KIMBERLY MUSTARD MUSTARD (NPI# 1215352778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215352778 |
| Entity Type | Individual |
| Full Name | KIMBERLY MUSTARD MUSTARD |
| Practice Address |
2935 S Recker Rd Gilbert AZ 85295-7846 |
| Practice Telephone | 4802797000 |
| Mailing Telephone | 4802797000 |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2014-03-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LP048347 | AZ | Nursing Service Providers |
| Street Address |
2935 S RECKER RD |
| City | GILBERT |
| State | AZ |
| Zip Code | 85295-7846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124244819 | Higley Unified School District | Local Education Agency (LEA) | 2935 S Recker Rd, Gilbert, AZ 85297 | 2007-04-18 |
| 1346884582 | Meghann Nicole Sherman | Counselor | 2935 S Recker Rd, Gilbert, AZ 85295-7846 | 2019-10-31 |
| 1467009449 | Holli Ruiz | Occupational Therapist | 2935 S Recker Rd, Gilbert, AZ 85295-7846 | 2019-08-23 |
| 1174170179 | Gabriella Vetro | Specialist/Technologist | 2935 S Recker Rd, Gilbert, AZ 85295-7846 | 2019-08-23 |
| 1134675143 | Adrienne Wood | Licensed Practical Nurse | 2935 S Recker Rd, Gilbert, AZ 85295-7846 | 2016-08-30 |
| 1932558566 | Kylie Taylor | Licensed Practical Nurse | 2935 S Recker Rd, Gilbert, AZ 85295-7846 | 2016-06-04 |
| 1225409337 | Mallory Beth Deuink | Occupational Therapist | 2935 S Recker Rd, Gilbert, AZ 85295-7846 | 2015-10-14 |
| 1558787119 | Sanya Herbold | Registered Nurse | 2935 S Recker Rd, Gilbert, AZ 85295-7846 | 2014-03-06 |
| 1417371352 | Cassandra Weber | Licensed Practical Nurse | 2935 S Recker Rd, Gilbert, AZ 85295-7846 | 2014-02-12 |
| 1437570678 | Allison Kellis | Registered Nurse | 2935 S Recker Rd, Gilbert, AZ 85295-7846 | 2013-12-13 |
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| 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 | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881240166 | Antoinette Cygan | Licensed Practical Nurse | 1817 S Spartan St, Gilbert, AZ 85233-8900 | 2019-08-13 |
| 1205306263 | Teresa Meshawn Thomas | Licensed Practical Nurse | 3934 E Jasper Dr, Gilbert, AZ 85296-8255 | 2018-12-03 |
| 1801345269 | Jennifer Oaks | Licensed Practical Nurse | 3819 E Trigger Way, Gilbert, AZ 85297-3531 | 2016-09-27 |
| 1629523873 | Jessica Perez | Licensed Practical Nurse | 250 W Juniper Ave Unit 91, Gilbert, AZ 85233-3953 | 2016-08-17 |
| 1639548498 | Michelle Baker | Licensed Practical Nurse | 233 N Nielson St, Gilbert, AZ 85234-6006 | 2015-09-22 |
| 1063818169 | Marcia Odonnell | Licensed Practical Nurse | 1718 E Linda Ln, Gilbert, AZ 85234-6142 | 2014-11-17 |
| 1306242193 | Samuel Gichuki | Licensed Practical Nurse | 7640 S Power Rd, Apt. 2048, Gilbert, AZ 85297-9216 | 2014-11-06 |
| 1306268164 | Jessica O'neil | Licensed Practical Nurse | 6930 South Seville Blvd E, Gilbert, AZ 85298 | 2014-01-14 |
| 1851637243 | Silile Fein Ndhlovu | Licensed Practical Nurse | 2680 S Val Vista Dr Bldg 10, Gilbert, AZ 85295-2152 | 2012-12-12 |
| 1801187869 | Ashli Laraine Anderson | Licensed Practical Nurse | 3317 S. Higley Rd., #114-132, Gilbert, AZ 85297 | 2011-04-26 |
| 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.