MR. CHARLES HIGGINS JR. (NPI# 1285143115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285143115 |
| Entity Type | Individual |
| Full Name | MR. CHARLES HIGGINS JR. |
| Credential | RD CSR |
| Practice Address |
600 N 4th St Apt 272 Phoenix AZ 85004-4485 |
| Practice Telephone | (716) 425-2764 |
| Mailing Telephone | 7164252764 |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2017-09-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
1081333 | AZ | Dietary & Nutritional Service Providers |
| Y | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
1081333 | AZ | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | RD CSR | 1081333 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750659504 | Charles Edward Higgins | Pharmacist | 10920 Randolph St, Crown Point, IN 46307-7753 | 2011-12-08 |
| 1932476199 | Charles Michael Higgins | Psychiatry & Neurology | 2800 Gravier St, New Orleans, LA 70119-7330 | 2011-11-16 |
| 1437221637 | Charles W Higgins | Anesthesiology | 22 Bramhall St, Portland, ME 04102-3134 | 2006-11-14 |
| 1972549939 | Charles B. Higgins | Radiology | 505 Parnassus Ave, San Francisco, CA 94143-2204 | 2006-06-20 |
| 1083653307 | Charles P Higgins | Family Medicine | 1304 N Academy Blvd, Suite 208, Colorado Springs, CO 80909-3325 | 2006-06-05 |
| Street Address |
600 N 4TH ST APT 272 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85004-4485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396360749 | Ulivvo Inc. | Nurse Practitioner | 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 | 2020-06-11 |
| 1508325929 | Ican America | Clinic/Center | Cityscape Tower 1 E Washington St., Suite 440, Phoenix, AZ 85004 | 2019-03-15 |
| 1770064107 | Edward Jude Stein | Pharmacist | Two Renaissance Square, 40 N Central Ave, Suite 780, Ihs Clinical Support Center, Phoenix, AZ 85004 | 2018-08-23 |
| 1740775303 | Alexander L. Shaw | Dentist | 201 N Central Ave. #1490, Phoenix, AZ 85004 | 2018-06-26 |
| 1497267868 | Michael Dimoff | Registered Nurse | 1850 N. Central Ave, Ste 1600, Phoenix, AZ 85004 | 2017-10-25 |
| 1093231433 | Ezequiel Bautista | Music Therapist | 2702 N 3rd Street, Suite 1000, Phoenix, AZ 85004 | 2017-08-17 |
| 1841742442 | Stacy Maahs | Nurse Practitioner | 500 N 3rd St Ste 155, Phoenix, AZ 85004 | 2016-10-29 |
| 1538537246 | Jessica Lindsay Karlson | Pharmacist | 2302 N Central Ave Ste 7, Phoenix, AZ 85004 | 2015-09-11 |
| 1689059883 | Yvette's Hope Foundation | Home Health | 40 N. Central Ave. Ste. 1400, Phoenix, AZ 85004 | 2015-07-29 |
| 1881082790 | Patricia Russell | Specialist/Technologist | 60 E. Vernon Ave, Arcadia Therapy Services, Phoenix, AZ 85004 | 2014-12-30 |
| Find all providers in zip 85004 | ||||
| Taxonomy Code | 133VN1005X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Renal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720371701 | Arline D Salbe | Dietitian, Registered | 13817 N 43rd St, Phoenix, AZ 85032-5849 | 2011-05-24 |
| 1558920637 | Laurie Mcdonald Nutrition, LLC | Dietitian, Registered | 13842 S 32nd St, Phoenix, AZ 85044-3615 | 2019-06-11 |
| 1790892347 | Terri L Fisher | Dietitian, Registered | 3003 N Central Ave, Suitet100, Phoenix, AZ 85012-2902 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053808162 | John St. Rose Jr. | Dietitian, Registered | 1050 E University Dr Ste 10, Mesa, AZ 85203-8046 | 2018-04-16 |
| 1508095126 | Guadalupe Karam | Dietitian, Registered | 4205 E La Cienega Dr, Tucson, AZ 85712-1425 | 2009-07-02 |
| 1447412333 | Wenefrida Bayro | Dietitian, Registered | 1773 W St Marys Rd Ste 105, Akdhc, Tucson, AZ 85745-0000 | 2008-07-01 |
| 1447466610 | Crystal R. Barrows | Dietitian, Registered | 1120 S Dobson Rd Ste 115, Chandler, AZ 85286-6166 | 2007-05-15 |
| 1487124061 | Amy Lynn Goodwin | Dietitian, Registered | 3601 S 6th Ave, Tucson, AZ 85723 | 2018-11-27 |
| 1346277688 | Leah C Beaird | Dietitian, Registered | 2141 E Warner Rd, Suite 101, Tempe, AZ 85284-3493 | 2006-06-26 |
| 1760428767 | Beth Ann Spanier | Dietitian, Registered | 2149 E Warner Rd, Suite 101, Tempe, AZ 85284-3494 | 2006-06-20 |
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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.