THE LITTLE CLINIC OF ARIZONA LLC (NPI# 1043554827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043554827 |
| Entity Type | Organization |
| Organization Name | THE LITTLE CLINIC OF ARIZONA LLC |
| Practice Address |
6470 S Higley Rd Gilbert AZ 85298 |
| Mailing Address |
2620 Elm Hill Pike Nashville TN 37214-3108 |
| Practice Telephone | 4808092409 |
| Practice Fax Number | 4808092410 |
| Mailing Telephone | 6154254200 |
| Mailing Fax Number | 6154254271 |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2018-06-13 |
| Authorized Official Name | MR. MARC R WATKINS (CMO) |
| Authorized Official Telephone | 6154254200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235684853 | The Little Clinic of Arizona LLC | Nurse Practitioner | 13830 W Camelback Rd, Litchfield Park, AZ 85340-3072 | 2016-08-24 |
| 1306395215 | The Little Clinic of Arizona LLC | Physician Assistant | 1311 E Bell Rd, Phoenix, AZ 85022-2724 | 2016-10-04 |
| 1154759322 | The Little Clinic of Arizona LLC | Physician Assistant | 1815 W Glendale Ave, Phoenix, AZ 85021-8582 | 2013-10-24 |
| 1851635627 | The Little Clinic of Arizona LLC | Physician Assistant | 6611 W Bell Rd, Glendale, AZ 85308 | 2012-11-19 |
| 1881938660 | The Little Clinic of Arizona LLC | Physician Assistant | 1935 N Stapley Dr, Mesa, AZ 85203 | 2012-11-19 |
| 1174867956 | The Little Clinic of Arizona LLC | Physician Assistant | 15510 W Bell Rd, Surprise, AZ 85374 | 2012-11-19 |
| 1427392299 | The Little Clinic of Arizona LLC | Physician Assistant | 1300 S Watson Rd, Buckeye, AZ 85326-6303 | 2012-11-19 |
| 1417291287 | The Little Clinic of Arizona LLC | Physician Assistant | 2727 W Bell Rd, Phoenix, AZ 85053 | 2012-11-19 |
| 1619211489 | The Little Clinic of Arizona LLC | Physician Assistant | 11425 W Buckeye Rd, Avondale, AZ 85323-6810 | 2012-11-19 |
| 1548504368 | The Little Clinic of Arizona LLC | Physician Assistant | 1575 N Dysart Rd, Avondale, AZ 85392 | 2012-11-16 |
| Street Address |
6470 S HIGLEY RD |
| City | GILBERT |
| State | AZ |
| Zip Code | 85298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629040969 | Debra A Nigbur | Physician Assistant | 6470 S Higley Rd, Gilbert, AZ 85298-4341 | 2006-02-02 |
| 1962991471 | Eva Bettina Tovstiga | Nurse Practitioner | 6470 S Higley Rd, Gilbert, AZ 85298-4341 | 2018-05-09 |
| 1295237642 | Stephanie Ann Burks | Nurse Practitioner | 6470 S Higley Rd, Gilbert, AZ 85298 | 2018-03-01 |
| 1851845390 | Danielle Eileen Dunlap | Pharmacist | 6470 S Higley Rd, Gilbert, AZ 85298-4341 | 2016-08-13 |
| 1598116832 | Trinity Nguyen | Nurse Practitioner | 6470 S Higley Rd, Gilbert, AZ 85298-4341 | 2016-06-28 |
| 1679949846 | Lisa Nicole Burgin | Nurse Practitioner | 6470 S Higley Rd, Gilbert, AZ 85298-4341 | 2015-08-11 |
| 1295111037 | Ryan Berkseth | Pharmacist | 6470 S Higley Rd, Gilbert, AZ 85298-4341 | 2015-08-04 |
| 1417355991 | Mark Piacquadio | Pharmacist | 6470 S Higley Rd, Gilbert, AZ 85298-4341 | 2014-12-15 |
