MAKENSEY BETH DURRANT (NPI# 1063029486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063029486 |
Entity Type | Individual |
Full Name | MAKENSEY BETH DURRANT |
Credential | FNP-BC |
Practice Address |
1684 E Boston St Ste 102 Gilbert AZ 85295-6220 |
Mailing Address |
5518 E Harmony Ave Mesa AZ 85206-6756 |
Practice Telephone | 4804482411 |
Practice Fax Number | 4804768718 |
Mailing Telephone | 8018995539 |
Enumeration Date | 2020-09-29 |
Last Update Date | 2020-09-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
247003 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1684 E BOSTON ST STE 102 |
City | GILBERT |
State | AZ |
Zip Code | 85295-6220 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548234404 | Dawn Marie Groff | Nurse Practitioner | 1684 E Boston St Ste 102, Gilbert, AZ 85295-6220 | 2006-02-15 |
1174051247 | Andrea Erion | Nurse Practitioner | 1684 E Boston St Ste 102, Gilbert, AZ 85295-6220 | 2017-06-01 |
1306229067 | Ma Am Exams Inc | Family Medicine | 1684 E Boston St Ste 102, Gilbert, AZ 85295-6220 | 2015-06-30 |
1093110603 | Tiffany L Haynie | Physician Assistant | 1684 E Boston St Ste 102, Gilbert, AZ 85295-6220 | 2014-10-24 |
1316096449 | Sara Ann Kneuss | Nurse Practitioner | 1684 E Boston St Ste 102, Gilbert, AZ 85295-6220 | 2007-01-09 |
1114965605 | Michael Patrick Dunn | Family Medicine | 1684 E Boston St Ste 102, Gilbert, AZ 85295-6220 | 2006-06-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508471368 | Lifequest Holding Company Gilbert, LLC | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd Suite 101, Gilbert, AZ 85295 | 2020-09-09 |
1255946075 | Lifequest Physical Medicine and Rehab | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd. Suite 101, Gilbert, AZ 85295 | 2020-09-09 |
1407467962 | Lifequest Physical Medicine and Rehab | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd, Suite 101, Gilbert, AZ 85295 | 2020-08-10 |
1275187718 | Guylene Lucien | Nurse Practitioner | 1689 S. Parkcrest Street, Gilbert, AZ 85295 | 2019-08-01 |
1326607144 | Hand Up Behavioral Services, LLC | Community/Behavioral Health | 4145 East Megan Street, Gilbert, AZ 85295 | 2019-06-06 |
1629582069 | Victoria Munoz Garcia | Naturopath | 920 S Williams Field Rd., Ste 102, Gilbert, AZ 85295 | 2017-11-21 |
1649798752 | Eureka Imperial Residence | Clinic/Center | 633 E Ray Road, Gilbert, AZ 85295 | 2017-09-08 |
1447791496 | Janine Patrice Faux | Counselor | 2563 S. Val Vista Drive St. 108, Gilbert, AZ 85295 | 2017-03-10 |
1437690450 | Erskine & Barber LLC | Clinic/Center | 5656 S. Power Rd #129, Gilbert, AZ 85295 | 2017-03-09 |
1164965448 | New Horizon Youth Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 774 E. Buffalo St, Chandler, AZ 85295 | 2016-11-18 |
Find all providers in zip 85295 |
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.