MRS. MARISA MARTINEAU STEPHENS (NPI# 1063045441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063045441 |
| Entity Type | Individual |
| Full Name | MRS. MARISA MARTINEAU STEPHENS |
| Credential | NDTR |
| Practice Address |
21168 E Via Del Oro Queen Creek AZ 85142-6966 |
| Practice Telephone | 4802213579 |
| Mailing Telephone | 4802213579 |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-02-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 136A00000X | Dietetic Technician, Registered | 957859 | AZ | Dietary & Nutritional Service Providers |
| Street Address |
21168 E VIA DEL ORO |
| City | QUEEN CREEK |
| State | AZ |
| Zip Code | 85142-6966 |
| 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 | 136A00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietetic Technician, Registered |
| A person trained in food and nutrition who is an integral part of health care and foodservice management teams. A dietetic technician, registered (DTR) has successfully completed at least a two-year associate’s degree at a US regionally accredited college or university; a dietetic technician program approved by The American Dietetic Association, including 450 hours of supervised practice experience; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Dietetic Technician, Registered -- a food and nutrition practitioner. Chicago, IL: The American dietetic association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386251916 | Haley Rae Harris | Dietetic Technician, Registered | 2201 E Melrose St, Gilbert, AZ 85297-1135 | 2020-09-28 |
| 1538778923 | Cynthia Sanchez | Dietetic Technician, Registered | 4925 W Sandra Ter, Glendale, AZ 85306-2035 | 2020-07-30 |
| 1790301588 | Anne Grimm | Dietetic Technician, Registered | 4313 E Torrey Pines Ln, Chandler, AZ 85249-7157 | 2020-06-17 |
| 1255982062 | Danielle Haworth | Dietetic Technician, Registered | 1450 E Bell Rd Apt 1008, Phoenix, AZ 85022-2751 | 2019-09-23 |
| 1952959108 | Tamara J Damon | Dietetic Technician, Registered | 1152 W Horseshoe Ave, Gilbert, AZ 85233-5266 | 2019-08-30 |
| 1689047540 | Monica Zion | Dietetic Technician, Registered | 304 W Jersey Way, San Tan Valley, AZ 85143-4873 | 2015-11-01 |
| 1780067702 | Mary Elliot | Dietetic Technician, Registered | 7424 E Virginia Ave, Scottsdale, AZ 85257-1521 | 2015-07-08 |
| 1629684105 | Erika Seekatz | Dietetic Technician, Registered | 3950 S Country Club Rd, Tucson, AZ 85714-2099 | 2020-09-19 |
| 1811500952 | Hannah Williamson | Dietetic Technician, Registered | 2650 N Wyatt Dr, Tucson, AZ 85712-6106 | 2020-08-28 |
| 1730719972 | Sarah Pluto | Dietetic Technician, Registered | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2020-01-15 |
| Find all providers with the same taxonomy | ||||
| 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.