TUBA CITY REGIONAL HEALTH CARE CORPORATION (NPI# 1922547223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922547223 |
| Entity Type | Organization |
| Organization Name | TUBA CITY REGIONAL HEALTH CARE CORPORATION |
| Other Organization Name | HEALTHY LIVING CENTER/DIABETES TREATMENT & PREVENTION SERVICES |
| Practice Address |
167 North Main Street Tuba City AZ 86045 |
| Mailing Address |
Po Box 600 Tuba City AZ 86045-0600 |
| Practice Telephone | 9282832094 |
| Practice Fax Number | 9282832677 |
| Mailing Telephone | 9282832094 |
| Mailing Fax Number | 9282832677 |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2017-02-20 |
| Authorized Official Name | LYNETTE BONAR (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9282832501 |
| Is Organization Subpart | Y |
| Parent Organization Name | TUBA CITY REGIONAL HEALTH CARE CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 200013 | AZ | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 721250 | 05 |
| Other Name | Type Code |
|---|---|
| Healthy Living Center/Diabetes Treatment & Prevention Services | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710519913 | Tuba City Regional Health Care Corporation | Family Medicine | Hwy 89 North Milepost 498 East, Bodaway Gap, AZ 86020 | 2020-02-06 |
| 1972042059 | Tuba City Regional Health Care Corporation | General Acute Care Hospital | 1911 Pacific Dr, Lincoln, NE 68506-2311 | 2017-02-22 |
| 1376773341 | Tuba City Regional Health Care Corporation | Internal Medicine | 6300 N Highway 89, Flagstaff, AZ 86004 | 2009-07-23 |
| 1134382211 | Tuba City Regional Health Care Corporation | Dentist | Highway 89 North At The 466 Mile Marker, 1/8 Mile N of Cameron Chapter House, Cameron, AZ 86020 | 2008-07-08 |
| 1396921870 | Tuba City Regional Health Care Corporation | Internal Medicine | 10 Miles Ne of Sr264 Mp362, Rocky Ridge School Street, Kykotsmovi, AZ 86039 | 2008-01-15 |
| 1235410309 | Tuba City Regional Health Care Corporation | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 6300 N Highway 89, Flagstaff, AZ 86004 | 2011-09-02 |
| 1851547897 | Tuba City Regional Health Care Corporation | Home Health | 167 North Main Street, Tuba City, AZ 86045-0600 | 2008-08-11 |
| 1427213479 | Tuba City Regional Health Care Corporation | Medicare Defined Swing Bed Unit | 167 North Main Street, Tuba City, AZ 86045-0600 | 2008-07-18 |
| 1013171073 | Tuba City Regional Health Care Corporation | General Acute Care Hospital | 167 North Main Street, Tuba City, AZ 86045-0600 | 2008-07-17 |
| 1275704314 | Tuba City Regional Health Care Corporation | Clinic/Center | 167 North Main Street, Tuba City, AZ 86045-0600 | 2008-03-17 |
| Street Address |
167 NORTH MAIN STREET |
| City | TUBA CITY |
| State | AZ |
| Zip Code | 86045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912906645 | Thomas Joseph Peters | Orthopaedic Surgery | 167 North Main Street, Tuba City, AZ 86045-0600 | 2005-07-15 |
| 1134696412 | Young Chou | Pharmacist | 167 North Main Street, Tuba City, AZ 86045 | 2018-10-25 |
| 1447736186 | Kenneth Hale | Dentist | 167 North Main Street, Tuba City, AZ 86045 | 2018-07-16 |
| 1659868024 | Bradley Hilken | Radiologic Technologist | 167 North Main Street, Tuba City, AZ 86045-0600 | 2018-04-20 |
| 1811484314 | Elizabeth Sullivan | Radiologic Technologist | 167 North Main Street, Tuba City, AZ 86045-0600 | 2018-04-19 |
| 1093217945 | Scott Cerreta | Respiratory Therapist, Registered | 167 North Main Street, Po Box 600, Tuba City, AZ 86045-0600 | 2018-03-07 |
| 1821502287 | Rachel Dye | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2017-11-21 |
| 1467965319 | Amber Vaughn | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2017-11-14 |
| 1639682701 | Roselita Sloan | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2017-11-13 |
