DEIDRE SCHODROSKI (NPI# 1417345547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417345547 |
| Entity Type | Individual |
| Full Name | DEIDRE SCHODROSKI |
| Credential | F.N.P. |
| Practice Address |
6422 E Speedway Blvd Ste 150 Tucson AZ 85710-1149 |
| Mailing Address |
6422 E Speedway Blvd Ste 150 Tucson AZ 85710-1149 |
| Practice Telephone | 5203183004 |
| Practice Fax Number | 5203183061 |
| Mailing Telephone | 5203183004 |
| Mailing Fax Number | 5203183061 |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2020-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
TAP7527 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6422 E SPEEDWAY BLVD STE 150 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85710-1149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609853951 | Sarah Elizabeth Ducharme | Surgery | 6422 E Speedway Blvd Ste 150, Tucson, AZ 85710-1149 | 2005-12-28 |
| 1003295643 | David Charles Hatch Jr. | Podiatrist | 6422 E Speedway Blvd Ste 150, Tucson, AZ 85710 | 2015-05-28 |
| 1104233071 | David J Lew | Surgery | 6422 E Speedway Blvd Ste 150, Tucson, AZ 85710-1149 | 2014-07-12 |
| 1982022968 | Jayanth Manoharan | Surgery | 6422 E Speedway Blvd Ste 150, Tucson, AZ 85710-1149 | 2014-04-07 |
| 1215376660 | Federico Javier Yanquez | Surgery | 6422 E Speedway Blvd Ste 150, Tucson, AZ 85710-1149 | 2013-06-19 |
| 1326210071 | Layla Corral Lucas | Surgery | 6422 E Speedway Blvd Ste 150, Tucson, AZ 85710-1149 | 2008-04-01 |
| 1184771107 | Yvonne Marie Carter | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6422 E Speedway Blvd Ste 150, Tucson, AZ 85710-1149 | 2007-01-04 |
| 1053383463 | Matthew Jeremy Weiner | Surgery | 6422 E Speedway Blvd Ste 150, Tucson, AZ 85710-1149 | 2006-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689220691 | Elidia Beas Newbold | Technician | 9122 E. Calle Maria, Tuscon, AZ 85710 | 2019-08-15 |
| 1669934014 | Pain Institute of Southern Arizona (pisa), PC | Pain Medicine | 7140 E Rosewood Street, Suite 110, Tucson, AZ 85710 | 2019-04-04 |
| 1316438351 | Life Aligned Regenerative Medical Center LLC | General Practice | 7920 E Broadway Blvd, Suite 106, Tuscon, AZ 85710 | 2018-05-25 |
| 1497264253 | Beverly Capili | Nurse Practitioner | 6622 East Carondelet Drive, Tucson, AZ 85710 | 2017-09-25 |
| 1629590120 | Linsey Nicole Tomaro | Physician Assistant | 6303 E. Broadway Blvd., Suite 161, Tucson, AZ 85710 | 2017-07-17 |
| 1750803748 | Christopher Sullivan | Podiatrist | 6442 S. Speedway Blvd, Ste 102, Tucson, AZ 85710 | 2017-07-11 |
| 1346762713 | Friday Sika | Respite Care | 8251 E. Kenyon Dr., Tucson, AZ 85710 | 2017-07-07 |
| 1821536228 | Southern Arizona Urgent Care, LLC | Clinic/Center | 6303 E. Broadway Blvd, 161, Tucson, AZ 85710 | 2017-02-06 |
| 1659727816 | Mwangaza Residential Care LLC | Community Based Residential Treatment Facility, Mental Illness | 8421 E. Colette St, Tucson, AZ 85710 | 2016-05-06 |
| 1124494240 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 921 S Prudence Rd, Tucson, AZ 85710 | 2015-08-12 |
| Find all providers in zip 85710 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809165 | Barbara Powers | Nurse Practitioner | 9251 E Snyder Rd, Tucson, AZ 85749-9443 | 2020-10-19 |
| 1942808431 | Vera Adell Dujmic | Nurse Practitioner | 10959 E Actinidia St, Tucson, AZ 85747-8862 | 2020-10-15 |
| 1376141184 | Laura E Ahumada | Nurse Practitioner | 3417 N Sand Creek Ct, Tucson, AZ 85745-7126 | 2020-10-14 |
| 1548876675 | Kara Gilliland | Nurse Practitioner | 5129 W Placita Del Herrero, Tucson, AZ 85745-9720 | 2020-09-23 |
| 1386250736 | Blue Sky Mental Health and Wellness Pllc | Nurse Practitioner | 7563 E Park View Dr, Tucson, AZ 85715-3561 | 2020-09-21 |
| 1770196628 | Victoria C. Weirick | Nurse Practitioner | 7733 E Marquise Dr, Tucson, AZ 85715-3778 | 2020-08-28 |
| 1326650144 | Ignacio William Nunez | Nurse Practitioner | 1570 E Tucson Marketplace Blvd, Tucson, AZ 85713-6568 | 2020-08-21 |
| 1235749656 | Rebecca Diaz | Nurse Practitioner | 5874 S Fiorenza Pl, Tucson, AZ 85747-6005 | 2020-08-01 |
| 1013526409 | Lora K White | Nurse Practitioner | 4170 N Camino Arco, Tucson, AZ 85718-7064 | 2020-07-30 |
| 1700495306 | Karma Selina Carty | Nurse Practitioner | 6121 E 20th St, Tucson, AZ 85711-5217 | 2020-07-29 |
| Find all providers in TUCSON | ||||
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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.