LAKEISHA LOVE (NPI# 1205381472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205381472 |
| Entity Type | Individual |
| Full Name | LAKEISHA LOVE |
| Credential | FNP |
| Practice Address |
155 Calle Portal Suite 300 Sierra Vista AZ 85635-2900 |
| Mailing Address |
1205 F Ave Douglas AZ 85607-1920 |
| Practice Telephone | 5204593011 |
| Practice Fax Number | 5203644261 |
| Mailing Telephone | 5203641429 |
| Mailing Fax Number | 5203644261 |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2016-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
TAP8922 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
155 CALLE PORTAL SUITE 300 |
| City | SIERRA VISTA |
| State | AZ |
| Zip Code | 85635-2900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235103508 | Kathleen Jane Vedock | Pediatrics | 155 Calle Portal, Suite 700, Sierra Vista, AZ 85635-2900 | 2006-02-14 |
| 1710342043 | Kerstin P Hurley | Psychologist | 155 Calle Portal, Suite 300, Sierra Vista, AZ 85635-2900 | 2015-12-31 |
| 1316318728 | Kerstin P. Hurley, Phd | Psychologist | 155 Calle Portal, Suite 300, Sierra Vista, AZ 85635-2900 | 2015-10-12 |
| 1417331711 | Chiricahua Community Health Centers, Inc | Clinic/Center | 155 Calle Portal, Suite 300, Sierra Vista, AZ 85635-2900 | 2015-07-16 |
| 1033532163 | Akdhc, LLC | Internal Medicine | 155 Calle Portal, Suite 400, Sierra Vista, AZ 85635-2900 | 2014-01-24 |
| 1689925711 | Dean D Ettinger Md PC | Pediatrics | 155 Calle Portal, Suite 200, Sierra Vista, AZ 85635-2900 | 2012-09-28 |
| 1760781017 | Dixie Jean Millican | Nurse Practitioner | 155 Calle Portal, Suite 200, Sierra Vista, AZ 85635-2900 | 2011-03-24 |
| 1821309089 | Chiricahua Community Health Centers, Inc | Clinic/Center | 155 Calle Portal, Suite 700, Sierra Vista, AZ 85635-2900 | 2010-06-23 |
| 1649595174 | Amy Christine Clark | Family Medicine | 155 Calle Portal, Suite 300, Sierra Vista, AZ 85635-2900 | 2010-03-26 |
| 1790961167 | Carnett Clinic, LLC | Family Medicine | 155 Calle Portal, Suite 600, Sierra Vista, AZ 85635-2900 | 2008-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740640 | Taylor Anne Phelps | Student in an Organized Health Care Education/Training Program | Haven of Sierra Vista LLC, 660 Coronado Drive, Sierra Vista, AZ 85635 | 2020-05-06 |
| 1568001543 | Gp Medicine, Pllc | Family Medicine | 1800 E Wilcox Drive, Sierra Vista, AZ 85635 | 2019-12-23 |
| 1518515212 | Canyon Vista Dental | Dentist | 1993 S Frontage Road, Suite 208, Sierra Vista, AZ 85635 | 2019-08-27 |
| 1225697402 | Kristine Vincent Cruz Angeles | Dentist | 115 Calle Poral, Sierra Vista, AZ 85635 | 2019-06-11 |
| 1700397411 | Vivian Ryu | Social Worker | 2300 E Fry Blvd, #3822, Sierra Vista, AZ 85635 | 2017-10-20 |
| 1750806758 | Rosemary Nduta Kagwanja | Technician | 425 Bernini Avenue, N/a, Sierra Vista, AZ 85635 | 2017-08-10 |
| 1093245789 | Akdhc, LLC | Internal Medicine | 5555 Mesa Verde Dr, Suite 100, Sierra Vista, AZ 85635 | 2017-06-14 |
| 1609304633 | Vincent Guarino | Emergency Medicine | 5700 E, Az-90, Sierra Vista, AZ 85635 | 2017-06-04 |
| 1629506811 | Andrew Tang | Student in an Organized Health Care Education/Training Program | 5700 Arizona 90, Sierra Vista, AZ 85635 | 2017-06-01 |
| 1194259382 | Walik Hargett | Contractor | 800 N. Lenzner Ave Apt 776b, Sierra Vista, AZ 85635 | 2017-04-14 |
| Find all providers in zip 85635 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316471683 | Matthew Robert Genz | Nurse Practitioner | 1072 Preston St, Sierra Vista, AZ 85635-1596 | 2017-04-13 |
| 1518419563 | Samantha Conroy | Nurse Practitioner | 4990 E Mediterranean Dr Ste A, Ste A, Sierra Vista, AZ 85635-2495 | 2016-10-25 |
| 1558750935 | Arleene Evelynne Djordjevic | Nurse Practitioner | 1590 Paseo San Luis Ste 101, Sierra Vista, AZ 85635-4783 | 2015-01-22 |
| 1134553142 | John Anthony Penunuri | Nurse Practitioner | 5700 Az-90, Sierra Vista, AZ 85635-2812 | 2013-08-26 |
| 1902050057 | Andrea P Ruble | Nurse Practitioner | 5750 E Highway 90, Sierra Vista, AZ 85635-9111 | 2008-11-14 |
| 1225641053 | Dawn Christine Dye | Nurse Practitioner | 5700 E Highway 90, Sierra Vista, AZ 85635-9110 | 2020-08-31 |
| 1245843465 | Aric Ra-sean Ray | Nurse Practitioner | 126 S Coronado Dr, Sierra Vista, AZ 85635-6300 | 2020-08-27 |
| 1730705377 | Jason Patrick | Nurse Practitioner | 1800 E Wilcox Dr, Sierra Vista, AZ 85635-2756 | 2020-06-19 |
| 1811527708 | Kara Joy Merrell | Nurse Practitioner | 155 Calle Portal Ste 300, Sierra Vista, AZ 85635-2900 | 2020-01-20 |
| 1184276040 | Maureen Rita Bay | Nurse Practitioner | 2530 E Wilcox Dr, Sierra Vista, AZ 85635-2843 | 2019-07-11 |
| Find all providers in SIERRA VISTA | ||||
| City | SIERRA VISTA |
| Zip Code | 85635 |
Please comment or provide details below to improve the information on LAKEISHA LOVE.
| 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.