FLAGSTAFF ADVANCED SURGICAL ASSISTANTS PLLC (NPI# 1376078303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376078303 |
Entity Type | Organization |
Organization Name | FLAGSTAFF ADVANCED SURGICAL ASSISTANTS PLLC |
Practice Address |
2467 S Cliffview St Flagstaff AZ 86001-2989 |
Practice Telephone | 2088186181 |
Mailing Telephone | 2088186181 |
Enumeration Date | 2017-04-27 |
Last Update Date | 2017-04-27 |
Authorized Official Name | NATHAN MOSS (OWNER) |
Authorized Official Telephone | 2088186181 |
Authorized Official Credential | AGACNP-BC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP8631 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2467 S CLIFFVIEW ST |
City | FLAGSTAFF |
State | AZ |
Zip Code | 86001-2989 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
1962033712 | Laura-lee Prescott | Social Worker | Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 | 2020-01-30 |
1194360784 | Trinity Medical Consultants Pllc | Internal Medicine | 1521 N Cliff Drive, Flagstaff, AZ 86001 | 2019-11-07 |
1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
1487174926 | Lindsey Marie Forstie | Nurse Practitioner | 7263 E Dreamview Trail, Flagstaff, AZ 86001 | 2017-06-26 |
1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
1912432675 | Ryan Tiscareno | Specialist/Technologist | 621 West Cherry Ave, Flagstaff, AZ 86001 | 2017-05-01 |
1629432380 | Behavioral Consultation Services, Inc. | Clinic/Center | 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 | 2016-04-08 |
1275920928 | Junli Gallagher | Speech-Language Pathologist | 1215 N. Beaver St, Flagstaff, AZ 86001 | 2015-04-21 |
1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
Find all providers in zip 86001 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356967020 | Shay Linn Davis | Nurse Practitioner | 345 W Mount Elden Lookout Rd, Flagstaff, AZ 86001-3801 | 2020-06-18 |
1427516053 | Alysa Patricia Held | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2019-03-02 |
1245743418 | Chascity Monroe | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2017-11-09 |
1295268415 | Laura Johnson | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001 | 2017-04-05 |
1356887640 | Nathan Moss Agacnp-bc Pllc | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2017-01-11 |
1679018873 | Flagstaff Intensive Care Specialists, Pllc | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001 | 2016-12-23 |
1588118111 | Nathan Alan Moss | Nurse Practitioner | 1215 N Beaver St, Flagstaff, AZ 86001-3126 | 2016-08-11 |
1356709877 | Erin Rasmussen | Nurse Practitioner | 2000 S Thompson St, Flagstaff, AZ 86001 | 2016-01-29 |
1114397957 | Amy Kathryn Taylor | Nurse Practitioner | 2000 S Thompson St, Flagstaff, AZ 86001 | 2015-10-06 |
1326425935 | Keith Wesley Kent | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001 | 2015-05-04 |
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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.