JARED BRUCE (NPI# 1295272433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295272433 |
| Entity Type | Individual |
| Full Name | JARED BRUCE |
| Practice Address |
4545 W Beardsley Rd Apt 2048 Glendale AZ 85308-5078 |
| Mailing Address |
9040 Fitzsimmons Dr Joint Base Lewis Mcchord WA 98431-1000 |
| Practice Telephone | 7604846469 |
| Mailing Telephone | 2539681330 |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-01-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588954200 | Jared Bruce | Clinical Neuropsychologist | 10555 Marty St Ste 100, Overland Park, KS 66212-2555 | 2011-04-14 |
| 1821592395 | Jared Bruce | Counselor | 200 6th St, Gruver, IA 51334-8518 | 2018-03-20 |
| Street Address |
4545 W BEARDSLEY RD APT 2048 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85308-5078 |
| 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 | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122279 | Amanda Oas | Student in an Organized Health Care Education/Training Program | 6304 W Corrine Dr, Glendale, AZ 85304-1607 | 2020-10-20 |
| 1609489897 | Stevenson Henry | Student in an Organized Health Care Education/Training Program | 6565 W Bethany Home Rd Apt 261, Glendale, AZ 85301-4959 | 2020-08-26 |
| 1396357075 | Kaila Gladden | Student in an Organized Health Care Education/Training Program | 5222 W Pershing Ave, Glendale, AZ 85304-1352 | 2020-08-23 |
| 1033721550 | Jae Hyeok Yang | Student in an Organized Health Care Education/Training Program | 6958 W Robin Ln, Glendale, AZ 85310-5912 | 2020-08-17 |
| 1326650847 | Mary Ohanyan | Student in an Organized Health Care Education/Training Program | 209 E Palmer Ave Apt 203, Glendale, CA 91205-3173 | 2020-08-17 |
| 1215548045 | Reyna Conklin | Student in an Organized Health Care Education/Training Program | 3839 W Charlotte Dr, Glendale, AZ 85310-3331 | 2020-08-14 |
| 1356952030 | Makenna C Kroulik | Student in an Organized Health Care Education/Training Program | 5218 W Tierra Buena Ln, Glendale, AZ 85306-2515 | 2020-08-14 |
| 1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
| 1730703711 | Bryce Kruman | Student in an Organized Health Care Education/Training Program | 20000 N 57th Ave Rm P109, Glendale, AZ 85308-7209 | 2020-06-04 |
| 1881218584 | Chandler J Hurt | Student in an Organized Health Care Education/Training Program | 301 W Coventry Ct Apt 305, Glendale, WI 53217-3959 | 2020-05-29 |
| 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.