CHARLES KEYMON (NPI# 1265954564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265954564 |
Entity Type | Individual |
Full Name | CHARLES KEYMON |
Credential | ACNPC-AG |
Practice Address |
20325 N 51st Ave Ste 160 Glendale AZ 85308-4622 |
Practice Telephone | 6234666350 |
Practice Fax Number | 6023588698 |
Mailing Telephone | 6234666350 |
Mailing Fax Number | 6023588698 |
Enumeration Date | 2017-07-09 |
Last Update Date | 2018-02-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP10245 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
20325 N 51ST AVE STE 160 |
City | GLENDALE |
State | AZ |
Zip Code | 85308-4622 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225364227 | Nichole T Brown | Nurse Practitioner | 20325 N 51st Ave Ste 160, Glendale, AZ 85308-4622 | 2009-10-26 |
1770945446 | Liana Flores | Nurse Practitioner | 20325 N 51st Ave Ste 160, Glendale, AZ 85308-4622 | 2016-03-22 |
1346569704 | Vikramjeet Singh Saini | Specialist | 20325 N 51st Ave Ste 160, Glendale, AZ 85308-4622 | 2010-05-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
1033742291 | Kaitlyn Marie Shannon | Dietitian, Registered | 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 | 2020-02-17 |
1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
1013567023 | Caitlyn Heredia | Student in an Organized Health Care Education/Training Program | 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 | 2019-09-12 |
1770141061 | Sydney Dangelo | Student in an Organized Health Care Education/Training Program | 7454 W Denaro Dr, Glendale, AZ 85308 | 2019-05-31 |
1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
Find all providers in zip 85308 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841847548 | Donald Michael Anzalone | Nurse Practitioner | 6396 W Pontiac Dr, Glendale, AZ 85308-6668 | 2019-08-19 |
1013471309 | Anthony James Shaw | Nurse Practitioner | 7190 W Fleetwood Ln, Glendale, AZ 85303-7606 | 2019-01-30 |
1295216190 | Malar Kuppan | Nurse Practitioner | 12610 N 58th Ave, Glendale, AZ 85304-1891 | 2018-08-28 |
1033638168 | Lauralie Johnson | Nurse Practitioner | 710 S Central Ave Ste 100, Glendale, CA 91204-4613 | 2017-09-09 |
1093111387 | James Simmons | Nurse Practitioner | 419 Roads End St, Glendale, CA 91205-3331 | 2014-11-13 |
1265861397 | Ronnell Regidor | Nurse Practitioner | 435 Arden Ave Ste 310, Glendale, CA 91203-4014 | 2013-11-08 |
1750844759 | Lesly Ghiglino Duetsch | Nurse Practitioner | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2019-04-08 |
1750866422 | Elizabeth Terzyan | Nurse Practitioner | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2018-09-28 |
1639653793 | Virginia Zambroski | Nurse Practitioner | 655 N Central Ave, Glendale, CA 91203-1422 | 2018-09-24 |
1083193478 | Katrin Minasian | Nurse Practitioner | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2018-08-07 |
Find all providers in GLENDALE |
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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.