GRACE R KECKEISEN (NPI# 1184696569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184696569 |
Entity Type | Individual |
Full Name | GRACE R KECKEISEN |
Credential | NP |
Practice Address |
2705 S Alma School Rd Ste 2 Chandler AZ 85286-4400 |
Mailing Address |
2733 N. Power Rd Ste 102 Pmb 287 Mesa AZ 85215-1906 |
Practice Telephone | 4804386949 |
Mailing Telephone | 4804386949 |
Enumeration Date | 2006-02-01 |
Last Update Date | 2020-02-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN090482 / AP006 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2705 S ALMA SCHOOL RD STE 2 |
City | CHANDLER |
State | AZ |
Zip Code | 85286-4400 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619507605 | Applied Gerontology, LLC | In Home Supportive Care | 2705 S Alma School Rd Ste 2, Chandler, AZ 85286-4400 | 2020-01-19 |
1891330841 | Lisa Perry | Respite Care | 2705 S Alma School Rd Ste 2, Chandler, AZ 85286-4400 | 2019-11-14 |
1396248571 | Sk Healthcare | In Home Supportive Care | 2705 S Alma School Rd Ste 2, Chandler, AZ 85286-4400 | 2018-03-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780202804 | Cep America- Arizona, PC | Emergency Medicine | 1405 S. Alma School Rd., Chandler, AZ 85286 | 2020-07-07 |
1972139004 | Banner Health | General Acute Care Hospital | 1405 S Alma School Rd, Chandler, AZ 85286 | 2020-03-20 |
1033776455 | Premier Orthodontic Specialists Pllc | Dentist | 3230 S. Gilbert Rd. Ste. 1, Chandler, AZ 85286 | 2019-05-21 |
1871056978 | Erica Satoko Sugiyama-hill | Counselor | 3042 West Queen Creek Rd, Chandler, AZ 85286 | 2019-04-08 |
1235693169 | Shumway Dental Care Pllc | Dentist | 3150 S. Gilbert Road Suite 1, Chandler, AZ 85286 | 2019-01-24 |
1568968287 | Reita Jenae Juarez | Counselor | 3042 W Queen Creek Road, Chandler, AZ 85286 | 2018-04-02 |
1205348984 | Seriously Speaking, LLC. | Speech-Language Pathologist | 650 E. Woodsman Place, Chandler, AZ 85286 | 2017-11-02 |
1689194920 | Kyle D. Byrne | Physician Assistant | 1100 S Dobson Rd Ste 203, Chandler, AZ 85286 | 2017-06-27 |
1053844183 | Omar Faisal Saleem | Internal Medicine | 1405 S Alma School Road, Attn Amanda Gump/ Hospitalists, Chandler, AZ 85286 | 2017-04-05 |
1629427539 | Bryanda Silva | Specialist/Technologist | 2350 E Germann Rd #33, Chandler, AZ 85286 | 2016-06-10 |
Find all providers in zip 85286 |
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 |
---|---|---|---|---|
1356953699 | Rebecca Jane Turley | Nurse Practitioner | 1681 S Villas Ln, Chandler, AZ 85286-6805 | 2020-08-18 |
1053923599 | Nancy Ogoti Monyenye | Nurse Practitioner | 2518 E Indian Wells Pl, Chandler, AZ 85249-4166 | 2020-08-17 |
1659899045 | Maricopa Christian Psychiatry Group, LLC | Nurse Practitioner | 3130 N Arizona Ave Ste 101, Chandler, AZ 85225-7162 | 2017-09-06 |
1356724728 | Chitra Mathew | Nurse Practitioner | 70 N Mcclintock Dr Ste 4, Chandler, AZ 85226-3711 | 2015-07-03 |
1104234574 | Lydia Corazon Samin Alvarez | Nurse Practitioner | 4742 W Oakland St, Chandler, AZ 85226-2926 | 2014-07-29 |
1982963658 | Shirley Ann Sheroian | Nurse Practitioner | 3873 W Park Ave, Chandler, AZ 85226-1390 | 2012-05-15 |
1114199759 | Stephen Earl Pray IIi | Nurse Practitioner | 3283 E Oriole Way, Chandler, AZ 85286-5669 | 2008-03-24 |
1609930932 | Life Journey Psychiatric Pllc | Nurse Practitioner | 3655 E. Bluebird Place, Chandler, AZ 85249 | 2006-12-21 |
1346864238 | Tiffany Stradling | Nurse Practitioner | 335 N Alma School Rd, Chandler, AZ 85224-4363 | 2020-06-05 |
1073170684 | Christina Gutierrez | Nurse Practitioner | 2190 N Grace Blvd, Chandler, AZ 85225-3416 | 2019-05-20 |
Find all providers in CHANDLER |
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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.