MRS. CHEYENNA LYNNE KOPACZ (NPI# 1386204097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386204097 |
| Entity Type | Individual |
| Full Name | MRS. CHEYENNA LYNNE KOPACZ |
| Other Name | CHEYENNA LYNNE KAWAL |
| Credential | DNP FNP-C |
| Practice Address |
10815 W Mcdowell Rd Ste 201 Avondale AZ 85392-5010 |
| Mailing Address |
3815 E Bell Rd Ste 2200 Phoenix AZ 85032-2139 |
| Practice Telephone | 6234330155 |
| Practice Fax Number | 6234330185 |
| Mailing Telephone | 6026333848 |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2019-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 227570 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | MEDICARE | Z229839 | 01 |
| AZ | 533013 | 05 |
| Street Address |
10815 W MCDOWELL RD STE 201 |
| City | AVONDALE |
| State | AZ |
| Zip Code | 85392-5010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912413618 | Shawnte Edmond | Nurse Practitioner | 10815 W Mcdowell Rd Ste 201, Avondale, AZ 85392-5010 | 2017-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100063 | Arizona Imaging Center, LLC | Radiology | 10825 W Mcdowell Rd Suite 130, Avondale, AZ 85392 | 2020-10-02 |
| 1376159053 | Quick Med Center LLC | Clinic/Center | 10825 W Mcdowell Rd Suite 100, Avondale, AZ 85392 | 2020-09-18 |
| 1225641046 | Ambulatory Surgery Centers, LLC | Clinic/Center | 10825 W Mcdowell Rd Suite 110, Avondale, AZ 85392 | 2020-08-31 |
| 1144842394 | National Cardiovascular Surgery Center, LLC | Clinic/Center | 10825 W Mcdowell Rd, Suite 310, Avondale, AZ 85392 | 2020-05-11 |
| 1073077145 | Lakeview Dentistry P.C., Inc. | Dentist | 10750 W. Mcdowell Road, Bldg. D410, Avondale, AZ 85392 | 2019-01-23 |
| 1699249458 | Elaine Van De Wille | Student in an Organized Health Care Education/Training Program | 3609 N 109th Ave, Avondale, AZ 85392 | 2019-01-15 |
| 1750890075 | West Valley Pediatrics | Nurse Practitioner | 10750 West Mcdowell Rd, Suite G700, Avondale, AZ 85392 | 2017-09-29 |
| 1336675305 | Hope-ann Kamler | Licensed Practical Nurse | 2150 North Santa Fe Blvd, Avondale, AZ 85392 | 2017-05-11 |
| 1790237527 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 10285 West Mcdowell Rd, Ste A-102, Avondale, AZ 85392 | 2016-10-27 |
| 1063969137 | Lorri Ward | Registered Nurse | 12750 W Coronado Rd, Avondale, AZ 85392 | 2016-09-07 |
| Find all providers in zip 85392 | ||||
| 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 |
|---|---|---|---|---|
| 1730747056 | Kahlo Healthcare LLC | Nurse Practitioner | 12725 W Indian School Rd # E114, Avondale, AZ 85392-9520 | 2019-06-01 |
| 1982071429 | Helena Marie In't Veld | Nurse Practitioner | 13065 W. Mcdowell Rd Ste B-108, Avondale, AZ 85392 | 2015-09-01 |
| 1780686519 | Vonda Lynette Gaitor | Nurse Practitioner | 3932 Highway 90 W, Avondale, LA 70094 | 2005-08-11 |
| 1952958472 | Mary Storts | Nurse Practitioner | 10815 W Mcdowell Rd Ste 202, Avondale, AZ 85392-5010 | 2019-08-20 |
| 1942789367 | Joel Medrano | Nurse Practitioner | 1665 N Avondale Blvd, Avondale, AZ 85392-5006 | 2018-08-07 |
| 1033622295 | Kia Lambeth | Nurse Practitioner | 10815 W Mcdowell Rd Ste 305, Avondale, AZ 85392-5016 | 2017-11-09 |
| 1932505401 | Amparo Estera Macariola | Nurse Practitioner | 950 E Van Buren St, Avondale, AZ 85323-1506 | 2014-11-11 |
| 1508132820 | Arleen Elloway | Nurse Practitioner | 824 N 99th Ave, Suite 107, Avondale, AZ 85323-5324 | 2012-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023339 | Flor Avila Fimbres | Nurse Practitioner | 5418 W Placita Del Risco, Tucson, AZ 85745-9550 | 2020-11-04 |
| 1205435781 | April Michelle Power | Nurse Practitioner | 198 S Coronado Dr Ste D, Sierra Vista, AZ 85635-6357 | 2020-10-26 |
| 1861091514 | Restoration Dermatology Lounge LLC | Nurse Practitioner | 8753 E Bell Rd Ste D101, Scottsdale, AZ 85260-1307 | 2020-10-23 |
| 1699374371 | Kelley Brooke Corl | Nurse Practitioner | 872 S Pheasant Dr, Gilbert, AZ 85296-0440 | 2020-10-22 |
| 1225637184 | Amy Chan Matchett | Nurse Practitioner | 2754 W Checkerspot Dr, Tucson, AZ 85741-5255 | 2020-10-21 |
| 1013514348 | Alecia L Brown | Nurse Practitioner | 1099 W Calle Del Libro Dorado, Sahuarita, AZ 85629-8148 | 2020-10-09 |
| 1912504812 | Jason Allen Vincent | Nurse Practitioner | 4970 N Azul Cir, Litchfield Park, AZ 85340-2734 | 2020-10-04 |
| 1376150219 | Whitney Griffin | Nurse Practitioner | 2700 N Hayden Rd Apt 1093, Scottsdale, AZ 85257-1750 | 2020-09-24 |
| 1114539335 | Kimberly Harken | Nurse Practitioner | 2270 S Ridgeview Dr Ste 300, Yuma, AZ 85364-8866 | 2020-08-19 |
| 1558972752 | Iva Tirres | Nurse Practitioner | 11000 N Scottsdale Rd Ste 110, Scottsdale, AZ 85254-6168 | 2020-08-11 |
| 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.