BRITTANY MARIE DIVITO (NPI# 1023546249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023546249 |
| Entity Type | Individual |
| Full Name | BRITTANY MARIE DIVITO |
| Credential | NP |
| Practice Address |
5141 W Lamar Rd Glendale AZ 85301-3423 |
| Mailing Address |
2929 E Thomas Rd Phoenix AZ 85016-8034 |
| Practice Telephone | 6233446700 |
| Practice Fax Number | 6233446701 |
| Mailing Telephone | 6024705000 |
| Mailing Fax Number | 6024705064 |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2017-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN204748 | AZ | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP10261 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5141 W LAMAR RD |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85301-3423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710922927 | Maricopa County Special Health Care District | Pharmacy | 5141 W Lamar Rd, Glendale, AZ 85301-3423 | 2006-06-19 |
| 1407408537 | Summer Schacht | Physician Assistant | 5141 W Lamar Rd, Glendale, AZ 85301-3423 | 2019-07-09 |
| 1679056147 | Larissa Dohn Wiley | Physician Assistant | 5141 W Lamar Rd, Glendale, AZ 85301-3423 | 2018-09-11 |
| 1164904413 | Carla Boan | Physician Assistant | 5141 W Lamar Rd, Glendale, AZ 85301-3423 | 2018-09-04 |
| 1053811976 | Nicole James | Nurse Practitioner | 5141 W Lamar Rd, Glendale, AZ 85301-3423 | 2018-02-16 |
| 1104336221 | Rebecca Ann Zwick | Registered Nurse | 5141 W Lamar Rd, Glendale, AZ 85301-3423 | 2017-10-03 |
| 1255701801 | Emily Brewton | Physician Assistant | 5141 W Lamar Rd, Glendale, AZ 85301-3423 | 2015-09-25 |
| 1952720708 | Maricopa County Special Health Care District | General Acute Care Hospital | 5141 W Lamar Rd, Glendale, AZ 85301-3423 | 2014-04-09 |
| 1821415902 | Maricopa County Special Health Care District | Clinic/Center | 5141 W Lamar Rd, Glendale, AZ 85301-3423 | 2014-03-26 |
| 1710303938 | Barbara Benincaso | Nurse Practitioner | 5141 W Lamar Rd, Glendale, AZ 85301-3423 | 2014-03-12 |
| Find all providers in the same location | ||||
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| 1306227830 | Sage Counseling, Inc. | Community/Behavioral Health | 6610 N. 47th Avenue, Suites 6, 7 & 8, Glendale, AZ 85301 | 2015-06-10 |
| 1477802023 | Lori Wyke | Specialist/Technologist | 7301 N. 58th Avenue, Glendale, AZ 85301 | 2012-08-29 |
| 1144581257 | Jerry Harold Brue | Pharmacist | 7772 N 52nd Dr, Glendale, AZ 85301 | 2012-06-05 |
| 1558632935 | Jasmine Rojas | Licensed Practical Nurse | 7301 N. 58th Ave., Glendale Elem. Dist 40, Glendale, AZ 85301 | 2012-01-18 |
| 1184950438 | Victoria Joan Petti | Physical Therapist | 5125 N. 58th Ave, Glendale, AZ 85301 | 2009-10-21 |
| 1598907479 | Westside Speech & Language Services | Clinic/Center | 7415 N. 59th Ave, Glendale, AZ 85301 | 2009-03-24 |
| 1992940241 | Lorraine Pimentel Montes | Specialist | 4441 W. Bethany Home Rd, Glendale, AZ 85301 | 2008-12-15 |
| 1770739922 | Patricia Lee Click | Social Worker | 5400 W. Northern Avenue, Suite 120, Glendale, AZ 85301 | 2008-08-07 |
| Find all providers in zip 85301 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1922620590 | Bethany E Mainville | Nurse Practitioner | 8151 W Sierra Vista Dr, Glendale, AZ 85303-3217 | 2020-05-17 |
| 1184252678 | Revive Wellness and Rejuvenation LLC | Nurse Practitioner | 20229 N 67th Ave Ste C-a, Glendale, AZ 85308-6664 | 2020-03-30 |
| 1083247316 | Anna Lazzaro | Nurse Practitioner | 4760 W Ponderosa Ln, Glendale, AZ 85308-4872 | 2020-02-14 |
| 1760021422 | Judy Fong | Nurse Practitioner | 5220 W Dahlia Dr, Glendale, AZ 85304-1931 | 2019-12-29 |
| 1588207138 | Kristen Mitchell | Nurse Practitioner | 6922 W Kristal Way, Glendale, AZ 85308-5772 | 2019-10-25 |
| 1760038335 | Adrineh Kalantar Ohanian | Nurse Practitioner | 1139 E Lexington Dr, Glendale, CA 91206-3861 | 2019-08-09 |
| 1457904252 | Debra Goldman | Nurse Practitioner | 20325 N 51st Ave # 8, Glendale, AZ 85308-5674 | 2019-07-20 |
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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.