MA JANICE LALITHA A DESIONGCO (NPI# 1194181370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194181370 |
| Entity Type | Individual |
| Full Name | MA JANICE LALITHA A DESIONGCO |
| Other Name | MA. JANICE LALITHA SERIO AMIHAN |
| Credential | NP |
| Practice Address |
Banner Md Anderson Cancer Center 2946 E. Banner Gateway Drive Gilbert AZ 85234 |
| Mailing Address |
Banner Md Anderson Cancer Center 2940 E. Banner Gateway Drive Suite 450 Gilbert AZ 85234 |
| Practice Telephone | 4802566444 |
| Practice Fax Number | 4802563682 |
| Mailing Telephone | 4802566444 |
| Mailing Fax Number | 4802563682 |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2019-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP8366 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AP8366 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 108012 | 05 |
| Street Address |
BANNER MD ANDERSON CANCER CENTER 2946 E. BANNER GATEWAY DRIVE |
| City | GILBERT |
| State | AZ |
| Zip Code | 85234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689657025 | William Carmen Cirocco | Colon & Rectal Surgery | Banner Md Anderson Cancer Center, 2940 E. Banner Gateway Drive, Gilbert, AZ 85234 | 2005-11-21 |
| 1629544259 | Whitney Layton | Physician Assistant | Banner Md Anderson Cancer Center, 2946 E Banner Gateway Dr, Gilbert, AZ 85234 | 2018-10-22 |
| 1275030264 | Richelle B Miller | Registered Nurse | Banner Md Anderson Cancer Center, 2946 E. Banner Gateway Drive, Gilbert, AZ 85234 | 2018-04-06 |
| 1073051983 | Tessa Louise Meyer | Nurse Practitioner | Banner Md Anderson Cancer Center, 2946 E. Banner Gateway Drive, Gilbert, AZ 85234 | 2017-02-10 |
| 1558818211 | Clair Watkins | Surgery | Banner Md Anderson Cancer Center, 2946 E. Banner Gateway Drive, Gilbert, AZ 85234 | 2016-09-09 |
| 1447621982 | Rachael Yasuda | Physician Assistant | Banner Md Anderson Cancer Center, 2946 E. Banner Gateway Drive, Gilbert, AZ 85234 | 2015-10-09 |
| 1689058992 | Francis Rahul Luciano | Physician Assistant | Banner Md Anderson Cancer Center, 2946 E. Banner Gateway Drive, Gilbert, AZ 85234 | 2015-07-16 |
| 1104230333 | Sarah E Nicholas | Radiology | Banner Md Anderson Cancer Center, 2946 E. Banner Gateway Drive, Gilbert, AZ 85234 | 2014-06-16 |
| 1649618356 | Jacqueline Kienholz | Surgery | Banner Md Anderson Cancer Center, 2946 E. Banner Gateway Drive, Gilbert, AZ 85234 | 2013-06-05 |
| 1962848275 | Chad R Burk | Radiology | Banner Md Anderson Cancer Center, 2946 E. Banner Gateway Drive, Gilbert, AZ 85234 | 2013-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500962 | Fatima Health LLC | Nurse Practitioner | 760 North Swallow Lane, Gilbert, AZ 85234 | 2020-05-22 |
| 1073152070 | American Care Concepts Hospice LLC | Hospice Care, Community Based | 765 N. Lindsay Rd., Ste. 208, Gilbert, AZ 85234 | 2019-12-23 |
| 1457918864 | Intuitive Healing Counseling Services, Pllc | Counselor | 3303 E Baseline Rd, Building 5, Suite 109, Gilbert, AZ 85234 | 2019-05-21 |
| 1487123907 | San Tan Behavioral Health Services LLC | Respite Care | 2671 East Vermont Court, Gilbert, AZ 85234 | 2018-11-14 |
