MRS. PAMELA LEA EDENS (NPI# 1275652042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275652042 |
| Entity Type | Individual |
| Full Name | MRS. PAMELA LEA EDENS |
| Credential | RN MS FNP |
| Practice Address |
1635 N Greenfield Rd #134 Red Mountain Family Medicine Mesa AZ 85205 |
| Practice Telephone | 4808547123 |
| Practice Fax Number | 4808547627 |
| Mailing Telephone | 4808547123 |
| Mailing Fax Number | 4808547627 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2011-01-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN033497 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801868054 | Pamela L Edens | Nurse Practitioner | 356 Nicholas Street, Rupert, WV 25984 | 2006-02-02 |
| Street Address |
1635 N GREENFIELD RD #134 RED MOUNTAIN FAMILY MEDICINE |
| City | MESA |
| State | AZ |
| Zip Code | 85205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942255906 | Douglas Charles Miner | Optometrist | 1635 N Greenfield Rd, Suite 136, Mesa, AZ 85205-4005 | 2006-05-24 |
| 1366808610 | Brooke Ethington | Physician Assistant | 1635 N Greenfield Rd, Mesa, AZ 85205-4005 | 2015-12-31 |
| 1225416027 | Robinson Orthodontics | Dentist | 1635 N Greenfield Rd, Suite 103, Mesa, AZ 85205-4005 | 2015-05-12 |
| 1225375868 | Sanya Beronja | Nurse Practitioner | 1635 N Greenfield Rd, Suite 134, Mesa, AZ 85205-4005 | 2013-01-15 |
| 1477763498 | Elite Optical, LLC | Optometrist | 1635 N Greenfield Rd, Suite 136, Mesa, AZ 85205-4005 | 2007-05-22 |
| 1720207087 | Red Mountain Family Medicine | Family Medicine | 1635 N Greenfield Rd, #134, Mesa, AZ 85205 | 2007-04-25 |
| 1225119159 | Mary L.a. Andrews | Family Medicine | 1635 N Greenfield Rd, Suite 134, Mesa, AZ 85205-4005 | 2006-10-18 |
| 1639101629 | Suzanne Bentz | Family Medicine | 1635 N Greenfield Rd, #134, Mesa, AZ 85205-4005 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083130199 | Rose Campbell | Technician/Technologist | 649 North Orlando, Mesa, AZ 85205 | 2017-08-21 |
| 1528459781 | Elizabeth Sadler | Nurse Practitioner | 4434 E Brown Rd Ste 102, Mesa, AZ 85205 | 2015-02-10 |
| 1326444324 | Katherine G Perez | Counselor | 152 N Power Rd Ste 2, Mesa, AZ 85205 | 2014-11-18 |
| 1831500800 | C.b.o Hearing | Hearing Aid Equipment | 4406 E. Main St, Suite 103, Mesa, AZ 85205 | 2014-05-13 |
| 1699195107 | Amanda Mcdaniel | Occupational Therapist | 5911 E. Fountain St., Mesa, AZ 85205 | 2014-04-23 |
| 1952640278 | Medstar Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3932 E Fairfield Cir, Mesa, AZ 85205 | 2013-02-06 |
| 1245575398 | Fabulous Smiles of Mesa | Dentist | 4434 E. Brown Rd, Ste 104, Mesa, AZ 85205 | 2012-11-30 |
| 1992087639 | Matthew Robert Millward | Pharmacist | 1935 N. Power Rd, Mesa, AZ 85205 | 2011-09-19 |
| 1740596733 | Arizona Family & Geriatric Medicine Pllc | Clinic/Center | 5602 E. Main St., Mesa, AZ 85205 | 2010-08-27 |
| 1295049609 | Thomas Chambers | Podiatrist | 5520 E Main St Ste 2, Mesa, AZ 85205 | 2010-07-28 |
| Find all providers in zip 85205 | ||||
| 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.