MARILYN A KOLLER (NPI# 1972552578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972552578 |
| Entity Type | Individual |
| Full Name | MARILYN A KOLLER |
| Credential | APRN, BCADM, CDE |
| Practice Address |
9165 W Thunderbird Rd Suite 100 Peoria AZ 85381-4847 |
| Practice Telephone | 6235835150 |
| Practice Fax Number | 6235236594 |
| Mailing Telephone | 6235835150 |
| Mailing Fax Number | 6235236594 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2011-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | RN097071 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9165 W THUNDERBIRD RD SUITE 100 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85381-4847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508858754 | Kenneth B Caton | Physician Assistant | 9165 W Thunderbird Rd, Ste 100, Peoria, AZ 85381 | 2005-08-15 |
| 1750929949 | Banner Physician Specialists Arizona LLC | Clinic/Center | 9165 W Thunderbird Rd, Peoria, AZ 85381-4847 | 2019-12-18 |
| 1417503509 | Felicia Hendricks | Dietitian, Registered | 9165 W Thunderbird Rd, Peoria, AZ 85381-4847 | 2019-08-14 |
| 1841774478 | Valerie Taraborelli | Physician Assistant | 9165 W Thunderbird Rd, Peoria, AZ 85381-4847 | 2018-09-19 |
| 1245658707 | Rafael Antonio Buerba Siller | Orthopaedic Surgery | 9165 W Thunderbird Rd, Peoria, AZ 85381-4847 | 2014-04-02 |
| 1659795235 | Samantha Ann Karr | Pharmacist | 9165 W Thunderbird Rd, Suite 100, Peoria, AZ 85381-4847 | 2014-02-18 |
| 1588933139 | Banner Physician Specialists Arizona LLC | Durable Medical Equipment & Medical Supplies | 9165 W Thunderbird Rd, Peoria, AZ 85381-4847 | 2011-12-27 |
| 1013170232 | Tanay J Amin | Orthopaedic Surgery | 9165 W Thunderbird Rd, Suite 200, Peoria, AZ 85381-4847 | 2008-07-08 |
| 1720128051 | Chad R. Westphal | Podiatrist | 9165 W Thunderbird Rd, Ste 200, Peoria, AZ 85381-4847 | 2007-02-07 |
| 1265443782 | Rekha Kumari Agarwal | Internal Medicine | 9165 W Thunderbird Rd, Ste 200, Peoria, AZ 85381-4847 | 2006-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712122 | Vicki L Grenier | Registered Nurse | 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 | 2020-08-26 |
| 1568934107 | Earthwalk Wellness Group, LLC | Social Worker | 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 | 2018-12-20 |
| 1316412059 | John & Biljana Feeley Dba J & B Assisted Living IIi Inc | Community Based Residential Treatment Facility, Mental Illness | 7331 W Sweetwater Avenue, Peoria, AZ 85381 | 2018-10-09 |
| 1467958611 | Arizona Community Pharmacy | Pharmacy | 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 | 2018-04-04 |
| 1083112106 | Marissa Lynn Desjardins | Physical Therapist | 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 | 2018-01-23 |
| 1235651399 | Power Back Batteries LLC | Durable Medical Equipment & Medical Supplies | 9054 West Lisbon Ave, Peoria, AZ 85381 | 2017-07-11 |
| 1457897027 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 7524 W. Alexandria Way, Peoria, AZ 85381 | 2017-01-06 |
| 1386023448 | Scott Boone | Registered Nurse | 7715 W Watson Ln, Peoria, AZ 85381 | 2015-05-22 |
| 1881084838 | Pinnacle Women's Center LLC | Obstetrics & Gynecology | 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 | 2015-01-29 |
| 1245637081 | Kathi Locke | Counselor | 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 | 2014-11-21 |
| Find all providers in zip 85381 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861860058 | Jennifer Michelle Kelsey | Clinical Nurse Specialist | 420 Ne Glen Oak Avenue, Suite 401, Peoria, IL 61603 | 2015-09-04 |
| 1144564188 | Melanie Ann Reeves | Clinical Nurse Specialist | 530 Ne Glen Oak Ave Po Box G13, Peoria, IL 61637-0001 | 2012-11-15 |
| 1720694094 | Katelynn M Madden | Clinical Nurse Specialist | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2020-09-21 |
| 1730713546 | Kim M Scott | Clinical Nurse Specialist | 8940 N Wood Sage Rd, Peoria, IL 61615-7822 | 2020-03-02 |
| 1063936573 | Cheryl Herrmann | Clinical Nurse Specialist | 112 Ne Crescent Ave, Peoria, IL 61606-1901 | 2017-07-27 |
| 1477903797 | Lindsey Swischuk | Clinical Nurse Specialist | 114 W Stratford Dr, Peoria, IL 61614-7301 | 2016-06-17 |
| 1407259559 | Carissa Gorham | Clinical Nurse Specialist | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2014-10-03 |
| 1184026940 | Emily Mckenna | Clinical Nurse Specialist | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2014-09-23 |
| 1295141471 | Kara Lynn Marino | Clinical Nurse Specialist | 900 Main St Ste 100, Peoria, IL 61602-5003 | 2014-07-08 |
| 1841638855 | Sharon Marie Damron | Clinical Nurse Specialist | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2013-06-12 |
| Find all providers in PEORIA | ||||
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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.