CODYE ANNE BOUTIN (NPI# 1316599277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316599277 |
Entity Type | Individual |
Full Name | CODYE ANNE BOUTIN |
Practice Address |
5117 W Pershing Ave Glendale AZ 85304-1318 |
Practice Telephone | 6236282776 |
Mailing Telephone | 6236282776 |
Enumeration Date | 2019-07-11 |
Last Update Date | 2019-07-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
SLPA11917 | AZ | Speech, Language and Hearing Service Providers |
Street Address |
5117 W PERSHING AVE |
City | GLENDALE |
State | AZ |
Zip Code | 85304-1318 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386254027 | J & B Assisted Living, Inc. D/b/a J & B Behavioral Health II | Substance Abuse Rehabilitation Facility | 6613 W. Pershing Avenue, Glendale, AZ 85304 | 2020-08-07 |
1194214015 | Vema Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4309 W Corrine Dr, Glendale, AZ 85304 | 2018-05-07 |
1962929224 | Glendale Surgery Center | Clinic/Center | 11851 North 51st Ave, Suite G, Glendale, AZ 85304 | 2017-08-28 |
1073941092 | Megan Lorenzen | Occupational Therapist | 5834 W. Bloomfield Rd., Glendale, AZ 85304 | 2013-10-30 |
1396178380 | Danielle Marie Wiles | Registered Nurse | 12901 W. 63rd Avenue, Glendale, AZ 85304 | 2013-08-14 |
1780017848 | Pedram Nazari | Pharmacist | 4811 North 83rd Avenue, Glendale, AZ 85304 | 2013-08-13 |
1740558022 | Krunal Patel | Obstetrics & Gynecology | 5605 W Eugie Ave Ste 111, Glendale, AZ 85304 | 2011-12-01 |
1730499609 | Laura A Truax | Physician Assistant | 11851 N. 51st Ave, Ste F-110, Glendale, AZ 85304 | 2010-10-13 |
1760698419 | Suhir Bitar | Pediatrics | 13625 N 59th Ave, Glendale, AZ 85304 | 2007-05-16 |
1497967293 | Pam Rubbone | Psychologist | 4650 West Sweetwater Ave., Glendale, AZ 85304 | 2007-05-04 |
Find all providers in zip 85304 |
Taxonomy Code | 2355S0801X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Specialist/Technologist |
Specialization | Speech-Language Assistant |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477179976 | Patricia Enloe | Specialist/Technologist | 5210 W Desert Hills Dr, Glendale, AZ 85304-1984 | 2020-06-19 |
1467073312 | Sarah Alicia Wasson | Specialist/Technologist | 4309 W Griswold Rd, Glendale, AZ 85302-6614 | 2020-05-01 |
1295368025 | Adam Stanley | Specialist/Technologist | 8769 West Northview Avenue, Glendale, AZ 85305 | 2020-02-20 |
1871132100 | Emerson Blake Smith | Specialist/Technologist | 5809 W Vogel Ave, Glendale, AZ 85302-3123 | 2020-01-03 |
1952952996 | Shannon Zozaya | Specialist/Technologist | 6823 W Angela Dr, Glendale, AZ 85308-8433 | 2019-09-20 |
1962050138 | Karina Navarrete | Specialist/Technologist | 7418 W. Fleetwood Ln, Glendale, AZ 85303 | 2019-08-29 |
1275197048 | Carly Cottrell | Specialist/Technologist | 6234 W Behrend Dr Apt 1112, Glendale, AZ 85308-6909 | 2019-04-27 |
1104480482 | Cheryl Renie Snyder-roy | Specialist/Technologist | 4441 W Tonto Rd, Glendale, AZ 85308-7329 | 2019-04-23 |
1881152411 | Danielle Gandolfo | Specialist/Technologist | 11232 N 65th Ave, Glendale, AZ 85304-3640 | 2019-03-02 |
1063991065 | Christine Marie Saint | Specialist/Technologist | 4723 W Evans Dr, Glendale, AZ 85306-4432 | 2018-08-09 |
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.