| 1306359518 | Debra Marshall | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2017-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434206 | Ambrielle Grace Begay | Specialist/Technologist | 48 Turquoise Drive, Tuba City, AZ 86045 | 2020-10-12 |
| 1063028124 | Fresenius Medical Care Tuba City, LLC | Clinic/Center | 50 S. Main Street, Ste 108, Tuba City, AZ 86045 | 2020-09-23 |
| 1609422484 | Rebekah Lee | Pharmacist | 167 North Main St. Tuba City Regional Health Care Corp., Tuba City, AZ 86045 | 2019-08-16 |
| 1861977050 | Kyle C Nguyen | Pharmacist | 3008 E. Birch Ave, Tuba City, AZ 86045 | 2018-10-03 |
| 1518419845 | John Glenn Ives | Pharmacist | 167 N, Main St, Tuba City, AZ 86045 | 2016-11-03 |
| 1497208433 | Toweringrock Non-emergency Medical Transport, LLC | Non-emergency Medical Transport (VAN) | 1029 E. Tc North Side Trailer, 36.153821-111.233925, Tuba City, AZ 86045 | 2016-07-26 |
| 1699153270 | Hopi Assisted Living Facility Inc. | Point of Service | 21 Senior Lane Upper Hud Housing Moenkopi, Hopi Assisted Living, Tuba City, AZ 86045 | 2015-05-14 |
| 1306223870 | Mia Seimy | Driver | Adair Avenue Space #5, Tuba City, AZ 86045 | 2015-05-04 |
| 1033507587 | Tari Carroll | Home Health Aide | Tumbleweed Drive Nha E-3, Tuba City, AZ 86045 | 2015-01-07 |
| 1023452984 | Amanda Bancroft Burrage | Pediatrics | 167 Main St., Tuba City, AZ 86045 | 2013-04-23 |
| Find all providers in zip 86045 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053970715 | Emi Yamashita | Dietitian, Registered | 167 N Main St, Tuba City, AZ 86045 | 2019-06-06 |
| 1548665227 | Theodora Rudd | Dietitian, Registered | 167 North Main Street, Tuba City, AZ 86045 | 2014-10-24 |
| 1285045138 | Marilyn Diane Smith | Dietitian, Registered | 167 North Main Street, Tuba City, AZ 86045-0600 | 2014-05-14 |
| 1730450529 | Shannon Monique Lee | Dietitian, Registered | 167 North Main Street, Tuba City, AZ 86045-0600 | 2012-01-25 |
| 1720110885 | Jane Dougherty-lake | Dietitian, Registered | 167 North Main Street, Tuba City, AZ 86045 | 2007-03-12 |
| 1457371353 | Ronald J Dovzak | Dietitian, Registered | 167 North Main Street, Tuba City, AZ 86045-0600 | 2006-07-20 |
| 1366462269 | Deirdra G Scarborough | Dietitian, Registered | 167 North Main Street, Tuba City, AZ 86045-0600 | 2006-07-20 |
| 1154362309 | Abdul-aziz I Baco | Dietitian, Registered | 167 North Main Street, Tuba City, AZ 86045-0600 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395497 | Emily Verebelyi | Dietitian, Registered | 7525 E Placita De La Poesia, Tucson, AZ 85750-7200 | 2020-11-01 |
| 1790385938 | Kylee Makenna Forden | Dietitian, Registered | 3800 E Lincoln Dr Unit 38, Phoenix, AZ 85018-1020 | 2020-10-27 |
| 1346849023 | Emmie Mae Olivas | Dietitian, Registered | 1126 N Melody Cir, Chandler, AZ 85225-1695 | 2020-10-22 |
| 1699373985 | Ke Luo | Dietitian, Registered | 8771 N Ash Grove Ct, Tucson, AZ 85742-1411 | 2020-10-09 |
| 1740897859 | Gabrielle Dunlavey | Dietitian, Registered | 7950 E Starlight Way Unit 144, Scottsdale, AZ 85250-6133 | 2020-09-24 |
| 1558977538 | Michelle Hathaway | Dietitian, Registered | 10752 N 89th Pl Ste 114b, Scottsdale, AZ 85260-6730 | 2020-09-16 |
| 1770194615 | Lauren Ashley Duda | Dietitian, Registered | 5917 E Kings Ave, Scottsdale, AZ 85254-1318 | 2020-08-13 |
| 1407467343 | Emily Claire Pelham | Dietitian, Registered | 16601 N 12th St Apt 2051, Phoenix, AZ 85022-7720 | 2020-08-13 |
| 1225648827 | Kelly Michelle Clarken | Dietitian, Registered | 3220 W Ina Rd Apt 4202, Tucson, AZ 85741-2164 | 2020-08-07 |
| 1528678232 | Jodi Roark Charvoz | Dietitian, Registered | 5202 E 4th St, Tucson, AZ 85711-2302 | 2020-08-06 |
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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.