JUSTIN P DENNERY (NPI# 1073068078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073068078 |
| Entity Type | Individual |
| Full Name | JUSTIN P DENNERY |
| Credential | N.P. |
| Practice Address |
2500 E Van Buren St Phoenix AZ 85008-6037 |
| Practice Telephone | 6026853100 |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2016-08-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP8638 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2500 E VAN BUREN ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85008-6037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538170162 | State of Arizona | Pharmacy | 2500 E Van Buren St, Phoenix, AZ 85008-6037 | 2006-08-10 |
| 1447873732 | State of Arizona State Dept of Finance | Community Based Residential Treatment Facility, Mental Illness | 2500 E Van Buren St, Phoenix, AZ 85008-6037 | 2020-05-21 |
| 1528584547 | Nyanyiwa Vimba | Nurse Practitioner | 2500 E Van Buren St, Phoenix, AZ 85008 | 2017-08-22 |
| 1932467727 | Justin Randal Mickey | Nurse Practitioner | 2500 E Van Buren St, Phoenix, AZ 85008-6037 | 2012-04-30 |
| 1255628525 | Sergio Boris Chavez | Psychiatry & Neurology | 2500 E Van Buren St, Phoenix, AZ 85008-6037 | 2011-07-07 |
| 1518280734 | Viana Garcia Jackson | Counselor | 2500 E Van Buren St, Phoenix, AZ 85008-6037 | 2010-03-02 |
| 1891928636 | Sheldon Epstein | General Practice | 2500 E Van Buren St, Phoenix, AZ 85008-6037 | 2009-08-27 |
| 1366675324 | Conchita Tee | Internal Medicine | 2500 E Van Buren St, Phoenix, AZ 85008-6037 | 2009-08-25 |
| 1548493547 | Richard Rowe | Family Medicine | 2500 E Van Buren St, Phoenix, AZ 85008-6037 | 2009-08-25 |
| 1649403759 | Harold E Whitney | Family Medicine | 2500 E Van Buren St, Phoenix, AZ 85008-6037 | 2009-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607060 | Am Apnea and Tmj LLC | Durable Medical Equipment & Medical Supplies | 2303 N. 44thst., Suite 14-1008, Phoenix, AZ 85008 | 2020-07-23 |
| 1194341131 | Abdulbaril Olandapo Olagunju | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt Street, Valleywise Health, Phoenix, AZ 85008 | 2020-06-24 |
| 1376164632 | Abdul Rahman Raed Mustafa Halawa | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St Valleywise Health, Phoenix, AZ 85008 | 2020-04-28 |
| 1245869460 | Zachary Masuda | Student in an Organized Health Care Education/Training Program | Valleywise Health Medical Center, 2601 E Roosevelt St, Phoenix, AZ 85008 | 2020-04-08 |
| 1942840145 | Cana Behavior LLC | Physical Therapist | 2412 N 36 Pl, Phoenix, AZ 85008 | 2020-01-15 |
| 1871158188 | Fred Gardezy | Student in an Organized Health Care Education/Training Program | Maricopa Integrated Health System 2601 E. Roosevelt St., Phoenix, AZ 85008 | 2019-05-02 |
| 1225692346 | Navkaran Singh Girgla | Student in an Organized Health Care Education/Training Program | 2601 East Roosevelt St., Phoenix, AZ 85008 | 2019-04-24 |
| 1316412323 | Southwest Human Developement | Early Intervention Provider Agency | 2850 N 24h Street, Phoenix, AZ 85008 | 2018-10-05 |
| 1558885970 | Mona Ridhwan Ziems | Midwife | 1919 N 31st St, Phoenix, AZ 85008 | 2017-07-27 |
| 1093244451 | Shana Cynamon | Audiologist | 1801 N 37th Pl, Phoenix, AZ 85008 | 2017-06-08 |
| Find all providers in zip 85008 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322168 | Tessie Leigh Eberhart | Nurse Practitioner | 6025 N 27th Ave Ste 6, Phoenix, AZ 85017-1764 | 2020-07-02 |
| 1952927048 | John Leo Conway Jr. | Nurse Practitioner | 1705 E Claremont St, Phoenix, AZ 85016-1514 | 2020-06-24 |
| 1902434855 | Alyssa Young | Nurse Practitioner | 3033 N 34th Pl, Phoenix, AZ 85018-6903 | 2020-03-27 |
| 1609408194 | Az Regenerative Medicne | Nurse Practitioner | 16620 N 40th St Ste G2, Phoenix, AZ 85032-3351 | 2020-02-12 |
| 1124667175 | Jennifer Leigh Hanisch | Nurse Practitioner | 7314 S 26th Ln, Phoenix, AZ 85041-6475 | 2019-12-21 |
| 1295370179 | Jessica Anne Harper | Nurse Practitioner | 4141 N 32nd St Ste 104, Phoenix, AZ 85018-4775 | 2019-11-14 |
| 1134764590 | Rachael Bennett | Nurse Practitioner | 14001 N 7th St Ste F111, Phoenix, AZ 85022-4382 | 2019-11-08 |
| 1720621410 | Cynthia Chebator | Nurse Practitioner | 3233 W Peoria Ave Ste 106&120, Phoenix, AZ 85029-4614 | 2019-10-24 |
| 1295396273 | Ashleigh Beatty | Nurse Practitioner | 334 E Acapulco Ln, Phoenix, AZ 85022-3620 | 2019-06-21 |
| 1295292589 | Rosalind Robles Caumban | Nurse Practitioner | 4575 E Cactus Rd Ste 130, Phoenix, AZ 85032-7700 | 2019-02-23 |
| Find all providers in PHOENIX | ||||
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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.