THOMAS HABERLE (NPI# 1134641020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134641020 |
| Entity Type | Individual |
| Full Name | THOMAS HABERLE |
| Credential | RN |
| Practice Address |
Hopi Health Care Center Highway 264 Mp 388 Po Box 4000 Polacca AZ 86042 |
| Mailing Address |
Po Box 1434 Keams Canyon AZ 86034-1434 |
| Practice Telephone | 9287376000 |
| Mailing Telephone | 2537538972 |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2017-07-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
RN130404 | AZ | Nursing Service Providers |
| Street Address |
HOPI HEALTH CARE CENTER HIGHWAY 264 MP 388 PO BOX 4000, |
| City | POLACCA |
| State | AZ |
| Zip Code | 86042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982732160 | Alison Dion | Pharmacist | Hopi Health Care Center, Hwy 264, Polacca, AZ 86042 | 2007-03-01 |
| 1043348246 | Claudia Gail Von Hendricks | Dentist | Hopi Health Care Center, Hwy 264 Mm 388, Polacca, AZ 86042 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553787 | Megan Gilliam | Pharmacist | Mile Post 288 Hwy 264, Polacca, AZ 86042 | 2020-09-21 |
| 1295348787 | Emma Guadalupe Cortez | Nurse's Aide | Hopi Health Care, Hwy 264 Mp 388, Polacca, AZ 86042 | 2020-08-25 |
| 1942835434 | Kevin C Powers | Registered Nurse | Route 264 Mp 388, Polacca, AZ 86042 | 2020-03-05 |
| 1780217463 | Kim N Le | Family Medicine | Mile Post 388 Highway 264, Polacca, AZ 86042 | 2020-02-20 |
| 1265959365 | Karen Olivia Francis | Registered Nurse | Highway 264 Mile Post, Hopi Health Care Facility, Polacca, AZ 86042 | 2017-08-29 |
| 1629598339 | Marina Kanoelani Mehau-sanchez | Pharmacist | Hwy 264 At Mile Post 388, Hopi Health Care Center, Polacca, AZ 86042 | 2017-06-23 |
| 1184096786 | Erica Lalo | Technician, Other | Hwy 264 Mp388, Polacca, AZ 86042 | 2015-10-22 |
| 1790124618 | Michael Everett Robinson | Registered Nurse | Highway 264 Mile Post 388, Polacca, Az 86042, Hopi Health Care Center (ihs), Polacca, AZ 86042 | 2013-06-25 |
| 1760728232 | Rhanishia Smith | Registered Nurse | Highway 264 Mile Pot 388, Polacca, AZ 86042 | 2013-01-02 |
| 1871818492 | Stacy Talahytewa II | Radiologic Technologist | Hwy 264 Mile Post 388, Polacca, AZ 86042 | 2010-04-07 |
| Find all providers in zip 86042 | ||||
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649755190 | Susannah Cooper Spero | Registered Nurse | Highway 264 Mile Post 388, Hopi Health Care Center, Polacca, AZ 86042 | 2018-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568740 | Julia Levikov | Registered Nurse | 17018 N 57th St, Scottsdale, AZ 85254-6406 | 2020-11-04 |
| 1932709656 | Samantha Ashlee Wirth | Registered Nurse | 16316 N Lasso Dr, Surprise, AZ 85374-5445 | 2020-10-30 |
| 1417554338 | Diana Valencia | Registered Nurse | 11878 W Thomas Arron Dr, Marana, AZ 85653-8033 | 2020-10-04 |
| 1558978098 | Paige Cisar | Registered Nurse | 14418 W Meeker Blvd Ste B-210, Sun City West, AZ 85375-5283 | 2020-09-29 |
| 1861004731 | Amy Ellen Watson | Registered Nurse | 3944 W Pine Creek Way, Tucson, AZ 85745-7114 | 2020-08-20 |
| 1518579044 | Haoting Pei | Registered Nurse | 3325 Kiowa Blvd S, Lake Havasu City, AZ 86404-5206 | 2020-08-17 |
| 1841817343 | Lynley Rachel Thowson | Registered Nurse | 17725 S Placita Junio, Green Valley, AZ 85614-4436 | 2020-06-30 |
| 1861028581 | Jessica H Rose | Registered Nurse | 584 E Blue Rock Way, Vail, AZ 85641-2270 | 2020-03-13 |
| 1508416488 | Melissa Diane Brown | Registered Nurse | 3250 E Hermosa Vista Dr, Mesa, AZ 85213-1702 | 2019-09-12 |
| 1477019628 | Aurea Plotado | Registered Nurse | 4219 W Villa Maria Dr, Glendale, AZ 85308-1716 | 2019-02-13 |
| Find all providers with the same taxonomy | ||||
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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.