| 1770052292 | San Tan Behavioral Health Services | Respite Care | 3970 East Juanita Avenue, Gilbert, AZ 85234 | 2018-11-14 |
| 1891262887 | Victoria Elizabeth Klennertt | Behavior Technician | 3503 E Michelle Way, Gilbert, AZ 85234 | 2018-10-27 |
| 1225503634 | Julia Elizabeth Wiens | Social Worker | 3651 E Baseline Rd Ste 120, Gilbert, AZ 85234 | 2018-10-11 |
| 1295219798 | Raylene Dawn Cargiulo | Registered Nurse | 55 S. Greenfield Rd., Gilbert, AZ 85234 | 2018-09-20 |
| 1346729092 | Katherine M Winegar | Nurse Practitioner | Banner Md Anderson Cancer Center- Administration Office, 2940 E Banner Gateway Drive, Gilbert, AZ 85234 | 2018-08-13 |
| 1881189199 | Desert Valley Oral Surgery | Oral & Maxillofacial Surgery | 2915 E. Baseline Road, Suite 106, Gilbert, AZ 85234 | 2018-06-28 |
| Find all providers in zip 85234 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508004110 | Ann Marie Crist | Nurse Practitioner | 1410 W Guadalupe Road, Building 4 Suite 125, Gilbert, AZ 85233-3003 | 2009-02-04 |
| 1285893628 | Jennifer R. Weber | Nurse Practitioner | 4860 S Granite St, Gilbert, AZ 85298-0806 | 2008-06-02 |
| 1336335876 | Megan Lynn Spears | Nurse Practitioner | 1489 S Higley Rd Ste 104, Gilbert, AZ 85296-5049 | 2007-09-19 |
| 1295009561 | Heartfit for Duty LLC | Nurse Practitioner | 633 E Ray Rd, Suite 101, Gilbert, AZ 85296-4200 | 2012-03-02 |
| 1023309614 | Michelle Branton | Nurse Practitioner | 2646 E. Banner Gateway Drive, Gilbert, AZ 85234-2165 | 2011-04-29 |
| 1710280847 | Lauren Bunker Woffinden | Nurse Practitioner | 3505 S Mercy Rd, Gilbert, AZ 85297-0440 | 2010-12-12 |
| 1710291794 | Healthy Tomorrows | Nurse Practitioner | 1489 S Higley Rd Ste 104, Gilbert, AZ 85296 | 2010-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255947404 | Alyssa Marie Lehn | Nurse Practitioner | 7501 E Mcdowell Rd Apt 3167, Scottsdale, AZ 85257-3574 | 2020-09-22 |
| 1205440310 | Alexa Kucharo | Nurse Practitioner | 4111 N Drinkwater Blvd Apt B405, Scottsdale, AZ 85251-3658 | 2020-09-04 |
| 1942819230 | Care On Pllc | Nurse Practitioner | 7171 S 51 Ave, Phoenix, AZ 85339-2923 | 2020-07-23 |
| 1720605231 | Sadie Franco | Nurse Practitioner | 8581 N Rolling River Dr, Tucson, AZ 85743-1451 | 2020-06-30 |
| 1134746951 | Leah Beth Richardson | Nurse Practitioner | 2970 N Litchfield Rd Ste 120, Goodyear, AZ 85395-7831 | 2020-06-27 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1073141529 | Shannalee Senior | Nurse Practitioner | 12574 W Mazatzal Dr, Peoria, AZ 85383-0379 | 2020-03-31 |
| 1821621996 | Healthy Scottsdale, LLC | Nurse Practitioner | 7534 E 2nd St Ste 101, Scottsdale, AZ 85251-4548 | 2020-02-18 |
| 1710522024 | Kelsey Conrad | Nurse Practitioner | 1 E Lexington Ave Unit 1602, Phoenix, AZ 85012-4203 | 2019-11-11 |
| 1124662408 | Rayiom Health and Wellness, Inc | Nurse Practitioner | 11225 N 28th Dr Ste A102-22, Phoenix, AZ 85029-5606 | 2019-10-30 |
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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.