MRS. ERINI CONSTANTINA BRADDOCK (NPI# 1316430903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316430903 |
| Entity Type | Individual |
| Full Name | MRS. ERINI CONSTANTINA BRADDOCK |
| Credential | FNP-C |
| Practice Address |
3250 W Lower Buckeye Rd Phoenix AZ 85009-6729 |
| Mailing Address |
13257 W Avenida Del Rey Peoria AZ 85383-3511 |
| Practice Telephone | 6028767137 |
| Mailing Telephone | 6028215461 |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2018-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP11343 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3250 W LOWER BUCKEYE RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85009-6729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326042953 | Jeffrey J Alvarez | Family Medicine | 3250 W Lower Buckeye Rd, Phoenix, AZ 85009-6729 | 2005-06-10 |
| 1699278200 | Candice Kaiser | Nurse Practitioner | 3250 W Lower Buckeye Rd, Phoenix, AZ 85009 | 2018-03-10 |
| 1871005140 | Kevin Clancy | Physician Assistant | 3250 W Lower Buckeye Rd, Phoenix, AZ 85009-6729 | 2017-10-26 |
| 1336650266 | Madeline Edwards | Physician Assistant | 3250 W Lower Buckeye Rd, Phoenix, AZ 85009-6729 | 2017-10-18 |
| 1508377847 | Mattison Mccray Pearlman | Physician Assistant | 3250 W Lower Buckeye Rd, Phoenix, AZ 85009-6729 | 2017-10-13 |
| 1316466014 | Emily Christina Markle | Physician Assistant | 3250 W Lower Buckeye Rd, Phoenix, AZ 85009-6729 | 2017-09-13 |
| 1285987180 | Heather Winchester | Physician Assistant | 3250 W Lower Buckeye Rd, Phoenix, AZ 85009 | 2012-10-17 |
| 1306125620 | Lindsey Chitwood Burke | Physician Assistant | 3250 W Lower Buckeye Rd, Phoenix, AZ 85009-6729 | 2011-08-04 |
| 1215177043 | Lawrence Edward Henry | Psychologist | 3250 W Lower Buckeye Rd, Phoenix, AZ 85009-6729 | 2009-03-06 |
| 1871738245 | Allan L Noble | Dentist | 3250 W Lower Buckeye Rd, Phoenix, AZ 85009-6729 | 2008-12-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083220065 | Ashley Medeiros | Specialist/Technologist | 2926 E. Encanto Blvd., Phoenix, AZ 85009 | 2020-09-16 |
| 1326252909 | Raul Herreras | Speech-Language Pathologist | 3101 W. Mcdowell Road, Phoenix, AZ 85009 | 2007-05-10 |
| 1295956779 | Gerardo Gaerlan Gregorio | Internal Medicine | 3250 W. Lower Buckeye Road, Phoenix, AZ 85009 | 2007-05-01 |
| 1316060338 | Eve Ronnie Davidson | Registered Nurse | 3333wroosevelt, Phoenix, AZ 85009 | 2007-04-06 |
| 1679693808 | Paul Thomas Lorentsen | Internal Medicine | 1929 W. Fillmore St, Bldg C, The Neighborhood Christian Clinic, Phoenix, AZ 85009 | 2007-03-30 |
| 1134246655 | Audrea J Chambers-pryce | Registered Nurse | 3715 W Roosevelt, Phx, AZ 85009 | 2007-03-22 |
| 1053437582 | Monique Marie Knepper | Licensed Practical Nurse | 3025 W Mc Dowell Rd, Phoenix, AZ 85009 | 2007-03-22 |
| 1245356054 | Lena Rose Felder | Speech-Language Pathologist | 3348 W. Mcdowell Rd., Phoenix, AZ 85009 | 2007-03-22 |
| 1508900036 | Walter M Wood | Psychologist | 3348 W Mcdowell Road, Phoenix, AZ 85009 | 2007-02-17 |
| 1194869982 | Maureen Brukardt | Registered Nurse | 3449 N 39th Ave, Phx, AZ 85009 | 2007-02-16 |
| Find all providers in zip 85009 | ||||
| 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 |
|---|---|---|---|---|
| 1992322168 | Tessie Leigh Eberhart | Nurse Practitioner | 6025 N 27th Ave Ste 6, Phoenix, AZ 85017-1764 | 2020-07-02 |
| 1952927048 | John Leo Conway Jr. | Nurse Practitioner | 1705 E Claremont St, Phoenix, AZ 85016-1514 | 2020-06-24 |
| 1902434855 | Alyssa Young | Nurse Practitioner | 3033 N 34th Pl, Phoenix, AZ 85018-6903 | 2020-03-27 |
| 1609408194 | Az Regenerative Medicne | Nurse Practitioner | 16620 N 40th St Ste G2, Phoenix, AZ 85032-3351 | 2020-02-12 |
| 1124667175 | Jennifer Leigh Hanisch | Nurse Practitioner | 7314 S 26th Ln, Phoenix, AZ 85041-6475 | 2019-12-21 |
| 1295370179 | Jessica Anne Harper | Nurse Practitioner | 4141 N 32nd St Ste 104, Phoenix, AZ 85018-4775 | 2019-11-14 |
| 1134764590 | Rachael Bennett | Nurse Practitioner | 14001 N 7th St Ste F111, Phoenix, AZ 85022-4382 | 2019-11-08 |
| 1720621410 | Cynthia Chebator | Nurse Practitioner | 3233 W Peoria Ave Ste 106&120, Phoenix, AZ 85029-4614 | 2019-10-24 |
| 1295396273 | Ashleigh Beatty | Nurse Practitioner | 334 E Acapulco Ln, Phoenix, AZ 85022-3620 | 2019-06-21 |
| 1295292589 | Rosalind Robles Caumban | Nurse Practitioner | 4575 E Cactus Rd Ste 130, Phoenix, AZ 85032-7700 | 2019-02-23 |
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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.