SUSAN LUIS-DOUGHERTY (NPI# 1356479067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356479067 |
Entity Type | Individual |
Full Name | SUSAN LUIS-DOUGHERTY |
Credential | RN |
Practice Address |
12033 Agency Road Parker AZ 85344-9703 |
Practice Telephone | 9286692137 |
Practice Fax Number | 9286693322 |
Mailing Telephone | 9286692137 |
Mailing Fax Number | 9286693322 |
Enumeration Date | 2007-03-02 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
RN072069 | AZ | Nursing Service Providers |
Street Address |
12033 AGENCY ROAD |
City | PARKER |
State | AZ |
Zip Code | 85344-9703 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427172550 | Jesdeen Lynn Nunez | Registered Nurse | 12033 Agency Road, Parker, AZ 86406 | 2007-03-16 |
1033451885 | Jo Ann Cook | Registered Nurse | 12033 Agency Road, Parker Indian Health Center, Parker, AZ 85344 | 2013-03-20 |
1124387402 | Kimberlee Angel | Registered Nurse | 12033 Agency Road, Parker Indian Health Center, Parker, AZ 85344 | 2012-05-08 |
1003136102 | Diandra Marlene Martinez | Technician/Technologist | 12033 Agency Road, Parker, AZ 85344 | 2010-06-11 |
1629306436 | Beverly O'brallaghan | Registered Nurse | 12033 Agency Road, Parker Indian Healthcare Center, Parker, AZ 85344 | 2009-12-07 |
1053542233 | Michael D Feiler | Registered Nurse | 12033 Agency Road, Parker Indian Health Center, Parker, AZ 85344 | 2009-08-05 |
1063640837 | Lori L Deysie | Licensed Practical Nurse | 12033 Agency Road, Parker, AZ 85344-7718 | 2009-06-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689156366 | Kimberly Lynnette Kirkpatrick | Pharmacist | 12033 W Agency Ave, Parker, AZ 85344 | 2018-08-30 |
1811419534 | Cheryl Brooks | Registered Nurse | 12033 W. Agency Ave, Parker, AZ 85344 | 2017-07-14 |
1356877716 | Damian Jenkins | Specialist/Technologist, Other | 1200 S Mohave Ave, Parker, AZ 85344 | 2017-05-04 |
1821434184 | Rio Vista Surgical Associates P.C. | Surgery | 1200 Mohave Dr, Parker, AZ 85344 | 2013-05-14 |
1881039600 | Juan G Lopez | Counselor | 13376 1st Ave, Parker, AZ 85344 | 2013-05-07 |
1942581699 | Rocky Mountain Holdings LLC | Ambulance | 913 S Ocotillo Ave, Parker, AZ 85344 | 2011-09-07 |
1467732271 | Adam Caton | Podiatrist | 1713 S Kofa Ave Ste K, Parker, AZ 85344 | 2011-08-24 |
1902137516 | Shana Lee Tackett | Student in an Organized Health Care Education/Training Program | 12330 Agency Rd, Parker Indian Health Center, Parker, AZ 85344 | 2010-01-21 |
1649501339 | Alice Rodriguez | Student in an Organized Health Care Education/Training Program | 12330 Agency Rd., Parker, AZ 85344 | 2010-01-20 |
1821328931 | Armando Sosa Jr. | Student in an Organized Health Care Education/Training Program | 12330 Agency Road, Parker, AZ 85344 | 2010-01-12 |
Find all providers in zip 85344 |
Taxonomy Code | 163WC1500X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Community Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942868187 | Lisa Michelle Croley | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2019-06-03 |
1033441100 | Valerie Lavange Scott | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2010-02-01 |
1902075773 | Jean M. Alves | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2008-02-26 |
1649305327 | Michelle R Mcfall | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2007-02-22 |
1093850083 | Patricia Ann Fritz | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2007-02-20 |
1720123573 | Cathey Palmer Stitt | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2007-02-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720614134 | Rochelle Williams | Registered Nurse | 11454 E Quintana Ave, Mesa, AZ 85212-4103 | 2020-03-17 |
1184257537 | Frances Morris | Registered Nurse | 308 Hermosa Dr, Holbrook, AZ 86025-2031 | 2020-02-13 |
1902456833 | Marleah Olsen | Registered Nurse | 102 Medicine Way Rd., Peridot, AZ 85542-8554 | 2019-09-12 |
1841854932 | Lynn Stafford | Registered Nurse | 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-04-24 |
1598227340 | Jane Ramenofsky Ramenofsky Stewart | Registered Nurse | 4041 So. Mcclintock Suite 302, Tempe, AZ 85282 | 2019-04-02 |
1588124093 | Jennifer Hanes | Registered Nurse | 828 N Slater, Mesa, AZ 85205-5862 | 2019-03-21 |
1588129902 | Mary K Wheeler Mcfarland | Registered Nurse | Adobe Care and Wellness LLC, Address Is 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-02-11 |
1275987794 | Jane Collins | Registered Nurse | 8500 E.jackrabbit Rd, Scottsdale, AZ 85250 | 2016-04-21 |
1831500073 | Suzanne Gould | Registered Nurse | 4891 E Grant Rd, Tucson, AZ 85712-2704 | 2014-05-09 |
1356768493 | Melody Dawn Austin | Registered Nurse | 8510 W Deer Valley Rd Ste 100, Peoria, AZ 85382-5386 | 2014-03-26 |
Find all providers with the same taxonomy |
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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.