HEATHER ROOSE


Address: 2200 Havasupai Blvd, Lake Havasu City, AZ 86403-3122
Phone: 9285056900

HEATHER ROOSE (NPI# 1952587131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952587131
Entity Type Individual
Full Name HEATHER ROOSE
Practice Address 2200 Havasupai Blvd
Lake Havasu City
AZ 86403-3122
Practice Telephone 9285056900
Mailing Telephone 9285056900
Enumeration Date 2008-01-17
Last Update Date 2008-01-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WS0200X Registered Nurse
Specialization: School
RN145862 AZ Nursing Service Providers

Other Providers HEATHER ROOSE

NPI Name Taxonomy Address Enumeration
1821419862 Heather Marie Roose Physician Assistant 1233 Main St, Holyoke, MA 01040-5381 2013-12-18

Office Location

Street Address 2200 HAVASUPAI BLVD
City LAKE HAVASU CITY
State AZ
Zip Code 86403-3122

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790879864 Lake Havasu Unified School District #1 Local Education Agency (LEA) 2200 Havasupai Blvd, Lake Havasu City, AZ 86403-3122 2006-10-03
1164047783 Enduren Ortiz Napuli Speech-Language Pathologist 2200 Havasupai Blvd, Lake Havasu City, AZ 86403-3122 2020-06-09
1588198345 Carissa Farrington Specialist/Technologist 2200 Havasupai Blvd, Lake Havasu City, AZ 86403-3122 2017-04-18
1013454107 Erin Riggert Specialist/Technologist 2200 Havasupai Blvd, Lake Havasu City, AZ 86403-3122 2017-01-26
1649603556 Jessica Anne Stello Specialist/Technologist 2200 Havasupai Blvd, Lake Havasu City, AZ 86403-3122 2013-08-14
1558617266 Shaina Geisler Occupational Therapist 2200 Havasupai Blvd, Lake Havasu City, AZ 86403-3122 2012-07-31
1184906539 Virginia M. Tate Speech-Language Pathologist 2200 Havasupai Blvd, Lake Havasu City, AZ 86403-3122 2011-09-12
1043591191 Terri Gulembo-plato Speech-Language Pathologist 2200 Havasupai Blvd, Lake Havasu City, AZ 86403-3122 2011-09-02
1013218114 Laurie M Bevans Registered Nurse 2200 Havasupai Blvd, Lake Havasu City, AZ 86403-3122 2010-11-05
1013224773 Tracy Joy Cutrone Speech-Language Pathologist 2200 Havasupai Blvd, Lake Havasu City, AZ 86403-3122 2010-09-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104479039 Liska's Apothecary Shop, Inc. Assisted Living Facility 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403 2019-07-19
1275033227 Ayad Costy Pharmacist 75 North Lake Havasu City, Lake Havasu City, AZ 86403 2018-02-16
1942727250 Ideal Health Care, L.L.C. Prosthetic/Orthotic Supplier 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 2017-08-28
1063965036 Cerner Health Connections, Inc Clinic/Center 89 Civic Center Blvd, Lake Havasu City, AZ 86403 2016-07-26
1447643358 Lundin Dental PC Durable Medical Equipment & Medical Supplies 1741 Mesquite Avenue Ste B 100, Lake Havasu City, AZ 86403 2015-03-17
1912301425 Arizona Havasu Bdm Pak LLC Dentist 1799 North Kiowa Blvd, Unit 109, Lake Havasu, AZ 86403 2014-10-13
1386047850 Emily E Vona Nurse Practitioner 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403 2014-09-29
1750700589 Thomas Wennergren Pharmacist 25 S Lake Havasu Ave, Lake Havasu City, AZ 86403 2014-04-09
1285997460 Jamie L Lemire Pharmacist 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403 2012-06-21
1053694448 Goodwill of Northern Arizona Exclusive Provider Organization 1990 Mcculloch Blvd North, Lake Havasu City, AZ 86403 2011-09-22
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Taxonomy Information

Taxonomy Code 163WS0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740890896 Olivia Yvette Sandoval Registered Nurse 3437 Jamaica Blvd S, Lake Havasu City, AZ 86406-5507 2020-08-04
1760689517 Carol Ann Bodman Registered Nurse 1425 Patrician Dr, Lake Havasu City, AZ 86404-1917 2007-06-27
1962014357 Kelsy Gilmore Registered Nurse 1250 Pawnee Dr, Lake Havasu City, AZ 86406-8764 2020-08-18
1821295189 Bernice Heinrich Registered Nurse 2200 Havasupai Blvd, Lake Havasu City, AZ 86403-3122 2007-06-29
1053484022 Pamela J Hawkins Registered Nurse 2200 Havasupai Blvd, Lake Havasu City, AZ 86403-3798 2006-11-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1992318612 Mary Jane Zdyrski Registered Nurse 4455 S Mission Rd, Tucson, AZ 85746-4014 2020-08-24
1336761303 Daniel James Emborsky Jr. Registered Nurse 3550 Prospector St, Kingman, AZ 86401-1900 2020-05-13
1043857097 Karen M Garcia Registered Nurse 2631 N Brown Avenue, Casa Grande, AZ 85122 2019-12-09
1679110894 Elizabeth Amber Sim Registered Nurse 20873 W Sunrise Ln, Buckeye, AZ 85396-7593 2019-12-06
1306482377 Cecilia Denise Zepeda Registered Nurse 1250 N. 8th Avenue, San Luis, AZ 85349 2019-11-25
1366088635 Jennifer Lynn White Registered Nurse 1193 S 16th Pl, Cottonwood, AZ 86326-6939 2019-11-21
1700421112 Jill Smith Registered Nurse 18601 W. Campbell Avenue, Goodyear, AZ 85395-8539 2019-11-08
1780227413 Gabriela Flores Registered Nurse 44150 W. Maricopa Casa Grande Hwy, Maricopa, AZ 85138 2019-10-25
1033752761 Lizabeth Joy Stephens Registered Nurse 44150 West Maricopa-casa Grand Hwy., Maricopa, AZ 85138 2019-10-25
1154962439 Amber Dawn Gutierrez Registered Nurse 15430 W. Turney Avenue, Goodyear, AZ 85395 2019-10-08
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Competitor

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City LAKE HAVASU CITY
Zip Code 86403

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Dataset Information

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.

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