KELLIE CASERO (NPI# 1154665990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154665990 |
| Entity Type | Individual |
| Full Name | KELLIE CASERO |
| Other Name | KELLIE WEBB-CASERO |
| Credential | DNP STUDENT |
| Practice Address |
7219 N Litchfield Rd Luke Afb AZ 85309-1529 |
| Mailing Address |
13510 N. 153rd Ave Surprise AZ 85379 |
| Practice Telephone | 6238967579 |
| Mailing Telephone | 7074106453 |
| Enumeration Date | 2012-11-17 |
| Last Update Date | 2015-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 730340 | TX | Student, Health Care |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 87631 | KS | Student, Health Care |
| Street Address |
7219 N LITCHFIELD RD |
| City | LUKE AFB |
| State | AZ |
| Zip Code | 85309-1529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740281203 | Scott Joseph Lafont | Dentist | 7219 N Litchfield Rd, Dental Clinic, Luke Afb, AZ 85309-1529 | 2005-08-09 |
| 1184262347 | Denise Renee Covert | Nurse Practitioner | 7219 N Litchfield Rd, Luke Afb, AZ 85309-1529 | 2019-12-18 |
| 1790279685 | Tyler John Gale | Nurse Practitioner | 7219 N Litchfield Rd, Luke Afb, AZ 85309-1529 | 2018-06-14 |
| 1679091706 | Patrick Andrew Stockton | Nurse Practitioner | 7219 N Litchfield Rd, Luke Afb, AZ 85309-1529 | 2017-09-09 |
| 1417483074 | Matthew Collins | Military Health Care Provider | 7219 N Litchfield Rd, Luke Afb, AZ 85309-1529 | 2017-05-02 |
| 1235672114 | Noah Russell | Physician Assistant | 7219 N Litchfield Rd, Luke Afb, AZ 85309-1529 | 2016-11-28 |
| 1811340565 | Collin Urbanowicz | Physician Assistant | 7219 N Litchfield Rd, Luke Afb, AZ 85309-1529 | 2016-07-18 |
| 1972986909 | Kristin Haskell | Advanced Practice Midwife | 7219 N Litchfield Rd, Luke Afb, AZ 85309-1529 | 2015-07-08 |
| 1720402993 | Samuel Beck | Pediatrics | 7219 N Litchfield Rd, Luke Afb, AZ 85309 | 2014-02-09 |
| 1760820989 | Bryan Geoffrey Anderson | General Practice | 7219 N Litchfield Rd, 56 Amds (bldg 810), Luke Afb, AZ 85309-1529 | 2013-06-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912466111 | Natalie Ann Korona | Nurse Practitioner | 56 Mdg/mdos/sgof, 7219 N. Litchfield Rd, Luke Afb, AZ 85309 | 2019-03-18 |
| 1558647024 | Cheng Chung Tsai | Pharmacist | 72 19 N Litchfield Road, 56 Medical Group, Luke Afb, AZ 85309 | 2011-10-28 |
| 1053617464 | Bradley William Snyder | Military Health Care Provider | 7224 North 139th Avenue, Glendale, AZ 85309 | 2011-02-02 |
| 1043516610 | Charles Delvon Pickett | Military Health Care Provider | 7019 N Litchfield Ave, Luke Afb, 56/amds, Luke Afb, AZ 85309 | 2011-01-31 |
| 1104980663 | Maurice Edgar Young | Obstetrics & Gynecology | 56th Aerospace Medicine Squadron, Luke Afb, AZ 85309 | 2006-12-20 |
| 1679658538 | Wayne Allen Beaver | Psychologist | Luke Air Force Base, Bldg 317, Glendale, AZ 85309 | 2006-10-26 |
| 1306945472 | 56th Medical Group Sgsl | Military/U.S. Coast Guard Pharmacy | Bldg 810, Luke Afb, AZ 85309 | 2006-09-22 |
| 1679676571 | Anita Glenn-reller | Counselor | 317 Lightning Ave, Luke Afb, AZ 85309 | 2006-09-06 |
| 1346784881 | Kaleigh Moses | Registered Nurse | 13960 W Eagle St, Luke Air Force Base, AZ 85309-1426 | 2016-12-16 |
| 1376893511 | Melissa Ann Parra | Dentist | 7219 N Litchfield Rd., 56th Medical Group, Luke Afb, AZ 85309-1525 | 2012-09-14 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669215 | Rhian Kay Sage | Student in an Organized Health Care Education/Training Program | 737 E Fillmore St, Tempe, AZ 85281-1142 | 2020-11-08 |
| 1730788928 | Gabriella Jones | Student in an Organized Health Care Education/Training Program | 12104 S 181st Dr, Goodyear, AZ 85338-7865 | 2020-10-20 |
| 1174122279 | Amanda Oas | Student in an Organized Health Care Education/Training Program | 6304 W Corrine Dr, Glendale, AZ 85304-1607 | 2020-10-20 |
| 1265039283 | Meghan Houston | Student in an Organized Health Care Education/Training Program | 3600 W Ray Rd Apt 2103, Chandler, AZ 85226-7719 | 2020-10-02 |
| 1992310312 | Jacob Richard Bromley | Student in an Organized Health Care Education/Training Program | 725 E Main St, Apt #1c, Somerton, AZ 85350 | 2020-09-11 |
| 1972118461 | Shanna Rae Begay | Student in an Organized Health Care Education/Training Program | 208 E Pine Knoll Drive Room 215 Building 66, Flagstaff, AZ 86011-0001 | 2020-09-10 |
| 1508470642 | Aisha J Ramirez-maya | Student in an Organized Health Care Education/Training Program | 5230 S 40th Pl, Phoenix, AZ 85040-3909 | 2020-09-05 |
| 1902410053 | Sanjhavi Agarwal | Student in an Organized Health Care Education/Training Program | 5850 E Still Cir Apt 2102, Mesa, AZ 85206-3618 | 2020-09-05 |
| 1003429846 | Krista Lyn Beerling | Student in an Organized Health Care Education/Training Program | 5827 E Indian School Rd, Phoenix, AZ 85018-6104 | 2020-08-30 |
| 1518570456 | Ashlyn Marie Herbert | Student in an Organized Health Care Education/Training Program | 2760 E Butler Ave, Flagstaff, AZ 86004-6001 | 2020-08-29 |
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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.