CAROL ELAINE STEWART (NPI# 1174952741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174952741 |
| Entity Type | Individual |
| Full Name | CAROL ELAINE STEWART |
| Other Name | CAROL ELAINE STEWART |
| Credential | FNP |
| Practice Address |
12 N Woodland Rd Lakeside AZ 85929-6563 |
| Mailing Address |
2051 Evergreen Ln Ste D Show Low AZ 85901-7928 |
| Practice Telephone | 9289400809 |
| Mailing Telephone | 9289400809 |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2018-07-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
AP5196 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083070593 | Carol Lee Stewart | Nurse Practitioner | 513 3rd Street Sw, Wagner, SD 57380 | 2016-01-13 |
| 1912158957 | Carol Frances Stewart | Clinical Nurse Specialist | 2990 N. Sioux, Claremore, OK 74017-0000 | 2008-10-08 |
| 1013920305 | Carol Andrea Stewart | Family Medicine | 260 Wekiva Springs Rd Ste 100, Longwood, FL 32779-5947 | 2006-08-15 |
| 1649735754 | Carol Kelly Stewart | Counselor | 946 Nabbs Creek Rd, Glen Burnie, MD 21060-8434 | 2019-02-02 |
| 1679089064 | Carol Stewart | Counselor | 560 N Main St, Marion, OH 43302-2331 | 2017-12-20 |
| 1922319102 | Carol Stewart | Nurse Practitioner | 7400 East Dr, 102 Moore Hall, Montgomery, AL 36117 | 2010-06-23 |
| 1891025987 | Carol Stewart | Technician | 19401 Northline Rd, Southgate, MI 48195-2277 | 2010-01-12 |
| 1730370636 | Carol Elaine Stewart | Counselor | 3407 Shamrock Ct, Gautier, MS 39553 | 2007-08-06 |
| 1205030905 | Carol Stewart I | Counselor | 4929 W Fond Du Lac Ave, Milwaukee, WI 53216-2324 | 2007-06-14 |
| 1508920018 | Carol A. Stewart | Registered Nurse | 325 9th Ave, Box 359947, Seattle, WA 98104-2420 | 2006-12-20 |
| Street Address |
12 N WOODLAND RD |
| City | LAKESIDE |
| State | AZ |
| Zip Code | 85929-6563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689272700 | Pediatric Multicare West, LLC | Pediatrics | 316 W. White Mountain Blvd., Suite A, Lakeside, AZ 85929 | 2020-10-12 |
| 1841836285 | Changepoint Integrated Health | Community/Behavioral Health | 1920 West Commerce Dr, Lakeside, AZ 85929 | 2019-11-20 |
| 1184111692 | Statclinix Plc | Clinic/Center | 3457 W White Mountain Blvd, Lakeside, AZ 85929 | 2018-04-19 |
| 1154827863 | Advanced Health and Wellness Az | Clinic/Center | 4830 Highway 260 Ste 102, Lakeside, AZ 85929 | 2018-04-02 |
| 1740648260 | Ries Chiropractic and Rehabilitation Center LLC | Point of Service | 5658 Hwy 260 Ste 1, Lakeside, AZ 85929 | 2016-01-29 |
| 1912395807 | Samuel Jesus Rosero Garcia | Family Medicine | 300 W. White Mountain Blvd, Suite D, Lakeside, AZ 85929 | 2014-12-31 |
| 1104178326 | Ronald T. Watanabe | Chiropractor | 20 West White Mountain Road, Safeway Pharmacy, Lakeside, AZ 85929 | 2012-10-11 |
| 1962705442 | San Tan Behavioral Health Services | Non-emergency Medical Transport (VAN) | 1277 Hummingbird Circle, Lakeside, AZ 85929 | 2010-12-06 |
| 1609181718 | Freter Family Practice Pllc | Family Medicine | 5448 S. White Mountain Blvd, 270, Lakeside, AZ 85929 | 2010-08-12 |
| 1760701221 | Sierra Blanca Rehabilitation LLC | Skilled Nursing Facility | 3401 N Lockwood Dr, Lakeside, AZ 85929 | 2010-05-24 |
| Find all providers in zip 85929 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447864202 | Soma Care, LLC | Nurse Practitioner | 6944 E Broadway Rd Ste A, Mesa, AZ 85208-1916 | 2020-08-31 |
| 1497367403 | Daryl Lyons | Nurse Practitioner | 18095 W Santa Irene Dr, Goodyear, AZ 85338-5456 | 2020-08-20 |
| 1538787072 | Brijeshaben Urvish Patel | Nurse Practitioner | 13300 N 88th Ave Apt 2007, Peoria, AZ 85381-2614 | 2020-07-10 |
| 1043835424 | Us Live Clinic LLC | Nurse Practitioner | 12610 E Laurel Ln, Scottsdale, AZ 85259-3460 | 2020-06-11 |
| 1831713148 | Alexis Petra Md | Nurse Practitioner | 21835 N 51st St, Phoenix, AZ 85054-7140 | 2020-06-02 |
| 1245851955 | Amy Rachelle Dunn | Nurse Practitioner | 7563 E Plata Ave, Mesa, AZ 85212-9729 | 2020-05-04 |
| 1700407426 | Joan N Nunoo | Nurse Practitioner | 3852 E Santa Fe Ln, Gilbert, AZ 85297-8529 | 2020-05-04 |
| 1326675166 | Kendrick Wright | Nurse Practitioner | 2727 E Camelback Rd Apt 525, Phoenix, AZ 85016-4481 | 2020-03-23 |
| 1518591510 | Laura Larson | Nurse Practitioner | 1929 W Fillmore St Bldg C, Phoenix, AZ 85009-3812 | 2020-02-27 |
| 1538791512 | Silverleaf Health LLC | Nurse Practitioner | 20715 N Pima Rd Ste 108, Scottsdale, AZ 85255-6685 | 2020-02-07 |
| 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.