MANDI L. FILLA (NPI# 1144629429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144629429 |
| Entity Type | Individual |
| Full Name | MANDI L. FILLA |
| Other Name | MANDI L. HUTSON |
| Credential | CNP |
| Practice Address |
1840 E Baseline Rd Ste A1 Tempe AZ 85283-1527 |
| Mailing Address |
Po Box 308 Queen Creek AZ 85142-1806 |
| Practice Telephone | 4807185400 |
| Practice Fax Number | 8776664624 |
| Mailing Telephone | 4807185400 |
| Mailing Fax Number | 8776664624 |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2020-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP8073 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
COA.16305-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1840 E BASELINE RD STE A1 |
| City | TEMPE |
| State | AZ |
| Zip Code | 85283-1527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891026639 | Brooke W. Eisenhart | Nurse Practitioner | 1840 E Baseline Rd Ste A1, Tempe, AZ 85283-1527 | 2010-01-19 |
| 1225517212 | Maryn Jayne Moreni | Nurse Practitioner | 1840 E Baseline Rd Ste A1, Tempe, AZ 85283-1527 | 2018-08-09 |
| 1255749982 | Integrated Healthcare Mobile Solutions, LLC | Optometrist | 1840 E Baseline Rd Ste A1, Tempe, AZ 85283-1527 | 2014-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093373284 | Odilette Trevizo | Registered Nurse | Beautiful You Med Spa, 123 E Baseline Rd Ste D208, Tempe, AZ 85283 | 2019-06-03 |
| 1538631981 | Baseline Dental Care Pllc | Dentist | 1980 E Baseline Road Suite 101, Tempe, AZ 85283 | 2018-12-26 |
| 1912409228 | Laura Lee Jones | Social Worker | 438 W. Seed Farm Road, Sacaton, AZ 85283 | 2018-03-02 |
| 1609226364 | Clean Colonic LLC | Public Health or Welfare | 7560 S. Willow Dr, Tempe, AZ 85283 | 2016-06-14 |
| 1235583212 | Seema Bacon | Counselor | 2111 E Baseline Rd Ste D2, Tempe, AZ 85283 | 2016-04-15 |
| 1326436908 | Dale E King | Social Worker | 1405 E. Guadalupe Road, Tempe, AZ 85283 | 2015-01-05 |
| 1194135871 | Greater Phoenix Psychiatric Associate Pllc | Psychiatry & Neurology | 6530 S Maple Ave, Tempe, AZ 85283 | 2014-05-02 |
| 1639468077 | Muna A Jama | Pharmacist | 6404 S Mcclintock Dr., Tempe, AZ 85283 | 2011-04-06 |
| 1649580945 | Nancy A Syms | Psychologist | 6350 South Maple Avenue, Tempe, AZ 85283 | 2010-10-20 |
| 1629208400 | Bonnie J Rouzaud | Nurse Practitioner | 1920 E Baseline Road, Tempe, AZ 85283 | 2009-07-15 |
| Find all providers in zip 85283 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487218483 | Blessed Hands Mobile Pllc | Nurse Practitioner | 1120 W Laird St, Tempe, AZ 85281-5311 | 2019-04-24 |
| 1508176694 | Mary Elizabeth Braham | Nurse Practitioner | 233 E Southern Ave, #24256, Tempe, AZ 85282-5189 | 2010-10-07 |
| 1548344567 | Alyssa S Haspel-siegel | Nurse Practitioner | 6323 S Rural Rd, Suite 107, Tempe, AZ 85283-2900 | 2006-10-25 |
| 1043293103 | Sally Jean Kennedy | Nurse Practitioner | 1898 E Southern Ave, Tempe, AZ 85282-5836 | 2005-11-22 |
| 1326429143 | Lisa Marie Warren-heft | Nurse Practitioner | 51 W 3rd St, Suite 500, Tempe, AZ 85281-2831 | 2015-06-17 |
| 1760884175 | Pophealthcare Medical Services of Az, PC | Nurse Practitioner | 51 W 3rd St Ste 500, Tempe, AZ 85281-2871 | 2014-09-17 |
| 1710282330 | Margaret Komar | Nurse Practitioner | 2307 S Rural Rd, Tempe, AZ 85282-2424 | 2011-01-12 |
| 1144547357 | Gregory G. Zobell | Nurse Practitioner | 2141 E Warner Rd Ste 101, Tempe, AZ 85284-3493 | 2010-04-27 |
| 1083860647 | Mary K Harty | Nurse Practitioner | 451 E University Dr, Tempe, AZ 85281-5391 | 2008-08-14 |
| 1588827638 | Megan Mary Mccarthy | Nurse Practitioner | 2149 E Baseline Rd, Suite 103, Tempe, AZ 85283-1539 | 2008-07-09 |
| Find all providers in TEMPE | ||||
Please comment or provide details below to improve the information on MANDI L. FILLA.
| 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.