DR. DERRAINNYA FUENTES (NPI# 1033658323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033658323 |
| Entity Type | Individual |
| Full Name | DR. DERRAINNYA FUENTES |
| Credential | PHD |
| Practice Address |
19935 E Chandler Heights Rd Queen Creek AZ 85142-9350 |
| Mailing Address |
19935 E Chandler Heights Road Queen Creek AZ 85142 |
| Practice Telephone | 6026702115 |
| Mailing Telephone | 6026702115 |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2017-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 405300000X | Prevention Professional | 4439413 | AZ | Other Service Providers |
| Street Address |
19935 E CHANDLER HEIGHTS RD |
| City | QUEEN CREEK |
| State | AZ |
| Zip Code | 85142-9350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699186759 | American Leadership Academy | Local Education Agency (LEA) | 19935 E Chandler Heights Rd, Queen Creek, AZ 85142-9350 | 2014-05-12 |
| 1750813192 | American Leadership Academy, Inc. | Bus | 19935 E Chandler Heights Rd, Queen Creek, AZ 85142-9350 | 2017-04-03 |
| 1023554110 | Marci Roberts | Registered Nurse | 19935 E Chandler Heights Rd, Queen Creek, AZ 85142-9350 | 2017-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093346033 | Arizona Dental Professionals, P.C. | Dentist | 20311 S Ellsworth Rd Ste 101, Queen Creek, AZ 85142 | 2020-01-29 |
| 1073158903 | Jonathan Corey Barber | Physical Therapy Assistant | 22424 South Ellsworth Loop Road, #464, Queen Creek, AZ 85142 | 2019-11-14 |
| 1689142333 | Erin Sohr | Occupational Therapy Assistant | 4594 W Federal Way, San Tan Valley, AZ 85142 | 2018-11-10 |
| 1083180723 | Katelyn Hannabach | Physician Assistant | 21323 S Ellsworth Loop Rd Ste 101, Queen Creek, AZ 85142 | 2018-10-20 |
| 1043701899 | Brittany Leigh Amor | Dentist | 18550 E Rittenhouse Rd Ste 103, Queen Creek, AZ 85142 | 2018-05-28 |
| 1861925604 | Shani Thompson | Student in an Organized Health Care Education/Training Program | 22437 S 209th Way, Queen Creek, AZ 85142 | 2017-04-08 |
| 1689115164 | 360 Physical Therapy LLC | Physical Therapist | 21576 S Ellsworth Loop Rd, 150, Queen Creek, AZ 85142 | 2017-03-16 |
| 1891233714 | Candee J. Eisenhart | Nurse Practitioner | 21321 E Ocotillo Rd Ste 102, Queen Creek, AZ 85142 | 2017-02-11 |
| 1790231546 | Carrie Church | Nurse Practitioner | 20185 E Ocotillo Rd Ste 104, Queen Creek, AZ 85142 | 2016-08-31 |
| 1669836649 | Horizon Health and Wellness, Inc. | Community/Behavioral Health | 22713 S. Ellsworth Road, Building A, Queen Creek, AZ 85142 | 2016-04-06 |
| Find all providers in zip 85142 | ||||
| Taxonomy Code | 405300000X |
| Grouping | Other Service Providers |
| Classification | Prevention Professional |
| Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305817 | Annmarie Craig | Prevention Professional | 2900 W Darleen Dr, Flagstaff, AZ 86001-0700 | 2020-10-29 |
| 1437770997 | Ted Huntington | Prevention Professional | 1443 E Cindy St, Chandler, AZ 85225-5408 | 2020-05-06 |
| 1386185288 | Heathar Parisi, Rn | Prevention Professional | 9645 E Poinsettia Dr, Scottsdale, AZ 85260-5954 | 2017-03-13 |
| 1407396450 | Mikala Edwards | Prevention Professional | 20806 N 31st Ave, Phoenix, AZ 85027-1729 | 2017-02-23 |
| 1386180081 | Ans Fitness and Physical Therapy, Pllc | Prevention Professional | 316 W Mcdowell Rd, Suite 201, Phoenix, AZ 85003-1377 | 2017-01-18 |
| 1912530668 | Electronic Caregiver Inc. | Prevention Professional | 16601 N 40th St Ste 218, Phoenix, AZ 85032-3356 | 2020-02-20 |
| 1326579194 | Community Heath and Immunization Services, LLC | Prevention Professional | 8324 E Hartford Dr, Scottsdale, AZ 85255-5466 | 2017-03-23 |
| 1760923726 | Marcus Lewis | Prevention Professional | 1550 E University Dr, Suite G, Mesa, AZ 85203-8136 | 2017-03-10 |
| 1548705536 | Martin Arellano M.d., P.C. | Prevention Professional | 2040 W Bethany Home Rd, Suite 108, Phoenix, AZ 85015-2473 | 2016-12-29 |
| City | QUEEN CREEK |
| Zip Code | 85142 |
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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.