SUSANNAMMA LIJAN


Address: 2601 E Roosevelt St, Phoenix, AZ 85008-4973
Phone: 6023445345

SUSANNAMMA LIJAN (NPI# 1003424102) 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) 1003424102
Entity Type Individual
Full Name SUSANNAMMA LIJAN
Credential PMHNP
Practice Address 2601 E Roosevelt St
Phoenix
AZ 85008-4973
Practice Telephone 6023445345
Mailing Telephone 6023445345
Enumeration Date 2020-07-15
Last Update Date 2020-10-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
246807 AZ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2601 E ROOSEVELT ST
City PHOENIX
State AZ
Zip Code 85008-4973

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538166152 Paul Zidel I Orthopaedic Surgery 2601 E Roosevelt St, Dept of Surgery, Phoenix, AZ 85008-4973 2005-06-29
1881293165 Christina Wellman Registered Nurse 2601 E Roosevelt St, Phoenix, AZ 85008-4973 2020-10-19
1639786544 Lindsey Tow Nurse Anesthetist, Certified Registered 2601 E Roosevelt St, Phoenix, AZ 85008-4973 2020-09-24
1184241705 Katharine Witham Anesthesiology 2601 E Roosevelt St, Phoenix, AZ 85008-4973 2020-06-30
1417574435 Vishal Ravella Student in an Organized Health Care Education/Training Program 2601 E Roosevelt St, Valleywise Health, Phoenix, AZ 85008 2020-06-26
1841814894 Anthony Howard Arnett Nurse Anesthetist, Certified Registered 2601 E Roosevelt St, Phoenix, AZ 85008-4973 2020-06-05
1053932277 Bhavesh Shukla Student in an Organized Health Care Education/Training Program 2601 E Roosevelt St, Phoenix, AZ 85008-4973 2020-04-28
1659991016 Luis Francisco Meza Student in an Organized Health Care Education/Training Program 2601 E Roosevelt St, Phoenix, AZ 85008-4973 2020-04-25
1396365839 Nicholas Donahue Winter Student in an Organized Health Care Education/Training Program 2601 E Roosevelt St, Phoenix, AZ 85008-4973 2020-04-24
1821618430 Daniel Glade Student in an Organized Health Care Education/Training Program 2601 E Roosevelt St, Phoenix, AZ 85008-4973 2020-04-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821607060 Am Apnea and Tmj LLC Durable Medical Equipment & Medical Supplies 2303 N. 44thst., Suite 14-1008, Phoenix, AZ 85008 2020-07-23
1194341131 Abdulbaril Olandapo Olagunju Student in an Organized Health Care Education/Training Program 2601 E Roosevelt Street, Valleywise Health, Phoenix, AZ 85008 2020-06-24
1376164632 Abdul Rahman Raed Mustafa Halawa Student in an Organized Health Care Education/Training Program 2601 E Roosevelt St Valleywise Health, Phoenix, AZ 85008 2020-04-28
1245869460 Zachary Masuda Student in an Organized Health Care Education/Training Program Valleywise Health Medical Center, 2601 E Roosevelt St, Phoenix, AZ 85008 2020-04-08
1942840145 Cana Behavior LLC Physical Therapist 2412 N 36 Pl, Phoenix, AZ 85008 2020-01-15
1871158188 Fred Gardezy Student in an Organized Health Care Education/Training Program Maricopa Integrated Health System 2601 E. Roosevelt St., Phoenix, AZ 85008 2019-05-02
1225692346 Navkaran Singh Girgla Student in an Organized Health Care Education/Training Program 2601 East Roosevelt St., Phoenix, AZ 85008 2019-04-24
1316412323 Southwest Human Developement Early Intervention Provider Agency 2850 N 24h Street, Phoenix, AZ 85008 2018-10-05
1558885970 Mona Ridhwan Ziems Midwife 1919 N 31st St, Phoenix, AZ 85008 2017-07-27
1093244451 Shana Cynamon Audiologist 1801 N 37th Pl, Phoenix, AZ 85008 2017-06-08
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215536479 Yolanda D Baugh Nurse Practitioner 2625 W Piedmont Rd, Phoenix, AZ 85041-9540 2020-10-20
1306450960 Williamsconsultant Com LLC Nurse Practitioner 2303 N 44th St Ste 12-1043, Phoenix, AZ 85008-2442 2020-09-01
1912515305 Victory Health Solution LLC Nurse Practitioner 9132 W Hubbell St, Phoenix, AZ 85037-4377 2020-07-21
1700494374 Vanessa Moe Nurse Practitioner 42949 N Voyage Trl, Phoenix, AZ 85086-8040 2020-07-20
1043838527 Latasha Lynne Freeman Nurse Practitioner 1919 E Thomas Rd Bldg 5th, Phoenix, AZ 85016-7710 2020-07-10
1861019416 Gayle Cecilia Bachelier Nurse Practitioner 2302 N Central Ave Unit 303, Phoenix, AZ 85004-1373 2020-06-30
1871119156 Ashlyn Tellers Nurse Practitioner 21438 N 33rd Ave, Phoenix, AZ 85027-2241 2020-06-22
1770109605 Hannah Carita Jurekovic-byrd Nurse Practitioner 5727 N 7th St Ste 308, Phoenix, AZ 85014-5817 2020-06-16
1578188025 Joseph Medlin Nurse Practitioner 915 N 52nd St Apt 2010, Phoenix, AZ 85008-7934 2020-06-10
1750901088 Foothills Psychiatric Services Pllc Nurse Practitioner 3546 E Windmere Dr, Phoenix, AZ 85048-7211 2020-04-16
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Competitor

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City PHOENIX
Zip Code 85008

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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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