MRS. HYANGSOOK LEE PATEL (NPI# 1174155089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174155089 |
Entity Type | Individual |
Full Name | MRS. HYANGSOOK LEE PATEL |
Credential | PHMNP |
Practice Address |
9225 N 3rd St Ste 102 Phoenix AZ 85020-2455 |
Practice Telephone | 6023622983 |
Practice Fax Number | 4805654552 |
Mailing Telephone | 6023622983 |
Mailing Fax Number | 4805654552 |
Enumeration Date | 2020-02-08 |
Last Update Date | 2020-09-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
234331 | AZ | Allopathic & Osteopathic Physicians |
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
234331 | AZ | Allopathic & Osteopathic Physicians |
N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
234331 | AZ | Allopathic & Osteopathic Physicians |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
234331 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | PHMNP | 234331 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
5060 N 19th Ave Ste 102, Phoenix, AZ 850153211 | 6022965540 | 6022965442 |
Street Address |
9225 N 3RD ST STE 102 |
City | PHOENIX |
State | AZ |
Zip Code | 85020-2455 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619329000 | Patrick Charles Mcneil | Physician Assistant | 9225 N 3rd St Ste 102, Phoenix, AZ 85020-2455 | 2016-07-08 |
1386273688 | Jasmine Hope Cresanta | Nurse Practitioner | 9225 N 3rd St Ste 102, Phoenix, AZ 85020-2455 | 2020-04-07 |
1205469327 | Kailynn Andrea Bailey | Nurse Practitioner | 9225 N 3rd St Ste 102, Phoenix, AZ 85020-2455 | 2020-02-17 |
1659918282 | Stacey Marie Stevens | Nurse Practitioner | 9225 N 3rd St Ste 102, Phoenix, AZ 85020-2455 | 2019-12-02 |
1265918726 | Nicole Kay Larsen | Family Medicine | 9225 N 3rd St Ste 102, Phoenix, AZ 85020-2455 | 2018-07-17 |
1871091249 | Ani Saraydarian-roe | Social Worker | 9225 N 3rd St Ste 102, Phoenix, AZ 85020-2455 | 2018-01-31 |
1720524333 | Md Homecare LLC | Internal Medicine | 9225 N 3rd St Ste 102, Phoenix, AZ 85020-2455 | 2017-01-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124683537 | Joseph A Jones | Pharmacist | 7543 N 20th St, Phoenix, AZ 85020 | 2019-05-01 |
1871022210 | Amber L Enright | Physical Therapist | 1675 E Morten Ave, 4155, Phoenix, AZ 85020 | 2017-06-08 |
1518407683 | Harmony Dental Partners, LLC | Dentist | 7150 North 7th Street, Phoenix, AZ 85020 | 2017-03-08 |
1104369495 | Michelle Mastro | Registered Nurse | 1234 E. Northern Avenue, Phoenix, AZ 85020 | 2016-11-18 |
1912363003 | Charles D. Atkinson | Social Worker | 1716 East Seldon Lane, Phoenix, AZ 85020 | 2016-01-06 |
1477928471 | Erin Testa | Psychologist | 7600 N 16th St Ste 218, Phoenix, AZ 85020 | 2015-12-02 |
1972977569 | Borpan Monitoring, Pllc | Psychiatry & Neurology | 7000 N 16th Street Ste 120 # 281, Phoenix, AZ 85020 | 2015-11-19 |
1275906984 | Summer Macey | Nurse Practitioner | 9225 N. 3rd St #304, Affiliated Hospitalists, Phoenix, AZ 85020 | 2015-11-03 |
1356712772 | Maurie S Comenzo | Clinic/Center | 11024 North 28th Drive/suite #200, Lake Biltmore Corporate Center, Phoenix, AZ 85020 | 2015-10-12 |
1700260692 | Stansberry Family Dentistry Pllc | Dentist | 7501 N. 16th St. #100, Phoenix, AZ 85020 | 2015-07-10 |
Find all providers in zip 85020 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215536479 | Yolanda D Baugh | Nurse Practitioner | 2625 W Piedmont Rd, Phoenix, AZ 85041-9540 | 2020-10-20 |
1306450960 | Williamsconsultant Com LLC | Nurse Practitioner | 2303 N 44th St Ste 12-1043, Phoenix, AZ 85008-2442 | 2020-09-01 |
1912515305 | Victory Health Solution LLC | Nurse Practitioner | 9132 W Hubbell St, Phoenix, AZ 85037-4377 | 2020-07-21 |
1700494374 | Vanessa Moe | Nurse Practitioner | 42949 N Voyage Trl, Phoenix, AZ 85086-8040 | 2020-07-20 |
1043838527 | Latasha Lynne Freeman | Nurse Practitioner | 1919 E Thomas Rd Bldg 5th, Phoenix, AZ 85016-7710 | 2020-07-10 |
1861019416 | Gayle Cecilia Bachelier | Nurse Practitioner | 2302 N Central Ave Unit 303, Phoenix, AZ 85004-1373 | 2020-06-30 |
1871119156 | Ashlyn Tellers | Nurse Practitioner | 21438 N 33rd Ave, Phoenix, AZ 85027-2241 | 2020-06-22 |
1770109605 | Hannah Carita Jurekovic-byrd | Nurse Practitioner | 5727 N 7th St Ste 308, Phoenix, AZ 85014-5817 | 2020-06-16 |
1578188025 | Joseph Medlin | Nurse Practitioner | 915 N 52nd St Apt 2010, Phoenix, AZ 85008-7934 | 2020-06-10 |
1750901088 | Foothills Psychiatric Services Pllc | Nurse Practitioner | 3546 E Windmere Dr, Phoenix, AZ 85048-7211 | 2020-04-16 |
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.