KIMBERLY E HAELEN (NPI# 1154656452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154656452 |
| Entity Type | Individual |
| Full Name | KIMBERLY E HAELEN |
| Practice Address |
20402 N 15th Ave Phoenix AZ 85027-3636 |
| Practice Telephone | 6234454952 |
| Practice Fax Number | 6234455079 |
| Mailing Telephone | 6234454952 |
| Mailing Fax Number | 6234455079 |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2009-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
RN125072 | AZ | Nursing Service Providers |
| Street Address |
20402 N 15TH AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85027-3636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629101407 | Deer Valley Unified School District #97 | Local Education Agency (LEA) | 20402 N 15th Ave, Phoenix, AZ 85027-3636 | 2007-03-13 |
| 1083224471 | Shauna M Miller | Registered Nurse | 20402 N 15th Ave, Phoenix, AZ 85027-3636 | 2020-07-31 |
| 1346859659 | Sarah Bodnar | Speech-Language Pathologist | 20402 N 15th Ave, Phoenix, AZ 85027-3636 | 2020-07-23 |
| 1699384875 | Natalie Claire Mcdaniel | Speech-Language Pathologist | 20402 N 15th Ave, Phoenix, AZ 85027-3636 | 2020-07-23 |
| 1043860869 | Kathy Louise Gunderson | Registered Nurse | 20402 N 15th Ave, Phoenix, AZ 85027-3636 | 2019-09-13 |
| 1609424241 | Meredith Graffious | Speech-Language Pathologist | 20402 N 15th Ave, Phoenix, AZ 85027-3636 | 2019-08-27 |
| 1205319233 | Hannah Seidel | Speech-Language Pathologist | 20402 N 15th Ave, Phoenix, AZ 85027-3636 | 2018-09-14 |
| 1861971798 | Amber Mccrite | Occupational Therapist | 20402 N 15th Ave, Phoenix, AZ 85027 | 2018-08-10 |
| 1700395217 | Carolyn Sue Stier | Speech-Language Pathologist | 20402 N 15th Ave, Phoenix, AZ 85027-3636 | 2017-09-27 |
| 1295277960 | Lisa Marie Glover | Registered Nurse | 20402 N 15th Ave, Phoenix, AZ 85027-3636 | 2016-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306312 | Ashley Nicole Felipe | Registered Nurse | 25700 N 21st Ave, Phoenix, AZ 85027 | 2020-08-10 |
| 1942784376 | Crystal Rodriguez | Dentist | 2550 W Union Hills Dr Ste 201, Phoenix, AZ 85027 | 2018-09-21 |
| 1790284776 | Lydia Kuuipo Chong | Nurse Practitioner | 20414 N 27th Ave #300, Phoenix, AZ 85027 | 2018-02-06 |
| 1457867004 | Kristi Marie Mathews | Nurse Practitioner | 19829 N 29th Avenue, Phoenix, AZ 85027 | 2017-12-19 |
| 1710348362 | The Empower House, LLC | Community Based Residential Treatment Facility, Mental Illness | 18631 N. 19th Ave., Suite 158-305, Phoenix, AZ 85027 | 2016-03-10 |
| 1972979656 | Dr Daniel H Yohannes D.d.s., PC | Dentist | 602 W. Union Hills Dr, #8, Phoenix, AZ 85027 | 2015-08-17 |
| 1013346857 | Dentistry At 35th Avenu | Dentist | 18635 N 35th Avenue, Phoenix, AZ 85027 | 2013-11-02 |
| 1437592102 | Ammar Alobaidy | Psychiatry & Neurology | 21410 N 19th Ave Ste 151, Phoenix, AZ 85027 | 2013-04-12 |
| 1588900021 | Jill Elizabeth Maroscia | Social Worker | 19636 N 27th Ave #106, Phoenix, AZ 85027 | 2013-01-02 |
| 1124394515 | Sfjg Holdings LLC | Dentist | 3414 W. Union Hills Dr, Suite 12 & 14, Phoenix, AZ 85027 | 2012-03-29 |
| Find all providers in zip 85027 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235602699 | Sharon Gasch | Registered Nurse | 3905 E Monte Cristo Ave, Phoenix, AZ 85032-4065 | 2019-01-09 |
| 1477024461 | Rosie Higuera | Registered Nurse | 7731 W Flower St, Phoenix, AZ 85033-4944 | 2018-12-17 |
| 1588163687 | Alma Cecilia Elizarraraz | Registered Nurse | 1234 E Northern Ave, Phoenix, AZ 85020-4274 | 2018-02-05 |
| 1396263307 | Cheryl Anne Miller | Registered Nurse | 15002 N. 32nd St., Phoenix, AZ 85032 | 2017-08-30 |
| 1366966434 | Penny L Reamer | Registered Nurse | 17624 N. 31st Ave., Phoenix, AZ 85053 | 2017-08-01 |
| 1790150084 | Jennifer Fuller | Registered Nurse | 9618 N 36th St, Phoenix, AZ 85028-4938 | 2015-12-11 |
| 1417329897 | Kelly Criswell | Registered Nurse | 32150 N North Foothills Dr, Phoenix, AZ 85085 | 2015-10-26 |
| 1598161416 | Elise Corriveau | Registered Nurse | 1611 W Fillmore St, Phoenix, AZ 85007-2214 | 2014-11-05 |
| 1356740088 | Soledad Villalobos | Registered Nurse | 14238 N 34th Way, Phoenix, AZ 85032-5340 | 2014-08-19 |
| 1982003034 | Staci Motley | Registered Nurse | 7150 N 22nd St, Phoenix, AZ 85020-5605 | 2014-08-14 |
| 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.