MS. JUDITH WHITESIDE (NPI# 1306096961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306096961 |
Entity Type | Individual |
Full Name | MS. JUDITH WHITESIDE |
Credential | RN |
Practice Address |
167 North Main St. Tuba City AZ 86045-0600 |
Mailing Address |
Po Box 600 Tuba City AZ 86045-0600 |
Practice Telephone | 9282832501 |
Mailing Telephone | 9282832501 |
Enumeration Date | 2008-09-19 |
Last Update Date | 2008-09-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
484735 | CA | Nursing Service Providers |
Street Address |
167 NORTH MAIN ST. |
City | TUBA CITY |
State | AZ |
Zip Code | 86045-0600 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467572685 | Susan Elizabeth Ireland | Registered Nurse | 167 North Main St., Tuba City, AZ 86045 | 2007-03-30 |
1235626177 | Harry Le | Pharmacist | 167 North Main St., Tuba City, AZ 86045 | 2018-04-17 |
1841798220 | Davida Eppes | Pharmacist | 167 North Main St., Tuba City, AZ 86045 | 2018-01-31 |
1003185000 | Monica Lynn Preston | Nurse's Aide | 167 North Main St., Tuba City, AZ 86045-0600 | 2011-12-20 |
1720356926 | Tiffany George | Registered Nurse | 167 North Main St., Tuba City, AZ 86045-0600 | 2011-12-02 |
1619257805 | Mildred Garcia | Registered Nurse | 167 North Main St., Tuba City, AZ 86045-0600 | 2011-08-19 |
1083904205 | Alyson Lawson | Registered Nurse | 167 North Main St., Tuba City, AZ 86045 | 2011-04-08 |
1659672095 | Jeremy Michael Dubinsky | Registered Nurse | 167 North Main St., Tuba City, AZ 86045 | 2010-11-16 |
1568763902 | Laura Faye Gould | Registered Nurse | 167 North Main St., Tuba City, AZ 86045 | 2010-11-16 |
1598066953 | Sharon Burkhart Davis | Registered Nurse | 167 North Main St., Tuba City, AZ 86045-0600 | 2010-11-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205434206 | Ambrielle Grace Begay | Specialist/Technologist | 48 Turquoise Drive, Tuba City, AZ 86045 | 2020-10-12 |
1063028124 | Fresenius Medical Care Tuba City, LLC | Clinic/Center | 50 S. Main Street, Ste 108, Tuba City, AZ 86045 | 2020-09-23 |
1609422484 | Rebekah Lee | Pharmacist | 167 North Main St. Tuba City Regional Health Care Corp., Tuba City, AZ 86045 | 2019-08-16 |
1861977050 | Kyle C Nguyen | Pharmacist | 3008 E. Birch Ave, Tuba City, AZ 86045 | 2018-10-03 |
1518419845 | John Glenn Ives | Pharmacist | 167 N, Main St, Tuba City, AZ 86045 | 2016-11-03 |
1497208433 | Toweringrock Non-emergency Medical Transport, LLC | Non-emergency Medical Transport (VAN) | 1029 E. Tc North Side Trailer, 36.153821-111.233925, Tuba City, AZ 86045 | 2016-07-26 |
1699153270 | Hopi Assisted Living Facility Inc. | Point of Service | 21 Senior Lane Upper Hud Housing Moenkopi, Hopi Assisted Living, Tuba City, AZ 86045 | 2015-05-14 |
1306223870 | Mia Seimy | Driver | Adair Avenue Space #5, Tuba City, AZ 86045 | 2015-05-04 |
1033507587 | Tari Carroll | Home Health Aide | Tumbleweed Drive Nha E-3, Tuba City, AZ 86045 | 2015-01-07 |
1023452984 | Amanda Bancroft Burrage | Pediatrics | 167 Main St., Tuba City, AZ 86045 | 2013-04-23 |
Find all providers in zip 86045 |
Taxonomy Code | 163WP2201X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Ambulatory Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003104563 | Jimmie L Taylor | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2011-07-19 |
1396985255 | Veronica Tonya Granger | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2009-03-04 |
1073751228 | Faye Ellen Finlay | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2009-01-27 |
1528252657 | Shirley Anne Eder | Registered Nurse | 167 North Main St., Tuba City, AZ 86045-0600 | 2007-08-31 |
1487844221 | Jacqueline Ann Farmer | Registered Nurse | 167 North Main St, Tuba City, AZ 86045-0600 | 2007-07-27 |
1356531198 | Tommie Wood | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2007-07-27 |
1316137151 | Irene Mae Nez | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2007-07-27 |
1841480688 | Janice Lori Little | Registered Nurse | 167 N Main St, Tuba City, AZ 86045-0600 | 2007-07-27 |
1497811897 | Geraldine Mitchell | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2006-12-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346805447 | Tiffani Pallanes | Registered Nurse | Az-86, Sells, AZ 85634 | 2019-05-03 |
1710491964 | Jayson Jeffery Lutes | Registered Nurse | 869 W Chilton Ave, Gilbert, AZ 85233-4710 | 2017-11-27 |
1700246279 | John Irwin James | Registered Nurse | 2240 E. Winrow Avenue, Fort Huachuca, AZ 85613-7079 | 2016-02-26 |
1861897225 | Yvonne Rabie | Registered Nurse | Hwy 86 Mp 74, San Simon Health Center, San Simon, AZ 85634 | 2014-10-28 |
1609276641 | Donald Reede | Registered Nurse | Jct U.S. Hwy 150 & Navajo Route 35 - Red Mesa, Teec Nos Pos, AZ 86514 | 2014-08-27 |
1083053250 | Shawna Marie Bonner | Registered Nurse | 645 N Elm St, Chandler, AZ 85226-2736 | 2013-06-20 |
1124268271 | Christos Addai-achampong | Registered Nurse | Hwy 98 & Navajo Rt 16, Inscription House Health Center, Tonalea, AZ 86044 | 2009-03-03 |
1689866485 | Laverne Holly | Registered Nurse | Jct U.S.hwy 160 & Navajo Rt 35, Red Mesa, AZ 86514 | 2007-08-15 |
1922145028 | Catherine Ann Hisle | Registered Nurse | 21111 N Get Around Dr, Maricopa, AZ 85239-3119 | 2007-01-30 |
1255948691 | Becka Eckert | Registered Nurse | 2202 N Forbes Blvd Ste 252, Tucson, AZ 85745-1412 | 2020-09-29 |
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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.