MR. NATHAN JON STACKHOUSE (NPI# 1942497656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942497656 |
Entity Type | Individual |
Full Name | MR. NATHAN JON STACKHOUSE |
Practice Address |
2380 3rd St Bullhead City AZ 86429-5502 |
Mailing Address |
1004 Hancock Rd Bullhead City AZ 86442-5946 |
Practice Telephone | 5672248821 |
Mailing Telephone | 5672248821 |
Enumeration Date | 2007-09-26 |
Last Update Date | 2007-09-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YS0200X |
Counselor Specialization: School |
3941434 | AZ | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487097838 | Nathan Joseph Stackhouse | Family Medicine | 1740 W Taylor St, Chicago, IL 60612-7232 | 2013-04-15 |
Street Address |
2380 3RD ST |
City | BULLHEAD CITY |
State | AZ |
Zip Code | 86429-5502 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356802912 | Talas Harbor At Bullhead City | Psychiatric Unit | 831 Landon Drive, Bullhead City, AZ 86429 | 2019-03-27 |
1386159440 | Marie Bridget Moran | Nurse Practitioner | 251 Moser Ave Unit 207, Bullhead City, AZ 86429 | 2017-12-11 |
1144625955 | Scott Simpson | Pharmacist | 600 Higway 95, Bullhead City, AZ 86429 | 2014-10-23 |
1073929162 | Soy Ramsumeer | Registered Nurse | 2007 Pegasus Ranch Rd, Bullhead City, AZ 86429 | 2014-07-09 |
1740544741 | Marian Bautista Cid | Nurse Practitioner | 3003 Highway 95, Suite 39, Bullhead City, AZ 86429 | 2012-06-25 |
1992901672 | Ob-gyn Women's Center, PC | Point of Service | 3003 Highway 95, Suite 39, Bullhead City, AZ 86429 | 2007-06-21 |
1093899379 | Jose Hiram Alvarez | Specialist | 3003 Highway 95, Suite 39, Bullhead City, AZ 86429 | 2006-10-24 |
1275572992 | Jim D. Bates | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1378 Pioneer Trl, Bullhead City, AZ 86429-1112 | 2006-06-06 |
1972694131 | Sam's Club Optical | Technician/Technologist | 600 Highway 95 Ste 200, Bullhead City, AZ 86429-5005 | 2006-09-27 |
1316004799 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 600 Highway 95 Ste 200, Bullhead City, AZ 86429-5005 | 2007-01-03 |
Find all providers in zip 86429 |
Taxonomy Code | 101YS0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | School |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518155498 | Jim F Feren | Counselor | 1062 Hancock Rd, Bullhead City, AZ 86442-5947 | 2007-10-04 |
1619164571 | Christopher Douglas Mills | Counselor | 2550 Tesota Way, Bullhead City, AZ 86442-5875 | 2007-09-25 |
1821377821 | Meredith Fisher | Counselor | 1062 Hancock Rd, Bullhead City, AZ 86442-5947 | 2011-08-08 |
1134451339 | Vasantha Munoz | Counselor | 1004 Hancock Rd, Bullhead City, AZ 86442-5946 | 2010-02-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215595707 | Danielle Payne | Counselor | 4145 E Montecito St, Tucson, AZ 85711-4734 | 2019-05-30 |
1780135533 | Eva Tomashefski | Counselor | 11011 N 92nd St, #1121, Scottsdale, AZ 85260-6137 | 2016-10-17 |
1275905754 | A & G Child Care Center LLC | Counselor | 537 E Racine Pl, Casa Grande, AZ 85122-1611 | 2015-10-23 |
1235547654 | Brian Prince | Counselor | 837 W Colter St, Apt. 51, Phoenix, AZ 85013-2269 | 2014-07-29 |
1750703682 | Amber Pedersen | Counselor | 1312 E Hale St, Mesa, AZ 85203-3818 | 2014-01-12 |
1023399227 | Sarah Joy Steele | Counselor | 7275 W Vineyard Rd, Laveen, AZ 85339-9805 | 2011-08-31 |
1255639902 | Sylvia Nockideneh-tee | Counselor | East Fir Street, Tuba City Junior High, Tuba City, AZ 86045 | 2011-03-04 |
1851600597 | Denisse Leon-uribe | Counselor | 3689 W Pageant Pl, Yuma, AZ 85364-3262 | 2010-09-29 |
1457689259 | Perla Nora Gonzalez | Counselor | 5832 W Ivanhoe St, Chandler, AZ 85226-1846 | 2009-12-07 |
1649508441 | Jennifer Palomares | Counselor | 8706 W Morten Ave, Glendale, AZ 85305-3945 | 2009-12-07 |
Find all providers with the same taxonomy |
City | BULLHEAD CITY |
Zip Code | 86429 |
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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.