THE LITTLE CLINIC OF ARIZONA LLC (NPI# 1154759322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154759322 |
| Entity Type | Organization |
| Organization Name | THE LITTLE CLINIC OF ARIZONA LLC |
| Practice Address |
1815 W Glendale Ave Phoenix AZ 85021-8582 |
| Mailing Address |
2620 Elm Hill Pike Nashville TN 37214-3108 |
| Practice Telephone | 6023352280 |
| Practice Fax Number | 6023352281 |
| Mailing Telephone | 6154254200 |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2016-12-21 |
| Authorized Official Name | MARC R WATKINS (CMO) |
| Authorized Official Telephone | 6154254200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235684853 | The Little Clinic of Arizona LLC | Nurse Practitioner | 13830 W Camelback Rd, Litchfield Park, AZ 85340-3072 | 2016-08-24 |
| 1306395215 | The Little Clinic of Arizona LLC | Physician Assistant | 1311 E Bell Rd, Phoenix, AZ 85022-2724 | 2016-10-04 |
| 1851635627 | The Little Clinic of Arizona LLC | Physician Assistant | 6611 W Bell Rd, Glendale, AZ 85308 | 2012-11-19 |
| 1043554827 | The Little Clinic of Arizona LLC | Physician Assistant | 6470 S Higley Rd, Gilbert, AZ 85298 | 2012-11-19 |
| 1881938660 | The Little Clinic of Arizona LLC | Physician Assistant | 1935 N Stapley Dr, Mesa, AZ 85203 | 2012-11-19 |
| 1174867956 | The Little Clinic of Arizona LLC | Physician Assistant | 15510 W Bell Rd, Surprise, AZ 85374 | 2012-11-19 |
| 1427392299 | The Little Clinic of Arizona LLC | Physician Assistant | 1300 S Watson Rd, Buckeye, AZ 85326-6303 | 2012-11-19 |
| 1417291287 | The Little Clinic of Arizona LLC | Physician Assistant | 2727 W Bell Rd, Phoenix, AZ 85053 | 2012-11-19 |
| 1619211489 | The Little Clinic of Arizona LLC | Physician Assistant | 11425 W Buckeye Rd, Avondale, AZ 85323-6810 | 2012-11-19 |
| 1548504368 | The Little Clinic of Arizona LLC | Physician Assistant | 1575 N Dysart Rd, Avondale, AZ 85392 | 2012-11-16 |
| Street Address |
1815 W GLENDALE AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85021-8582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467449132 | Elizabeth Sanchez | Pharmacist | 1815 W Glendale Ave, Phoenix, AZ 85021-8582 | 2005-09-28 |
| 1063937597 | Wen Cheng | Pharmacist | 1815 W Glendale Ave, Phoenix, AZ 85021-8582 | 2017-08-05 |
| 1457805087 | Brian Cole | Pharmacist | 1815 W Glendale Ave, Phoenix, AZ 85021-8582 | 2016-08-11 |
| 1396119632 | Audrey Davison | Pharmacist | 1815 W Glendale Ave, Phoenix, AZ 85021-8582 | 2015-11-24 |
| 1114393535 | Sebastian Mak | Pharmacist | 1815 W Glendale Ave, Phoenix, AZ 85021-8582 | 2015-08-19 |
| 1417347303 | Emma Breckenridge | Nurse Practitioner | 1815 W Glendale Ave, Phoenix, AZ 85021-8582 | 2015-01-29 |
| 1780936229 | Ramzi Hout | Pharmacist | 1815 W Glendale Ave, Phoenix, AZ 85021-8582 | 2012-10-08 |
| 1255624565 | Alan Roosen | Pharmacist | 1815 W Glendale Ave, Phoenix, AZ 85021-8582 | 2011-05-19 |
| 1740599521 | Henry Perez Marquez | Pharmacist | 1815 W Glendale Ave, Phoenix, AZ 85021-8582 | 2010-09-28 |
| 1346575859 | Samantha Rees | Pharmacist | 1815 W Glendale Ave, Phoenix, AZ 85021-8582 | 2009-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173181 | Jill M Robinson | Social Worker | 8804 N. 23rd Ave, Bldg. A Ste. A01-a02, Phoenix, AZ 85021 | 2020-10-26 |
| 1528671013 | Sabrina Mcninch | Behavior Technician | 1200 W Dunlap Ave, Ste 100, Phoenix, AZ 85021 | 2020-08-25 |
| 1376169938 | Maricopa County Special Heallth Care District | Pharmacy | 2025 W Northern Ave, Phoenix, AZ 85021 | 2020-06-19 |
| 1841832664 | Madison Westby | Physical Therapist | 717 W Dunlap Ave # 100, Phoenix, AZ 85021 | 2019-10-14 |
| 1861967481 | Southwest Family Naturopathic Clinic Pllc | Naturopath | 1530 W Glendale Ave Suite 103, Phoenix, AZ 85021 | 2018-10-10 |
| 1184101461 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 8804 N 23rd Ave, Suite A01/a02, Phoenix, AZ 85021 | 2018-07-19 |
| 1568970150 | Alycia Ann Poloni | Occupational Therapist | 7129 N 23d Ave, Phoenix, AZ 85021 | 2018-01-17 |
| 1154839165 | Cyrus Professional Corporation | Dentist | 2401 W. Glendale Ave, Ste 102, Phoenix, AZ 85021 | 2018-01-12 |
| 1568980779 | Marla Jean Clay | Licensed Practical Nurse | 1717 W. Glendale Ave. Apt. 3011, Phoenix, AZ 85021 | 2017-09-07 |
| 1801325162 | Kaitlin King | Nurse Practitioner | 8824 N 9th Ave, Phoenix, AZ 85021 | 2017-06-08 |
| Find all providers in zip 85021 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407456783 | Brenna Michelle Clements | Nurse Practitioner | 3226 W Donatello Dr, Phoenix, AZ 85086-2200 | 2020-10-27 |
| 1932712825 | Grace Wanjiru Karanja Adams | Nurse Practitioner | 200 E Thomas Rd Unit 217, Phoenix, AZ 85012-1182 | 2020-08-28 |
| 1649895574 | Jozzette Elaine Rubio | Nurse Practitioner | 1924 E Vineyard Rd, Phoenix, AZ 85042-5793 | 2020-06-16 |
| 1396360749 | Ulivvo Inc. | Nurse Practitioner | 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 | 2020-06-11 |
| 1568087955 | Christa Ann Colvin | Nurse Practitioner | 6800 E Mayo Blvd Apt 1211, Phoenix, AZ 85054-5619 | 2020-06-10 |
| 1497378541 | Sharon Uchechi Joshua | Nurse Practitioner | 9117 W Virginia Ave, Phoenix, AZ 85037-4233 | 2020-05-23 |
| 1992326102 | Ashley Elizabeth Hall | Nurse Practitioner | 15810 N 18th St, Phoenix, AZ 85022-3302 | 2020-04-28 |
| 1750916797 | Sebastian Freeman Smith | Nurse Practitioner | 2716 W Cedarwood Ln, Phoenix, AZ 85045-2224 | 2020-03-10 |
| 1295365724 | Jessica Veasy | Nurse Practitioner | 7251 N 23rd Ave, Phoenix, AZ 85021-7714 | 2020-01-23 |
| 1568092526 | Anuradha Lingamneni | Nurse Practitioner | 2313 E Dry Wood Rd, Phoenix, AZ 85024-8688 | 2020-01-18 |
| 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.