MRS. CAROLYN BOURGOIS (NPI# 1902022858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902022858 |
| Entity Type | Individual |
| Full Name | MRS. CAROLYN BOURGOIS |
| Credential | RN |
| Practice Address |
300 E Gurley St Washington Traditional School Prescott AZ 86301-3823 |
| Mailing Address |
2015 Rocky Dells Dr Prescott AZ 86303-5685 |
| Practice Telephone | 9287173281 |
| Practice Fax Number | 9287173280 |
| Mailing Telephone | 9284456426 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
RN114301 | AZ | Nursing Service Providers |
| Street Address |
300 E GURLEY ST WASHINGTON TRADITIONAL SCHOOL |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86301-3823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497301469 | Kathleen Elizabeth Burke | Occupational Therapist | 300 E Gurley St, Prescott, AZ 86301-3823 | 2019-08-14 |
| 1225515927 | Nicole Fluth | Occupational Therapist | 300 E Gurley St, Prescott, AZ 86301-3823 | 2018-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102350 | Dove Marie Gundermann | Specialist/Technologist | 300 W. Gurley St, Prescott, AZ 86301 | 2020-07-30 |
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 1538714092 | Prescott Complete Care | Family Medicine | 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 | 2019-08-01 |
| 1336612571 | Sarah Elizabeth Elliott | Registered Nurse | 500 Az 89, Prescott, AZ 86301 | 2019-01-10 |
| 1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
| 1396241394 | Jerome Alexander Longoria | Chiropractor | 142 N. Rush St, Prescott, AZ 86301 | 2018-03-30 |
| 1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
| 1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
| 1164896999 | Spitler - Lilley, LLC | Hearing Instrument Specialist | 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 | 2015-11-17 |
| 1275925265 | Oral and Facial Surgery Center of Prescott | Dentist | 5415 Distiction Way, Prescott, AZ 86301 | 2015-02-27 |
| Find all providers in zip 86301 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124506530 | Joyce Anderson | Registered Nurse | 300 S Granite St, Prescott, AZ 86303-4253 | 2018-07-30 |
| 1295131860 | Kathi Sabot | Registered Nurse | 146 S. Granite Street, Prescott Unified School District, Prescott, AZ 86303 | 2014-11-10 |
| 1215351259 | Stefanie Maneval | Registered Nurse | 900 Iron Springs Rd, Prescott, AZ 86305 | 2014-02-11 |
| 1770830978 | Elizabeth Anne Kryskalla | Registered Nurse | 1800 N Williamson Valley Rd, Prescott, AZ 86305-5297 | 2012-08-07 |
| 1396052957 | Lavinia Lucescu | Registered Nurse | 1749 N Williamson Valley Rd, Prescott, AZ 86305-5219 | 2010-09-02 |
| 1952632648 | Amy E Houghton | Registered Nurse | 1944 Estrella Rd, Prescott, AZ 86305-5222 | 2010-01-20 |
| 1740468230 | Karin Anne Fetter | Registered Nurse | 1749 Williamson Vly Rd, Prescott, AZ 86305-5219 | 2008-02-06 |
| 1972787463 | Marybeth Cleland | Registered Nurse | 1050 Ruth St, Prescott, AZ 86301-1730 | 2007-12-20 |
| 1578780631 | Alison Eleri Stanford | Registered Nurse | 2309 Ewin Dr, Prescott, AZ 86305-4047 | 2007-04-19 |
| 1699372615 | Michele A Kolb | Registered Nurse | 1845 Campbell Ave, Prescott, AZ 86301-1211 | 2020-10-02 |
| Find all providers in PRESCOTT | ||||
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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.