ROBERTA LEE NIXON (NPI# 1225672785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225672785 |
Entity Type | Individual |
Full Name | ROBERTA LEE NIXON |
Other Name | ROBERTA LEE PATRICK |
Practice Address |
1400 S Dobson Rd Mesa AZ 85202-4707 |
Mailing Address |
1575 E Stanford Ave Gilbert AZ 85234-3699 |
Practice Telephone | 4804124073 |
Mailing Telephone | 6182312216 |
Enumeration Date | 2019-10-28 |
Last Update Date | 2019-10-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
233666 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1400 S DOBSON RD |
City | MESA |
State | AZ |
Zip Code | 85202-4707 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932102977 | Nabin Sharma | Internal Medicine | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2005-05-23 |
1902429012 | Melanie Louise Ryan | Pediatrics | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2020-05-22 |
1154951150 | Mistelle Allan | Registered Nurse | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2020-01-19 |
1831742618 | Misty Villar | Pediatrics | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2019-07-19 |
1407318819 | Jamie Lynn Petersen | Speech-Language Pathologist | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2019-04-03 |
1124580691 | Quality Time Anesthesia, Pllc | Anesthesiology | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2019-04-03 |
1477013704 | Amanda Sweig | Physical Therapist | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2019-03-22 |
1922587195 | Serena Chonglun Zhou | Pharmacist | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2018-08-09 |
1144719642 | Samantha Odell Meyerhoff | Emergency Medicine | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2018-05-09 |
1104329788 | Trent Larson | Pharmacist | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2018-03-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
Find all providers in zip 85202 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053926410 | Matthew Derrick Miller | Nurse Practitioner | 9354 E Thatcher Cir, Mesa, AZ 85212-8539 | 2020-09-12 |
1750995858 | Hayley Madler | Nurse Practitioner | 1061 N Omaha Cir, Mesa, AZ 85205-5023 | 2020-09-04 |
1043823800 | Nancy Lynn Mitchell | Nurse Practitioner | 1535 N 26th St, Mesa, AZ 85213-4151 | 2020-08-30 |
1003429218 | Krista Ann Clevenger | Nurse Practitioner | 3155 E Southern Ave Ste 203, Mesa, AZ 85204-5521 | 2020-08-26 |
1093326290 | Joshua Jackson | Nurse Practitioner | 5432 E Southern Ave Ste 101b, Mesa, AZ 85206-2772 | 2020-08-11 |
1790395531 | Kelly C Banonis | Nurse Practitioner | 3322 N Brighton, Mesa, AZ 85207-0997 | 2020-08-06 |
1689284911 | Katie Keil | Nurse Practitioner | 1061 N Dobson Rd Ste 107, Mesa, AZ 85201-7576 | 2020-08-02 |
1831711670 | Saraswati Hamal | Nurse Practitioner | 4850 S Curie Way, Mesa, AZ 85212-9582 | 2020-05-14 |
1013539568 | Wingfoot Wellness & Hormones LLC | Nurse Practitioner | 2500 S Power Road, Building 7 Suite 218, Mesa, AZ 85209 | 2020-05-07 |
1659992436 | Elizabeth Erb | Nurse Practitioner | 1361 S Alma School Rd, Mesa, AZ 85210-2085 | 2020-05-02 |
Find all providers in MESA |
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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.