GRAND CANYON UNIVERSITY (NPI# 1124501069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124501069 |
| Entity Type | Organization |
| Organization Name | GRAND CANYON UNIVERSITY |
| Other Organization Name | GRAND CANYON EDUCATION, INC |
| Practice Address |
3300 W Camelback Rd Health Center Phoenix AZ 85017-1097 |
| Practice Telephone | 6026396215 |
| Practice Fax Number | 6026397830 |
| Mailing Telephone | 6026396215 |
| Mailing Fax Number | 6026397830 |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2018-09-06 |
| Authorized Official Name | MRS. CONSTANCE COLBERT (DIRECTOR) |
| Authorized Official Telephone | 6026397757 |
| Authorized Official Credential | FNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OTC9096 | AZ | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Grand Canyon Education, Inc | Former Legal Business Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | GRAND CANYON UNIVERSITY | 3300 W Camelback Rd Bldg 26, Phoenix, Arizona 85017-3030 |
| Washington State Corporations | GRAND CANYON UNIVERSITY | 3300 W Camelback Rd Bldg 26, Phoenix, AZ 85017-3030 |
| Iowa Business Entities | GRAND CANYON UNIVERSITY | 3300 W Camelback Rd. Bldg 26, Phoenix, AZ 85017 |
| Oregon Corporations, Companies and Business Names | GRAND CANYON UNIVERSITY | 3300 W Camelback Rd Bldg 26, Phoenix, AZ 85017 |
| Connecticut Business Registrations | Grand Canyon University, Inc. | 3300 W Camelback Rd Bldg 26, Phoenix, AZ 85017 |
| Oklahoma Business Registrations | GRAND CANYON UNIVERSITY, INC. | 3300 W Camelback Rd, Phoenix, AZ 85017 |
| Street Address |
3300 W CAMELBACK RD HEALTH CENTER |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85017-1097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255474888 | Christy Marie Hawley | Specialist/Technologist | 3300 W Camelback Rd, Phoenix, AZ 85017-3030 | 2007-02-14 |
| 1245838853 | Conversations & More, LLC | Counselor | 3300 W Camelback Rd, Phoenix, AZ 85017-3030 | 2020-10-15 |
| 1073129417 | Lanae Nowatzki | Specialist/Technologist | 3300 W Camelback Rd, Phoenix, AZ 85017-1097 | 2020-09-21 |
| 1225642556 | Mini Cherian | Nurse Practitioner | 3300 W Camelback Rd, Phoenix, AZ 85017-3030 | 2020-09-03 |
| 1992340897 | Olivia Rivera-gutierrez | Student in an Organized Health Care Education/Training Program | 3300 W Camelback Rd, Phoenix, AZ 85017-3030 | 2019-11-14 |
| 1134760119 | Benjamin Andrew George | Student in an Organized Health Care Education/Training Program | 3300 W Camelback Rd, Phoenix, AZ 85017-3030 | 2019-10-01 |
| 1922656453 | Erick Giovanni Nova Sr. | Radiologic Technologist | 3300 W Camelback Rd, Phoenix, AZ 85017-3030 | 2019-08-28 |
| 1619525003 | Trent Preston Morris | Specialist/Technologist | 3300 W Camelback Rd, Phoenix, AZ 85017-3030 | 2019-08-28 |
| 1558919316 | Briana Danyelle Lakebrink | Specialist/Technologist | 3300 W Camelback Rd, Phoenix, AZ 85017-3030 | 2019-08-26 |
| 1174185128 | Mckenna Alexandra Newell | Specialist/Technologist | 3300 W Camelback Rd, Phoenix, AZ 85017-3030 | 2019-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169282 | Deborah Carter | Specialist/Technologist | 5346 N. 29th Ave., Phoenix, AZ 85017 | 2020-09-17 |
| 1730671207 | Michael Carl Smith | Assisted Living Facility | 5736 N 33rd Ave, Phoenix, AZ 85017 | 2018-05-31 |
| 1457860561 | Bianca Yvonne Lopez | Psychiatry & Neurology | 3001 N. 33rd Ave, Phoenix, AZ 85017 | 2017-09-21 |
| 1295259281 | Happy Home Care | Home Health | 4550 N. Black Canyon Hwy Road, Phoenix, AZ 85017 | 2017-08-01 |
| 1851848493 | Horeb Transportation LLC | Non-emergency Medical Transport (VAN) | 5718 N Black Canyon Hwy, 36, Phoenix, AZ 85017 | 2016-09-01 |
| 1932565942 | Urgent Pain, LLC | Contractor | 6025 N. 27th Ave, Suite 6, Phoenix, AZ 85017 | 2016-01-06 |
| 1457766172 | Lindsay Allison Love | Social Worker | 3306 W. Catalina Dr., Phoenix, AZ 85017 | 2014-06-23 |
| 1437592433 | Maya Medical Services | Clinic/Center | 2908 W. Camelback Rd., Phoenix, AZ 85017 | 2013-04-10 |
| 1801089685 | Jonnie Arnold | Counselor | 3400 Grand Ave, Phoenix, AZ 85017 | 2007-08-24 |
| 1851414890 | Corpus Christi Home Care and Hospice LLC | Hospice Care, Community Based | 3001 W Indian School Rd, Suite #26, Phoenix, AZ 85017 | 2007-04-06 |
| Find all providers in zip 85017 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339200 | Madison Le | Family Medicine | 3037 W Cat Balue Dr, Phoenix, AZ 85027-2342 | 2020-09-04 |
| 1720604069 | Good Health Medical, PC | Family Medicine | 2632 S 83rd Ave Ste 113, Phoenix, AZ 85043-7206 | 2020-06-23 |
| 1427670751 | Florence Wellness Pllc | Family Medicine | 101 E Washington St Fl 7, Phoenix, AZ 85004-2450 | 2020-05-08 |
| 1437782257 | Jillian Knapp | Family Medicine | 521 W Butler Dr, Phoenix, AZ 85021-4526 | 2020-02-20 |
| 1861033912 | Vanessa Lissette Lara | Family Medicine | 1459 E Flower St, Phoenix, AZ 85014-5666 | 2019-09-30 |
| 1366007411 | Marceline E Ndum | Family Medicine | 10631 S. 51st Street, Suite 1, Phoenix, AZ 85044-5225 | 2019-05-03 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1326510389 | Leanne J Muniz | Family Medicine | 19635 N Cave Creek Rd Apt 344, Phoenix, AZ 85024-1879 | 2018-12-31 |
| 1164905535 | Clark Medical, Pllc | Family Medicine | 2601 N 3rd St Ste 106, Phoenix, AZ 85004-1144 | 2018-09-12 |
| 1780180901 | Babymoon Inn Family Care LLC | Family Medicine | 202 E Morris Dr, Phoenix, AZ 85012-2323 | 2018-04-05 |
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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.