CONNIE STEVENS (NPI# 1164829701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164829701 |
| Entity Type | Individual |
| Full Name | CONNIE STEVENS |
| Practice Address |
6302 E Deer Farm Rd Williams AZ 86046-8402 |
| Practice Telephone | 9286079099 |
| Mailing Telephone | 9286079099 |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2014-11-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
6324240 | AZ | Respite Care Facility |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013050160 | Connie Marie Stevens | Rehabilitation Practitioner | 56020 Santa Fe Trl, Yucca Valley, CA 92284-3148 | 2007-02-15 |
| 1225197270 | Connie Stevens | Counselor | 4227 9th Ave S, Fargo, ND 58103-2018 | 2006-12-06 |
| Street Address |
6302 E DEER FARM RD |
| City | WILLIAMS |
| State | AZ |
| Zip Code | 86046-8402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154631521 | Linda Louise Kline | Registered Nurse | 801 S State Rt 64, #218, Williams, AZ 86046 | 2010-10-19 |
| 1710126842 | Moseng Health Care Inc. | Chiropractor | 117 Route 66, Ste. 190, Williams, AZ 86046 | 2009-02-12 |
| 1629528971 | Victoria Noack | Physical Therapist | 301 S 7th St, Williams, AZ 86046 | 2016-10-11 |
| 1801243902 | Laura Wade | Family Medicine | 300 S 6th St, Williams, AZ 86046 | 2016-05-18 |
| 1750794731 | Michael James Druschel | Family Medicine | 300 S 6th St, Williams, AZ 86046 | 2014-06-06 |
| 1265502009 | Sybil Anette Head | Physical Therapist | 301 S 7th St, Williams, AZ 86046 | 2006-11-09 |
| 1730701004 | Melody Rhodes | Nurse Practitioner | 300 S 6th St, Williams, AZ 86046-0110 | 2020-05-10 |
| 1316143233 | Williams Unified School District #2 | Local Education Agency (LEA) | 515 South 9th Street, Williams, AZ 86046-0427 | 2007-06-26 |
| 1912145657 | Robert Leslie Farrell | Counselor | 601 N 7th St, Williams, AZ 86046-1905 | 2009-02-03 |
| 1295937589 | George Lynn Bardwell | Chiropractor | 706 N Grand Canyon Blvd., Williams, AZ 86046-2200 | 2007-05-31 |
| Find all providers in zip 86046 | ||||
| Taxonomy Code | 385HR2055X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Illness, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154739654 | Naomi Konkel | Respite Care | 818 Quarter Horse Rd, Williams, AZ 86046-9643 | 2014-07-28 |
| 1669762183 | Mayra Kmetz | Respite Care | 700 Quarter Horse Rd, Williams, AZ 86046-9519 | 2011-04-18 |
| 1053800565 | Joyce D Oglesby | Respite Care | 500 S 11th St, Williams, AZ 86046-2822 | 2018-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539004 | Yvette I Haughton | Respite Care | 11275 N 99th Ave Lot 117, Peoria, AZ 85345-5479 | 2020-08-20 |
| 1700411576 | Jaquelina Andrea Reyes | Respite Care | 25279 W Centre Ave, Buckeye, AZ 85326-2468 | 2020-03-11 |
| 1740815497 | Jerome Alexander-terrell Jackson | Respite Care | 9680 W Northern Ave Unit 2311, Peoria, AZ 85345-4655 | 2020-03-03 |
| 1912539941 | Elizabeth Ann Mannel | Respite Care | 1225 W Panorama Rd, Tucson, AZ 85704-2834 | 2020-02-07 |
| 1093345498 | New Hope of Arizona, Inc. | Respite Care | 12545 W Woodland Ave, Avondale, AZ 85323-8025 | 2020-01-24 |
| 1033757877 | Jessica Annette Dixon-tatum | Respite Care | 401 N 6th St, Buckeye, AZ 85326-2415 | 2019-12-11 |
| 1700423902 | Randy Bland | Respite Care | 20731 W Stone Hill Road, Buckeye, AZ 85396 | 2019-12-06 |
| 1003459934 | Stephanie Denise Jackson | Respite Care | 22321 W Morning Glory St, Buckeye, AZ 85326-7181 | 2019-10-23 |
| 1285276345 | Charlyn Ponds | Respite Care | 235 E Ray Rd Apt 2035, Chandler, AZ 85225-3362 | 2019-10-10 |
| 1508416595 | Tyechia Webb | Respite Care | 21239 N 24th Ave Apt 214, Phoenix, AZ 85027-2524 | 2019-09-12 |
| Find all providers with the same taxonomy | ||||
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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.