MR. EDDIE BELLEZA TABARANGAO (NPI# 1285030312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285030312 |
| Entity Type | Individual |
| Full Name | MR. EDDIE BELLEZA TABARANGAO |
| Credential | ACNPC-AG |
| Practice Address |
4280 E Sierra Madre Ave Gilbert AZ 85296-1589 |
| Practice Telephone | 4802469242 |
| Mailing Telephone | 4802469242 |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2016-10-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP7465 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4280 E SIERRA MADRE AVE |
| City | GILBERT |
| State | AZ |
| Zip Code | 85296-1589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023662665 | Prism Hospice, LLC | Hospice Care, Community Based | 4280 E Sierra Madre Ave, Gilbert, AZ 85296 | 2019-08-01 |
| 1235644295 | Creative Care Specialist Pllc | Hospice Care, Community Based | 4280 E Sierra Madre Ave, Gilbert, AZ 85296-1589 | 2017-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124625793 | Gilbert Crossroads Kids' Dentists and Orthodontics, LLP | Dentist | 835 S. Gilbert Rd, Suite 104, Gilbert, AZ 85296 | 2020-10-06 |
| 1306455969 | Calm Care Living | Community/Behavioral Health | 1525 S Higley Rd, #104-6769, Gilbert, AZ 85296 | 2020-07-29 |
| 1366080970 | Hannah Golladay | Behavior Technician | 1166 S Gilbert Road, Suite 106, Mesa, AZ 85296 | 2019-12-13 |
| 1194284729 | Kege Health, LLC | Nurse Practitioner | 1206 E Warner Rd Ste 101f, Gilbert, AZ 85296 | 2019-03-13 |
| 1841757762 | Windhorse Counseling | Counselor | 1166 E Warner Road, Suite 203, Gilbert, AZ 85296 | 2019-02-27 |
| 1417424284 | Ashton N Wright | Behavior Technician | 1166 E Gilbert Rd, #106, Gilbert, AZ 85296 | 2018-10-30 |
| 1346717246 | Robison Orthodontics LLC | Dentist | 1355 S Higley Rd # 105, Gilbert, AZ 85296 | 2018-10-29 |
| 1518441831 | Kara Lyn Holyoak | Physician Assistant | 1359 S. Porter St., Gilbert, AZ 85296 | 2018-09-21 |
| 1225519119 | Jennifer Anne Goodman | Specialist/Technologist | 70 S Val Vista Dr A3, Gilbert, AZ 85296 | 2018-08-28 |
| 1437642329 | Greta Shumway | Counselor | 690 E. Warner Road, #115, Gilbert, AZ 85296 | 2018-06-14 |
| Find all providers in zip 85296 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962910877 | Peggy Hocutt | Nurse Practitioner | 3686 S Rome St Ste 201, Gilbert, AZ 85297-7341 | 2018-01-12 |
| 1467973156 | Michael Montoya | Nurse Practitioner | 2946 E Banner Gateway Drive - Bmdacc, Gilbert, AZ 85234 | 2017-07-03 |
| 1073059655 | Keata Bhakta | Nurse Practitioner | 721 E Elgin St, Gilbert, AZ 85295-1581 | 2017-01-06 |
| 1144770843 | Ansan Thomas | Nurse Practitioner | 1030 N Wade Dr, Gilbert, AZ 85234-2922 | 2016-10-06 |
| 1982070843 | Sharly K Thomas | Nurse Practitioner | 4099 E Bruce Ct, Gilbert, AZ 85234-0709 | 2015-08-14 |
| 1316324080 | Wendy Ann Robb | Nurse Practitioner | 1422 E Strawberry Dr, Gilbert, AZ 85298-0807 | 2015-05-01 |
| 1174949390 | Euly Cecille Smith | Nurse Practitioner | 3458 E Terrace Ave, Gilbert, AZ 85234-1721 | 2014-03-12 |
| 1801219449 | Hannah Bangura | Nurse Practitioner | 880 N. Colorado Strees, Gilbert, AZ 85233 | 2014-02-03 |
| 1154932051 | Margaret Capozzi | Nurse Practitioner | 2946 E Banner Gateway Dr, Gilbert, AZ 85234-2165 | 2020-08-13 |
| 1689179814 | Nicholas James Failla | Nurse Practitioner | 3420 S Mercy Rd Ste 312, Gilbert, AZ 85297 | 2018-03-29 |
| 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.