KATELYN SQUIRE (NPI# 1992114680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992114680 |
| Entity Type | Individual |
| Full Name | KATELYN SQUIRE |
| Credential | PA |
| Practice Address |
965 W Chandler Heights Rd Chandler AZ 85248-5724 |
| Mailing Address |
6285 S Higley Rd Gilbert AZ 85298-4262 |
| Practice Telephone | 4804604949 |
| Practice Fax Number | 4804605858 |
| Mailing Telephone | 4804604949 |
| Mailing Fax Number | 4804605858 |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2020-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 946941 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6285 S Higley Rd, Gilbert, AZ 852984262 | 4804604949 | 4804605858 |
| Street Address |
965 W CHANDLER HEIGHTS RD |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85248-5724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134115371 | Natalie A Teng | Pediatrics | 965 W Chandler Heights Rd, Chandler, AZ 85248-5724 | 2005-09-22 |
| 1649702978 | Jesse Kipp | Pediatrics | 965 W Chandler Heights Rd, Chandler, AZ 85248-5724 | 2017-03-27 |
| 1437417342 | Lora J Van Tassel | Pediatrics | 965 W Chandler Heights Rd, Chandler, AZ 85248 | 2012-04-27 |
| 1164442398 | David Michael Ciminello | Pediatrics | 965 W Chandler Heights Rd, Chandler, AZ 85248-5724 | 2006-07-20 |
| 1922072289 | Cheri Jeanine Nason | Pediatrics | 965 W Chandler Heights Rd, Chandler, AZ 85248-5724 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019669 | Sona Dds PC | Dentist | 10450 E. Riggs Rd. #118, Chandler, AZ 85248 | 2020-10-06 |
| 1629618962 | Danica Lynne Williams | Counselor | 3800 S. Nebraska St., Chandler, AZ 85248 | 2020-01-15 |
| 1346743473 | Kiana Tess Tahiri | Behavioral Analyst | 3952 South Waterfront Drive, Chandler, AZ 85248 | 2018-03-15 |
| 1922508076 | Kaitlyn Christine Jones | Specialist/Technologist | 3700 S Arizona Ave, Chandler, AZ 85248 | 2018-02-15 |
| 1053833038 | Moc Chandler, LLC | Skilled Nursing Facility | 3033 South Arizona Ave., Chandler, AZ 85248 | 2017-07-12 |
| 1881064145 | Sonya Kay Kooima | Nurse Practitioner | 965 W. Chandler Heights Rd., Chandler, AZ 85248 | 2015-09-30 |
| 1215313028 | Taylor Froiland | Pharmacist | 4995 S Alma School Rd Ste 4, Chandler, AZ 85248 | 2015-08-04 |
| 1518380468 | Julie Ybarra | Speech-Language Pathologist | 1500 E.chandler Heights Rd., Chandler, AZ 85248 | 2014-01-29 |
| 1710218326 | Vijay Jain | Dentist | 1445 South Arizona Ave, Suite 1, Chandler, AZ 85248 | 2010-01-21 |
| 1700113156 | Lavon Williams | Registered Nurse | 10440 E. Riggs Road, Suite 207, Chandler, AZ 85248 | 2009-11-05 |
| Find all providers in zip 85248 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184080442 | Wayna Heidi Liu | Physician Assistant | 2950 S Alma School Rd Ste 1, Chandler, AZ 85286-8120 | 2016-01-01 |
| 1003288804 | Marta Rebeccah Liang | Physician Assistant | 1840 W Chandler Blvd Ste D2, Chandler, AZ 85224 | 2015-10-20 |
| 1730558644 | Erica Marie Neal | Physician Assistant | 2181 E Pecos Rd Ste 1, Chandler, AZ 85225-6140 | 2015-09-21 |
| 1427454784 | Nicole Hensey | Physician Assistant | 1940 N. Alma School Rd., Chandler, AZ 85224 | 2014-11-14 |
| 1861815250 | Vanessa R. Olds | Physician Assistant | 1592 E Wildhorse Pl, Chandler, AZ 85286-1187 | 2014-01-21 |
| 1902056708 | Robert H Stowers | Physician Assistant | 600 S Dobson Rd Ste 39, Chandler, AZ 85224-5677 | 2008-09-29 |
| 1508045600 | Tyler S Dennison | Physician Assistant | 595 N Dobson Rd Ste D65, Chandler, AZ 85224-4234 | 2007-10-25 |
| 1588705214 | David S Bone | Physician Assistant | 5000 W Chandler Blvd Bldg Ch-3, Chandler, AZ 85226-3601 | 2007-02-08 |
| 1689678567 | Barbara Galutia Regis | Physician Assistant | 725 S Dobson Rd, Ste 103, Chandler, AZ 85224-5676 | 2005-06-09 |
| 1215543616 | Alex Wamble | Physician Assistant | 70 N Mcclintock Dr, Chandler, AZ 85226-3711 | 2020-09-21 |
| Find all providers in CHANDLER | ||||
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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.