MR. BENITHO LOUISSAINT (NPI# 1053834945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053834945 |
| Entity Type | Individual |
| Full Name | MR. BENITHO LOUISSAINT |
| Credential | NP |
| Practice Address |
1855 W Baseline Rd Ste 101 Mesa AZ 85202-9098 |
| Practice Telephone | 4808317566 |
| Mailing Telephone | 4808317566 |
| Enumeration Date | 2017-07-23 |
| Last Update Date | 2020-10-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP10399 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP10399 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1855 W BASELINE RD STE 101 |
| City | MESA |
| State | AZ |
| Zip Code | 85202-9098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144438243 | Adnan Celjo | Psychiatry & Neurology | 1855 W Baseline Rd Ste 101, Mesa, AZ 85202 | 2007-05-20 |
| 1477185759 | Francis Kangere Chuchu | Nurse Practitioner | 1855 W Baseline Rd Ste 101, Mesa, AZ 85202-9098 | 2020-02-05 |
| 1629559976 | Imma Nzomo | Nurse Practitioner | 1855 W Baseline Rd Ste 101, Mesa, AZ 85202-9098 | 2018-08-24 |
| 1134628423 | Kathryn D Davis-lashley | Counselor | 1855 W Baseline Rd Ste 101, Mesa, AZ 85202-9098 | 2018-02-01 |
| 1982134763 | Jennifer Louise Monninger | Social Worker | 1855 W Baseline Rd Ste 101, Mesa, AZ 85202-9098 | 2017-06-14 |
| 1164962312 | Angelo Williams | Family Medicine | 1855 W Baseline Rd Ste 101, Mesa, AZ 85202-9098 | 2017-03-06 |
| 1487918181 | Annette Lusko | Family Medicine | 1855 W Baseline Rd Ste 101, Mesa, AZ 85202-9098 | 2012-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
| Find all providers in zip 85202 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487149 | Sunitha Jose | Nurse Practitioner | 3308 N Higley Rd, Mesa, AZ 85215-9781 | 2020-08-10 |
| 1447877972 | Reena Pathak | Nurse Practitioner | 1111 S Stapley Dr # 5060, Mesa, AZ 85204-5059 | 2020-07-01 |
| 1760021885 | Matthew Deise | Nurse Practitioner | 460 N Mesa Dr Ste 201, Mesa, AZ 85201-5957 | 2020-01-06 |
| 1639713621 | Summit Place Mental Health, LLC | Nurse Practitioner | 625 W Southern Ave Ste E, Mesa, AZ 85210-5018 | 2019-11-01 |
| 1063062149 | Makenna Francis | Nurse Practitioner | 2730 S. Val Vista Dr, 146, Mesa, AZ 85215 | 2019-09-19 |
| 1891341947 | James M Theiss | Nurse Practitioner | 5439 E Ellis St, Mesa, AZ 85205-5470 | 2019-08-14 |
| 1134527534 | Susan Willever | Nurse Practitioner | 11331 E Starfire Cir, Mesa, AZ 85212-7062 | 2014-12-17 |
| 1326443003 | Jennifer Anderson | Nurse Practitioner | 6262 E Brown Rd Unit 43, Mesa, AZ 85205-4846 | 2014-10-24 |
| 1356616205 | Sukanlaya Hughes | Nurse Practitioner | 2444 E. Southern Ave. Ste. 103, Mesa, AZ 85204 | 2012-03-11 |
| 1942403076 | Shosamana | Nurse Practitioner | 3740 E Southern Ave Ste 207, Mesa, AZ 85206-2512 | 2007-06-06 |
| Find all providers in MESA | ||||
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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.