MS. BETH LOUISE JACO (NPI# 1205086261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205086261 |
| Entity Type | Individual |
| Full Name | MS. BETH LOUISE JACO |
| Other Name | MS. BETH LOUISE JACO |
| Credential | CPNP |
| Practice Address |
2680 S. Val Vista Drive Suite 167, Bld 12 Gilbert AZ 85295 |
| Practice Telephone | 4808570222 |
| Practice Fax Number | 4808570200 |
| Mailing Telephone | 4808570222 |
| Mailing Fax Number | 4808570200 |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2008-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
RN073431 | AZ | Nursing Service Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
197 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2680 S. VAL VISTA DRIVE SUITE 167, BLD 12 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471368 | Lifequest Holding Company Gilbert, LLC | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd Suite 101, Gilbert, AZ 85295 | 2020-09-09 |
| 1255946075 | Lifequest Physical Medicine and Rehab | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd. Suite 101, Gilbert, AZ 85295 | 2020-09-09 |
| 1407467962 | Lifequest Physical Medicine and Rehab | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd, Suite 101, Gilbert, AZ 85295 | 2020-08-10 |
| 1275187718 | Guylene Lucien | Nurse Practitioner | 1689 S. Parkcrest Street, Gilbert, AZ 85295 | 2019-08-01 |
| 1326607144 | Hand Up Behavioral Services, LLC | Community/Behavioral Health | 4145 East Megan Street, Gilbert, AZ 85295 | 2019-06-06 |
| 1629582069 | Victoria Munoz Garcia | Naturopath | 920 S Williams Field Rd., Ste 102, Gilbert, AZ 85295 | 2017-11-21 |
| 1649798752 | Eureka Imperial Residence | Clinic/Center | 633 E Ray Road, Gilbert, AZ 85295 | 2017-09-08 |
| 1447791496 | Janine Patrice Faux | Counselor | 2563 S. Val Vista Drive St. 108, Gilbert, AZ 85295 | 2017-03-10 |
| 1437690450 | Erskine & Barber LLC | Clinic/Center | 5656 S. Power Rd #129, Gilbert, AZ 85295 | 2017-03-09 |
| 1164965448 | New Horizon Youth Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 774 E. Buffalo St, Chandler, AZ 85295 | 2016-11-18 |
| Find all providers in zip 85295 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194905885 | Jere K O'brien-kinne | Nurse Practitioner | 3493 S Mercy Rd, Gilbert, AZ 85297-0434 | 2007-11-09 |
| 1487026167 | Melinda Marie Lawrence | Nurse Practitioner | 7400 S Power Rd, Suite 140, Gilbert, AZ 85297-9281 | 2015-10-21 |
| 1891161055 | Jacquelyn Pichette | Nurse Practitioner | 1430 N Cooper Rd, Suite 101, Gilbert, AZ 85233-1242 | 2015-08-11 |
| 1639559917 | Jodi L Root | Nurse Practitioner | 1430 N Cooper Rd Ste 101, Gilbert, AZ 85233-1242 | 2015-06-02 |
| 1285037549 | Iris Marku | Nurse Practitioner | 1430 N Cooper Rd, Gilbert, AZ 85233-1242 | 2014-10-01 |
| 1902206873 | Tracey Turas | Nurse Practitioner | 6285 S Higley Rd, Gilbert, AZ 85298-4262 | 2014-08-28 |
| 1982825436 | Amy Zangger Eby | Nurse Practitioner | 4915 E Baseline Rd, Ste 119, Gilbert, AZ 85234-2965 | 2007-05-01 |
| 1750411203 | Kelli S Garland | Nurse Practitioner | 6285 S Higley Rd, Gilbert, AZ 85298-4262 | 2007-03-06 |
| 1760445985 | Laura M French | Nurse Practitioner | 2730 S Val Vista Dr, Suite 161, Gilbert, AZ 85295-1675 | 2006-04-10 |
| 1578545067 | Rosa M. St. Angelo | Nurse Practitioner | 3499 S Mercy Rd, Gilbert, AZ 85297-0437 | 2005-11-18 |
| Find all providers in GILBERT | ||||
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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.