EMILIZA CORNEJO (NPI# 1306387691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306387691 |
| Entity Type | Individual |
| Full Name | EMILIZA CORNEJO |
| Credential | RN, APRN |
| Practice Address |
133 Route 3 Dededo GU 96929-6911 |
| Mailing Address |
Psc 78 Box 1082 Apo AP 96326-0011 |
| Practice Telephone | 6716455500 |
| Practice Fax Number | 6716455549 |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-10-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RE2287 | GU | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 60375819 | WA | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 766723 | CA | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | NP0170 | GU | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GU | H110140 | 05 |
| Street Address |
133 ROUTE 3 |
| City | DEDEDO |
| State | GU |
| Zip Code | 96929-6911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528058161 | Richard S Young | Radiology | 133 Route 3, Dededo, GU 96929-6911 | 2005-10-25 |
| 1427613660 | Cherry Ann Lopez Alamares | Physical Therapist | 133 Route 3, Dededo, GU 96929-6911 | 2019-05-02 |
| 1265993737 | Marina Ng | Physical Therapist | 133 Route 3, Dededo, GU 96929-6911 | 2019-03-27 |
| 1861958837 | Janice Roque Baldonado | Health Educator | 133 Route 3, Dededo, GU 96929-6911 | 2019-02-14 |
| 1114483260 | Melliza Young | Health Educator | 133 Route 3, Dededo, GU 96929-6911 | 2019-02-13 |
| 1861977266 | Elisabeth J Collins | Nurse Practitioner | 133 Route 3, Dededo, GU 96929-6911 | 2018-10-01 |
| 1407356272 | Nicole L.p Duenas | Speech-Language Pathologist | 133 Route 3, Dededo, GU 96929-6911 | 2018-02-18 |
| 1851803845 | Kathleen Jensen | Registered Nurse | 133 Route 3, Dededo, GU 96929-6911 | 2017-10-30 |
| 1184141020 | Ana Taitano Cruz | Physical Therapist | 133 Route 3, Dededo, GU 96929-6911 | 2017-08-22 |
| 1275062150 | Marianys Delgado Alazo | Registered Nurse | 133 Route 3, Dededo, GU 96929 | 2017-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285288134 | Benjamin Huyck | Military Health Care Provider | 22061 Carolines Ave, Andersen Afb, GU 96929 | 2019-07-30 |
| 1235782244 | Daniel Shimanski | Military Health Care Provider | 36th Mdos, Bld 26012, Carolines Ave, Andersen Afb, GUAM 96929 | 2019-07-18 |
| 1306304837 | Superdrug-yigo | Pharmacy | 525 Chalan Ramon Haya, Yigo, GU 96929 | 2019-03-04 |
| 1194214668 | Doris Marquez Querimit | Pharmacist | 600 Harmon Loop Road, Ste. 100, Dededo, GU 96929 | 2018-05-09 |
| 1487167995 | Stephanie Taijeron | Nurse Practitioner | 655 Harmon Luke Road, Suite 300, Bededo, GU 96929 | 2017-11-07 |
| 1821542119 | Rachael Marie Sells | Dentist | 36 Mdg Unit 14010, Building 26001, Apo, AP 96929 | 2016-08-04 |
| 1669832846 | Christopher Medina | Optometrist | Concourse 4 Micronesia Mall, Ideal Optical, Dededo, GU 96929 | 2016-03-01 |
| 1730557760 | Everlino Aben Ramos | Physician Assistant | 26012 Carolines Avenue, Andersen Afb, Yigo, GU 96929 | 2015-09-08 |
| 1679976039 | Tracy Repancal Sunga | Dentist | 505 Harmon Loop Rd. Suite 300, Dededo, GU 96929 | 2014-09-30 |
| 1902215239 | Christina M. Rapadas | Dentist | 505 Harmon Loop Rd., Suite 300, Dededo, GU 96929 | 2014-08-12 |
| Find all providers in zip 96929 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497386353 | Lean Carlo Mendoza Losinio | Nurse Practitioner | 520 W Santa Monica Ave, Dededo, GU 96929-5286 | 2020-01-30 |
| 1548500291 | Teofila Maria Perez Cruz | Nurse Practitioner | 520 W Santa Monica Ave, Dededo, GU 96929-5286 | 2013-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780629378 | Phyllis Eileen Collins | Nurse Practitioner | 388 Ypao Rd, Tamuning, GU 96913-3701 | 2006-06-18 |
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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.