NATIVIDAD CANO (NPI# 1265512750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265512750 |
| Entity Type | Individual |
| Full Name | NATIVIDAD CANO |
| Credential | AGS, LISAC |
| Practice Address |
1701 N Douglas Ave Douglas AZ 85607-1019 |
| Mailing Address |
489 N Arroyo Blvd Nogales AZ 85621-2644 |
| Practice Telephone | 5203641286 |
| Practice Fax Number | 5208051221 |
| Mailing Telephone | 5202874713 |
| Mailing Fax Number | 5202879794 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LISAC 1128 | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AZ AHCCCS | 922874 | 01 |
| Street Address |
1701 N DOUGLAS AVE |
| City | DOUGLAS |
| State | AZ |
| Zip Code | 85607-1019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124016019 | Southeastern Arizona Behavioral Health Services, Inc. | Public Health or Welfare | 1701 N Douglas Ave, Douglas, AZ 85607-1019 | 2005-10-13 |
| 1861975047 | Guadalupe G Tapia | Social Worker | 1701 N Douglas Ave, Douglas, AZ 85607-1019 | 2018-09-13 |
| 1750823555 | Zelenia Olivia Pellat | Counselor | 1701 N Douglas Ave, Douglas, AZ 85607-1019 | 2016-11-09 |
| 1508265703 | Carlos G Quijada Sr. | Counselor | 1701 N Douglas Ave, Douglas, AZ 85607-1019 | 2014-08-14 |
| 1346549755 | Genoa Healthcare, LLC | Pharmacy | 1701 N Douglas Ave, Douglas, AZ 85607-1019 | 2011-03-24 |
| 1518150218 | Candace Ilene Weingart | Counselor | 1701 N Douglas Ave, Douglas, AZ 85607-1019 | 2007-08-25 |
| 1528148186 | Pamela Burns | Counselor | 1701 N Douglas Ave, Douglas, AZ 85607-1019 | 2006-10-17 |
| 1669563979 | Colleen Kay Mattson | Counselor | 1701 N Douglas Ave, Douglas, AZ 85607-1019 | 2006-09-28 |
| 1124119003 | Betty Lynn Spering | Counselor | 1701 N Douglas Ave, Douglas, AZ 85607-1019 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811472665 | Chiricahua Community Health Centers, Inc | Clinic/Center | 1151 16th Street, Douglas, AZ 85607 | 2018-09-27 |
| 1457758609 | Angela Leah Overturf | Nurse Practitioner | 100 East 5th Street, Douglas, AZ 85607 | 2014-12-02 |
| 1609279108 | Walter Tucker | Counselor | 2100 E 8th, Douglas, AZ 85607 | 2014-09-29 |
| 1851700488 | Gerardo Grijalva | Non-emergency Medical Transport (VAN) | 2714 E 6th St, Douglas, AZ 85607 | 2014-08-07 |
| 1174933246 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 1019 F Ave, Douglas, AZ 85607 | 2014-04-29 |
| 1831473164 | Cheryl Lynn Mcneeley | Speech-Language Pathologist | 815 E. 15th Street, Douglas, AZ 85607 | 2011-10-05 |
| 1245523364 | Community Intervention Associates | Community/Behavioral Health | 1701 North Douglasave, Douglas, AZ 85607 | 2011-05-23 |
| 1174820898 | Chiricahua Community Health Centers, Inc | Clinic/Center | 815 15th Street, Douglas, AZ 85607 | 2011-02-15 |
| 1033319512 | Community Healthcare of Douglas Inc | Clinic/Center | 1906 11th Street, Douglas, AZ 85607 | 2007-07-23 |
| 1538360888 | Jay Daniel Zamora | Chiropractor | 1915 E 10th St, Douglas, AZ 85607 | 2007-05-31 |
| Find all providers in zip 85607 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619044138 | Jeraldine Barrett | Counselor | 261 Brownfield Rd, Douglas, WY 82633-2570 | 2006-11-29 |
| 1609361997 | Rickie L Labounta | Counselor | 1841 Madora Ave, Douglas, WY 82633-3057 | 2018-06-28 |
| 1083036826 | Barrett Counseling | Counselor | 261 Brownfield Rd, Douglas, WY 82633-2570 | 2014-01-14 |
| 1548681810 | Terilyn Mayland | Counselor | 1841 Madora Ave, Douglas, WY 82633-3057 | 2014-01-03 |
| 1275887440 | Kimberly Brooke Bennett | Counselor | 1005 Shirley Ave, Douglas, GA 31533 | 2012-11-09 |
| 1255583175 | Beverly Mix | Counselor | 1841 Madora Ave, Douglas, WY 82633-3057 | 2008-10-22 |
| 1104002419 | Thomas Morris | Counselor | 1841 Madora Ave, Douglas, WY 82633-3057 | 2008-01-16 |
| 1467649343 | Robin Mathy | Counselor | 1841 Madora Ave, Douglas, WY 82633-3057 | 2007-09-25 |
| 1518150218 | Candace Ilene Weingart | Counselor | 1701 N Douglas Ave, Douglas, AZ 85607-1019 | 2007-08-25 |
| 1275755571 | Don Eugene Fast | Counselor | 1841 Madora Ave, Douglas, WY 82633-3057 | 2007-05-03 |
| Find all providers in DOUGLAS | ||||
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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.