MS. DIANDRA MARLENE MARTINEZ (NPI# 1003136102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003136102 |
Entity Type | Individual |
Full Name | MS. DIANDRA MARLENE MARTINEZ |
Practice Address |
12033 Agency Road Parker AZ 85344 |
Mailing Address |
12033 Agency Rd Parker AZ 85344-7718 |
Practice Telephone | 9286692137 |
Mailing Telephone | 9286692137 |
Enumeration Date | 2010-06-11 |
Last Update Date | 2010-06-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156F00000X | Technician/Technologist | Eye and Vision Services Providers |
Street Address |
12033 AGENCY ROAD |
City | PARKER |
State | AZ |
Zip Code | 85344 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427172550 | Jesdeen Lynn Nunez | Registered Nurse | 12033 Agency Road, Parker, AZ 86406 | 2007-03-16 |
1033451885 | Jo Ann Cook | Registered Nurse | 12033 Agency Road, Parker Indian Health Center, Parker, AZ 85344 | 2013-03-20 |
1124387402 | Kimberlee Angel | Registered Nurse | 12033 Agency Road, Parker Indian Health Center, Parker, AZ 85344 | 2012-05-08 |
1629306436 | Beverly O'brallaghan | Registered Nurse | 12033 Agency Road, Parker Indian Healthcare Center, Parker, AZ 85344 | 2009-12-07 |
1053542233 | Michael D Feiler | Registered Nurse | 12033 Agency Road, Parker Indian Health Center, Parker, AZ 85344 | 2009-08-05 |
1063640837 | Lori L Deysie | Licensed Practical Nurse | 12033 Agency Road, Parker, AZ 85344-7718 | 2009-06-30 |
1356479067 | Susan Luis-dougherty | Registered Nurse | 12033 Agency Road, Parker, AZ 85344-9703 | 2007-03-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689156366 | Kimberly Lynnette Kirkpatrick | Pharmacist | 12033 W Agency Ave, Parker, AZ 85344 | 2018-08-30 |
1811419534 | Cheryl Brooks | Registered Nurse | 12033 W. Agency Ave, Parker, AZ 85344 | 2017-07-14 |
1356877716 | Damian Jenkins | Specialist/Technologist, Other | 1200 S Mohave Ave, Parker, AZ 85344 | 2017-05-04 |
1821434184 | Rio Vista Surgical Associates P.C. | Surgery | 1200 Mohave Dr, Parker, AZ 85344 | 2013-05-14 |
1881039600 | Juan G Lopez | Counselor | 13376 1st Ave, Parker, AZ 85344 | 2013-05-07 |
1942581699 | Rocky Mountain Holdings LLC | Ambulance | 913 S Ocotillo Ave, Parker, AZ 85344 | 2011-09-07 |
1467732271 | Adam Caton | Podiatrist | 1713 S Kofa Ave Ste K, Parker, AZ 85344 | 2011-08-24 |
1902137516 | Shana Lee Tackett | Student in an Organized Health Care Education/Training Program | 12330 Agency Rd, Parker Indian Health Center, Parker, AZ 85344 | 2010-01-21 |
1649501339 | Alice Rodriguez | Student in an Organized Health Care Education/Training Program | 12330 Agency Rd., Parker, AZ 85344 | 2010-01-20 |
1821328931 | Armando Sosa Jr. | Student in an Organized Health Care Education/Training Program | 12330 Agency Road, Parker, AZ 85344 | 2010-01-12 |
Find all providers in zip 85344 |
Taxonomy Code | 156F00000X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
A broad category grouping different kinds of technologists and technicians. See individual definitions. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356968440 | Jennifer Wallace | Technician/Technologist | 2041 E 3rd Dr, Mesa, AZ 85204-1401 | 2020-07-06 |
1306402771 | Evan Klees | Technician/Technologist | 1237 E Dust Devil Dr, San Tan Valley, AZ 85143-4287 | 2019-05-11 |
1750854071 | E3 Network, Inc. | Technician/Technologist | 14780 W Mountain View Blvd Bldg Suite110, Surprise, AZ 85374-4799 | 2019-01-09 |
1083130199 | Rose Campbell | Technician/Technologist | 649 North Orlando, Mesa, AZ 85205 | 2017-08-21 |
1275706939 | Haneelia Jean Max | Technician/Technologist | 322 Hwy 160, Suite #13, Tuba City, AZ 86045-2489 | 2008-04-02 |
1275155848 | Richard Hernandez | Technician/Technologist | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 | 2020-05-17 |
1598237315 | Diego Abraham Chavez | Technician/Technologist | 1 S Church Ave Ste 1200, Tucson, AZ 85701-1601 | 2018-12-18 |
1962828632 | Laura P Reyes | Technician/Technologist | 1750 E Glendale Ave, Phoenix, AZ 85020-5505 | 2014-03-05 |
1336430719 | Patrina Ashiking | Technician/Technologist | 167 N Main Street, Tuba City, AZ 86045 | 2011-04-20 |
1043501422 | Janie Peaches | Technician/Technologist | 167 North Main Street, Optometry Dept, Tuba City, AZ 86045-0600 | 2011-04-20 |
Find all providers with the same taxonomy |
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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.