN DAWN IVERS |
| Other Name | KATHLEEN DAWN SCELZO |
| Credential | FNP-C |
| Practice Address |
5501 N 19th Ave Ste 103 Phoenix AZ 85015-2451 |
| Practice Telephone | 6025890500 |
| Practice Fax Number | 6023144552 |
| Mailing Telephone | 6025890500 |
| Mailing Fax Number | 6023144552 |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2020-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP7926 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 086118 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2450 W Happy Valley Rd Ste 1148, Phoenix, AZ 850858510 | 6024912695 |
| Street Address |
5501 N 19TH AVE STE 103 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85015-2451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326116278 | David K Towns | Anesthesiology | 5501 N 19th Ave Ste 103, Phoenix, AZ 85015 | 2006-11-30 |
| 1134691173 | Ryan William Allen-brady | Nurse Practitioner | 5501 N 19th Ave Ste 103, Phoenix, AZ 85015 | 2018-12-31 |
| 1578080578 | Nadine Shivers | Nurse Practitioner | 5501 N 19th Ave Ste 103, Phoenix, AZ 85015-2451 | 2017-08-29 |
| 1104237478 | Masoud Sultani | Anesthesiology | 5501 N 19th Ave Ste 103, Phoenix, AZ 85015-2451 | 2014-05-08 |
| 1679993794 | Susan Hesketh | Nurse Practitioner | 5501 N 19th Ave Ste 103, Phoenix, AZ 85015-2451 | 2014-04-17 |
| 1245502657 | Bonita Faye Jones | Nurse Practitioner | 5501 N 19th Ave Ste 103, Phoenix, AZ 85015 | 2012-01-31 |
| 1063789568 | Mandy Neblett | Nurse Practitioner | 5501 N 19th Ave Ste 103, Phoenix, AZ 85015-2451 | 2011-11-28 |
| 1639303464 | My Doc LLC | Clinic/Center | 5501 N 19th Ave Ste 103, Phoenix, AZ 85015-2451 | 2009-05-07 |
| 1144479718 | Sergio Xavier Santos | Counselor | 5501 N 19th Ave Ste 103, Phoenix, AZ 85015 | 2008-09-18 |
| 1689858524 | Sun Pain Management Pllc | Anesthesiology | 5501 N 19th Ave Ste 103, Phoenix, AZ 85015 | 2007-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610310 | Leticia Karina Maria Lelli | Student in an Organized Health Care Education/Training Program | 4760 N. 20th Ave, Phx, AZ 85015 | 2020-08-18 |
| 1083100564 | Leen Qutachi | Dentist | 1703 W Bethany Home Rd Ste C1, Phoenix, AZ 85015 | 2018-07-08 |
| 1851820146 | Jeff Biever | Spec/Tech, Cardiovascular | 1517 West Lamar Rd, Phoenix, AZ 85015 | 2017-06-08 |
| 1407230964 | Sean Noonan | Optometrist | 1703 W Bethany Home Rd Ste C3, Phoenix, AZ 85015 | 2015-07-15 |
| 1295141620 | Yehia Saleh | Pharmacist | 4040 North 19th Avenue, Cvs Pharmacy, Phoenix, AZ 85015 | 2014-07-07 |
| 1295160380 | Journey To Prosperity | Custodial Care Facility | 1623 W Denton, Phoenix, AZ 85015 | 2013-09-07 |
| 1124372099 | Facing The Future With Hope | Counselor | 5656 N 17th Ave #c7, Phoenix, AZ 85015 | 2012-10-31 |
| 1700133998 | Srujal Vinubhai Patel | Internal Medicine | 6036 N 19th Ave Ste 312, Phoenix, AZ 85015 | 2012-08-07 |
| 1689933947 | Modern Dental Professionals - Arizona PC | Dentist | 2131 E Camelback Road, Ste 102, Phoenix, AZ 85015 | 2012-05-08 |
| 1528360674 | Fatima Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 2025 W Indian School Road, #705, Phoenix, AZ 85015 | 2010-11-23 |
| Find all providers in zip 85015 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407456783 | Brenna Michelle Clements | Nurse Practitioner | 3226 W Donatello Dr, Phoenix, AZ 85086-2200 | 2020-10-27 |
| 1932712825 | Grace Wanjiru Karanja Adams | Nurse Practitioner | 200 E Thomas Rd Unit 217, Phoenix, AZ 85012-1182 | 2020-08-28 |
| 1649895574 | Jozzette Elaine Rubio | Nurse Practitioner | 1924 E Vineyard Rd, Phoenix, AZ 85042-5793 | 2020-06-16 |
| 1396360749 | Ulivvo Inc. | Nurse Practitioner | 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 | 2020-06-11 |
| 1568087955 | Christa Ann Colvin | Nurse Practitioner | 6800 E Mayo Blvd Apt 1211, Phoenix, AZ 85054-5619 | 2020-06-10 |
| 1497378541 | Sharon Uchechi Joshua | Nurse Practitioner | 9117 W Virginia Ave, Phoenix, AZ 85037-4233 | 2020-05-23 |
| 1992326102 | Ashley Elizabeth Hall | Nurse Practitioner | 15810 N 18th St, Phoenix, AZ 85022-3302 | 2020-04-28 |
| 1750916797 | Sebastian Freeman Smith | Nurse Practitioner | 2716 W Cedarwood Ln, Phoenix, AZ 85045-2224 | 2020-03-10 |
| 1295365724 | Jessica Veasy | Nurse Practitioner | 7251 N 23rd Ave, Phoenix, AZ 85021-7714 | 2020-01-23 |
| 1568092526 | Anuradha Lingamneni | Nurse Practitioner | 2313 E Dry Wood Rd, Phoenix, AZ 85024-8688 | 2020-01-18 |
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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.