| 1225314875 | Jeremy Lee Leckington | Pharmacist | 6470 S Higley Rd, Gilbert, AZ 85298-4333 | 2011-10-27 |
| 1497086250 | Smiths Food & Drug Centers Inc | Durable Medical Equipment & Medical Supplies | 6470 S Higley Rd, Gilbert, AZ 85298-4341 | 2010-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629614623 | Katherine Elizabeth Reynolds | Nurse Practitioner | 1956 E. Azalea Ct., Gilbert, AZ 85298 | 2019-11-25 |
| 1972023281 | Jamie Lynn Williams | Specialist/Technologist | 2216 E Brigadier Dr, Gilbert, AZ 85298 | 2017-06-27 |
| 1891233896 | Gabbrielle Rene Knabe | Nurse Practitioner | 3336 East Chandler Heights Road Ste 132, Sundance Medical Associates, Gilbert, AZ 85298 | 2017-02-09 |
| 1508212580 | Better Horizons LLC | Community Based Residential Treatment Facility, Mental Illness | 3030 E Sports Court, Gilbert, AZ 85298 | 2016-05-10 |
| 1952766602 | Ji Yong Kim | Specialist/Technologist, Other | 2301 West Sanoque Ct, Gilbert, AZ 85298 | 2015-12-23 |
| 1043675838 | Clarisse Kamgaing | Psychologist | 2442 E. Eleana Lane, Gilbert, AZ 85298 | 2015-12-21 |
| 1831577139 | Arizona Iom LLC | Specialist/Technologist, Other | 2301 West Sanoque Court, Gilbert, AZ 85298 | 2015-05-07 |
| 1306268164 | Jessica O'neil | Licensed Practical Nurse | 6930 South Seville Blvd E, Gilbert, AZ 85298 | 2014-01-14 |
| 1548696164 | James Holloway | Chiropractor | 4828 S Val Vista Dr, Gilbert, AZ 85298 | 2013-09-16 |
| 1457685174 | Carrie Jennifer Malachowski | Social Worker | 4115 E. Saraband Way, Gilbert, AZ 85298 | 2009-09-29 |
| Find all providers in zip 85298 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667615 | Elena Eloriaga | Nurse Practitioner | 1925 S Coronado Rd Apt 2133, Gilbert, AZ 85295-2219 | 2020-10-20 |
| 1598364838 | Ryan Nelson Sutton | Nurse Practitioner | 3719 E Loma Vista St, Gilbert, AZ 85295-4675 | 2020-10-19 |
| 1518564897 | Erica Odom Mccumbers | Nurse Practitioner | 17 Downing Cir, Gilbert, SC 29054-8483 | 2020-10-08 |
| 1417562844 | Maribeth Kitma Odango | Nurse Practitioner | 3937 E Frances Ln, Gilbert, AZ 85295-2786 | 2020-09-11 |
| 1720698293 | Helene Elizalde | Nurse Practitioner | 1539 E Hummingbird Way, Gilbert, AZ 85297-4601 | 2020-08-08 |
| 1003425273 | Monica Hulsey | Nurse Practitioner | 471 N 159th Pl, Gilbert, AZ 85234-5040 | 2020-07-23 |
| 1801414883 | Scott Braverman | Nurse Practitioner | 225 E Germann Rd Ste 140, Gilbert, AZ 85297-2906 | 2020-07-07 |
| 1467078139 | Racquel Jillian Spyr | Nurse Practitioner | 837 S Parkcrest St, Gilbert, AZ 85296-8839 | 2020-06-18 |
| 1225653074 | Sigma Health and Wellness LLC | Nurse Practitioner | 3317 S. Higley Road, Ste 114-757, Gilbert, AZ 85297 | 2020-06-08 |
| 1710500962 | Fatima Health LLC | Nurse Practitioner | 760 North Swallow Lane, Gilbert, AZ 85234 | 2020-05-22 |
| Find all providers in GILBERT | ||||
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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.