MRS. MARY ELLEN KENWORTHEY (NPI# 1184603342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184603342 |
| Entity Type | Individual |
| Full Name | MRS. MARY ELLEN KENWORTHEY |
| Other Name | MS. MARY ELLEN MERVA |
| Credential | NP |
| Practice Address |
2929 E Thomas Rd Phoenix AZ 85016-8034 |
| Mailing Address |
2525 E Roosevelt St Phoenix AZ 85008-4948 |
| Practice Telephone | 6024705000 |
| Mailing Telephone | 6023441015 |
| Enumeration Date | 2006-01-15 |
| Last Update Date | 2017-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
AP0078 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
RN043733 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
RN043733 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 760406 | 05 |
| Street Address |
2929 E THOMAS RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85016-8034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871590216 | Chandrakant B. Patel | Anesthesiology | 2929 E Thomas Rd, Phoenix, AZ 85016-8034 | 2005-06-30 |
| 1093321267 | Tyler L. Cobb | Physician Assistant | 2929 E Thomas Rd, Phoenix, AZ 85016-8034 | 2020-09-22 |
| 1760005862 | Melissa Meyer | Nurse Practitioner | 2929 E Thomas Rd, Phoenix, AZ 85016-8034 | 2020-05-22 |
| 1649828070 | Andrea Harris | Physician Assistant | 2929 E Thomas Rd, Phoenix, AZ 85016-8034 | 2019-08-28 |
| 1215400478 | Georgina Amaya | Nurse Practitioner | 2929 E Thomas Rd, Phoenix, AZ 85016-8034 | 2019-01-09 |
| 1275009912 | Alexis Sotis | Physician Assistant | 2929 E Thomas Rd, Phoenix, AZ 85016-8034 | 2018-10-20 |
| 1831637297 | Megan Nicole Aros-o'malley | Psychologist | 2929 E Thomas Rd, Phoenix, AZ 85016-8034 | 2017-02-06 |
| 1497290167 | Daniel Jared Mcarthur | Registered Nurse | 2929 E Thomas Rd, Phoenix, AZ 85016-8034 | 2017-01-04 |
| 1215485420 | Alisha Michelle Crabtree | Physician Assistant | 2929 E Thomas Rd, Phoenix, AZ 85016-8034 | 2016-09-15 |
| 1932575883 | Jodie Mokihana Kaalekahi | Nurse Practitioner | 2929 E Thomas Rd, Phoenix, AZ 85016 | 2015-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
| 1780215681 | Sip Home Systems - Mesa LLC | Home Health | 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 | 2020-01-29 |
| 1760945588 | Wei Wei | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 | 2019-04-09 |
| 1942765623 | Grace Hatfield | Dietitian, Registered | Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 | 2019-02-06 |
| 1861977027 | Dawn Yvette Lima | Occupational Therapy Assistant | 3128 E Cheery Ln, Phoenix, AZ 85016 | 2018-10-03 |
| 1720583685 | Kristin Pauline Hicklin | Registered Nurse | 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 | 2018-03-24 |
| 1588181622 | Taness Eyre Billington | Pharmacist | 1625 E. Camelback Rd., Phoenix, AZ 85016 | 2017-08-29 |
| 1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
| 1609396985 | Mohammed Waseemuddin | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2017-06-27 |
| 1144777632 | Amanda Mazerall | Occupational Therapist | 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 | 2016-09-01 |
| Find all providers in zip 85016 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689926800 | Ashley Renee Torrey Fisher | Nurse Practitioner | 10240 West Indian School Road, 140, Phoenix, AZ 85037-5904 | 2012-10-11 |
| 1225395726 | Evelyn R Lopez | Nurse Practitioner | 9520 W Palm Ln Ste 200, Phoenix, AZ 85037-4403 | 2012-04-20 |
| 1952592602 | Dawn Marie Diaz | Nurse Practitioner | 3102 East Indian School Park, Suite 130 Gynecologic Solutions, Phoenix, AZ 85016-6872 | 2007-08-07 |
| 1972794246 | Susan Terry Maland-ludewig | Nurse Practitioner | 11209 N Tatum Blvd Ste 255, Phoenix, AZ 85028-6025 | 2007-08-01 |
| 1326645318 | Sarah Helen Green | Nurse Practitioner | 202 E Morris Dr, Phoenix, AZ 85012-2323 | 2020-10-03 |
| 1861862989 | Jennifer Anne Billingsley | Nurse Practitioner | 11209 N Tatum Blvd, Suite 255, Phoenix, AZ 85028 | 2015-10-01 |
| 1457720765 | Rachel Kennamer | Nurse Practitioner | 303 E Baseline Rd, Phoenix, AZ 85042-6530 | 2015-09-16 |
| 1568890309 | Alice Mae Baluha | Nurse Practitioner | 635 E Baseline Rd, Phoenix, AZ 85042-6551 | 2013-10-14 |
| 1124460027 | Kimberly Harshberger | Nurse Practitioner | 4751 N 15th St, Phoenix, AZ 85014-3707 | 2013-07-22 |
| 1679852362 | Whitney D Padgett | Nurse Practitioner | 1313 E Osborn Rd, Suite 250, Phoenix, AZ 85014-5678 | 2011-08-11 |
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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.