LAURIE SUSANNE BURK (NPI# 1144500372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144500372 |
Entity Type | Individual |
Full Name | LAURIE SUSANNE BURK |
Credential | REGISTERED NURSE |
Practice Address |
167 North Main St Tuba City AZ 86045 |
Mailing Address |
Po Box 600 Tuba City AZ 86045-0600 |
Practice Telephone | 9282832501 |
Mailing Telephone | 9282832501 |
Enumeration Date | 2011-08-19 |
Last Update Date | 2011-08-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WX0003X |
Registered Nurse Specialization: Obstetric, Inpatient |
RN168918 | AZ | Nursing Service Providers |
Street Address |
167 NORTH MAIN ST |
City | TUBA CITY |
State | AZ |
Zip Code | 86045 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679611743 | Susan Elizabeth Reily | Pulmonary Function Technologist | 167 North Main St, Tuba City, AZ 86045 | 2007-02-02 |
1750849832 | Robert Jay Anderson | Pharmacist | 167 North Main St, Tuba City, AZ 86045 | 2019-03-07 |
1811413156 | Hoang Nguyen Ha | Pharmacist | 167 North Main St, Tuba City, AZ 86045 | 2017-08-18 |
1548796667 | Kahsu Desta | Pharmacist | 167 North Main St, Tuba City, AZ 86045 | 2017-05-10 |
1013458082 | Rodney Smith | Respiratory Therapist, Registered | 167 North Main St, Tuba City, AZ 86045 | 2017-03-10 |
1184167157 | Brittany Louise Baker | Physician Assistant | 167 North Main St, Tuba City, AZ 86045 | 2016-11-23 |
1477822385 | Cornelia E Begay | Dental Hygienist | 167 North Main St, Tuba City, AZ 86045 | 2011-12-21 |
1871862854 | Gillian Ann Stoker | Pharmacist | 167 North Main St, Tuba City, AZ 86045-0600 | 2011-12-21 |
1568731560 | Cindy Jo Wilson | Nurse's Aide | 167 North Main St, Tuba City, AZ 86045 | 2011-12-20 |
1104103043 | Stacey Lynn Frey | Registered Nurse | 167 North Main St, Tuba City, AZ 86045 | 2011-11-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205434206 | Ambrielle Grace Begay | Specialist/Technologist | 48 Turquoise Drive, Tuba City, AZ 86045 | 2020-10-12 |
1063028124 | Fresenius Medical Care Tuba City, LLC | Clinic/Center | 50 S. Main Street, Ste 108, Tuba City, AZ 86045 | 2020-09-23 |
1609422484 | Rebekah Lee | Pharmacist | 167 North Main St. Tuba City Regional Health Care Corp., Tuba City, AZ 86045 | 2019-08-16 |
1861977050 | Kyle C Nguyen | Pharmacist | 3008 E. Birch Ave, Tuba City, AZ 86045 | 2018-10-03 |
1518419845 | John Glenn Ives | Pharmacist | 167 N, Main St, Tuba City, AZ 86045 | 2016-11-03 |
1497208433 | Toweringrock Non-emergency Medical Transport, LLC | Non-emergency Medical Transport (VAN) | 1029 E. Tc North Side Trailer, 36.153821-111.233925, Tuba City, AZ 86045 | 2016-07-26 |
1699153270 | Hopi Assisted Living Facility Inc. | Point of Service | 21 Senior Lane Upper Hud Housing Moenkopi, Hopi Assisted Living, Tuba City, AZ 86045 | 2015-05-14 |
1306223870 | Mia Seimy | Driver | Adair Avenue Space #5, Tuba City, AZ 86045 | 2015-05-04 |
1033507587 | Tari Carroll | Home Health Aide | Tumbleweed Drive Nha E-3, Tuba City, AZ 86045 | 2015-01-07 |
1023452984 | Amanda Bancroft Burrage | Pediatrics | 167 Main St., Tuba City, AZ 86045 | 2013-04-23 |
Find all providers in zip 86045 |
Taxonomy Code | 163WX0003X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Obstetric, Inpatient |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053612598 | Donna Susan Harmon | Registered Nurse | 167 N. Main Street, Tuba City, AZ 86045-0600 | 2010-11-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487136685 | Loren Lawrence | Registered Nurse | 34597 N 60th St Ste 110, Scottsdale, AZ 85266-5241 | 2018-09-04 |
1447614490 | Bridget Armstrong | Registered Nurse | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2016-04-06 |
1851723050 | Margaret L. Neish | Registered Nurse | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2013-07-30 |
1629340195 | Melinda Jill Bechtol | Registered Nurse | 4212 North 16th Street, Phoenix Indian Medical Center, Phoenix, AZ 85016-5319 | 2012-01-31 |
1841562501 | Branden Elaine Watkins | Registered Nurse | 4212 North 16th Street, Phoenix Indian Medical Center, Phoenix, AZ 85016-5319 | 2012-01-27 |
1487884417 | Christina Gayle Mockbee | Registered Nurse | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2009-07-24 |
1750515045 | Eugenia Claudia Vazquez | Registered Nurse | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2009-05-14 |
1538393970 | Kimberly Metzger | Registered Nurse | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2009-05-13 |
1992947642 | Susan Marie Russo | Registered Nurse | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2009-03-26 |
1326202094 | Lazarus Eric Popovski | Registered Nurse | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2008-07-11 |
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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.