DANIEL JAMES EMBORSKY JR. (NPI# 1336761303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336761303 |
Entity Type | Individual |
Full Name | DANIEL JAMES EMBORSKY JR. |
Credential | MSN RN |
Practice Address |
3550 Prospector St Kingman AZ 86401-1900 |
Practice Telephone | 9287536216 |
Practice Fax Number | 9287534042 |
Mailing Telephone | 9287536216 |
Mailing Fax Number | 9287534042 |
Enumeration Date | 2020-05-13 |
Last Update Date | 2020-05-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WS0200X |
Registered Nurse Specialization: School |
RN132974 | AZ | Nursing Service Providers |
Street Address |
3550 PROSPECTOR ST |
City | KINGMAN |
State | AZ |
Zip Code | 86401-1900 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053858704 | Robert Cole | Nurse Practitioner | 3545 Cheyenne Ave, King,an, AZ 86401 | 2017-01-19 |
1710420286 | Acadia Healthcare Inc | Nurse Practitioner | 2699 E Andy Devine, Suite B, Kingman, AZ 86401 | 2016-11-30 |
1174079800 | Kenneth Mcadow | Physical Therapist | 2404 Stockton Hill Road, Suite K, Kingman, AZ 86401 | 2016-09-01 |
1649659483 | Tracie Hirz | Case Manager/Care Coordinator | 3656 Packsaddle Road, Kingman, AZ 86401 | 2015-05-27 |
1548657695 | Chelsea Presbrey | Family Medicine | 2202 N Stockton Hill Rd Ste 100, Kingman, AZ 86401 | 2015-04-15 |
1649617226 | Abubakr Abdelmunim Tagelsir Abdelaziz | Internal Medicine | 2501 N Stockton Hill Rd Ste 102, Kingman, AZ 86401 | 2013-05-23 |
1205173325 | Patricia Jean Marko | Social Worker | 2002 Stockton Hill Road, Mohave Mental Health Clinic, Inc., Kingman, AZ 86401 | 2013-01-09 |
1770835316 | Hae Young Lee | Dentist | 2058 Maya Dr., Kingman, AZ 86401 | 2012-10-05 |
1255681623 | Hilary Radler | Specialist/Technologist | 3033 Macdonald, Kingman, AZ 86401 | 2012-09-13 |
1477836880 | Goodwill of Northern Arizona | Exclusive Provider Organization | 2369 Airway Avenue, Kingman, AZ 86401 | 2011-09-21 |
Find all providers in zip 86401 |
Taxonomy Code | 163WS0200X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | School |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386966810 | Alana Sue Lauricella | Registered Nurse | 2689 E Jagerson Ave, Kingman, AZ 86409-1440 | 2010-02-25 |
1831499318 | Jocelyn L Fernandez | Registered Nurse | 2689 E Jagerson Ave, Kingman, AZ 86409-1440 | 2010-10-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992318612 | Mary Jane Zdyrski | Registered Nurse | 4455 S Mission Rd, Tucson, AZ 85746-4014 | 2020-08-24 |
1740890896 | Olivia Yvette Sandoval | Registered Nurse | 3437 Jamaica Blvd S, Lake Havasu City, AZ 86406-5507 | 2020-08-04 |
1043857097 | Karen M Garcia | Registered Nurse | 2631 N Brown Avenue, Casa Grande, AZ 85122 | 2019-12-09 |
1679110894 | Elizabeth Amber Sim | Registered Nurse | 20873 W Sunrise Ln, Buckeye, AZ 85396-7593 | 2019-12-06 |
1306482377 | Cecilia Denise Zepeda | Registered Nurse | 1250 N. 8th Avenue, San Luis, AZ 85349 | 2019-11-25 |
1366088635 | Jennifer Lynn White | Registered Nurse | 1193 S 16th Pl, Cottonwood, AZ 86326-6939 | 2019-11-21 |
1700421112 | Jill Smith | Registered Nurse | 18601 W. Campbell Avenue, Goodyear, AZ 85395-8539 | 2019-11-08 |
1780227413 | Gabriela Flores | Registered Nurse | 44150 W. Maricopa Casa Grande Hwy, Maricopa, AZ 85138 | 2019-10-25 |
1033752761 | Lizabeth Joy Stephens | Registered Nurse | 44150 West Maricopa-casa Grand Hwy., Maricopa, AZ 85138 | 2019-10-25 |
1154962439 | Amber Dawn Gutierrez | Registered Nurse | 15430 W. Turney Avenue, Goodyear, AZ 85395 | 2019-10-08 |
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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.