BRIANNA DAZZO (NPI# 1417358870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417358870 |
| Entity Type | Individual |
| Full Name | BRIANNA DAZZO |
| Practice Address |
17958 W Brown St Waddell AZ 85355-4151 |
| Mailing Address |
22019 N 107th Dr Sun City AZ 85373-4005 |
| Practice Telephone | 6027100867 |
| Mailing Telephone | 6027100867 |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2014-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
SLPA9011 | AZ | Speech, Language and Hearing Service Providers |
| Street Address |
17958 W BROWN ST |
| City | WADDELL |
| State | AZ |
| Zip Code | 85355-4151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235307455 | Corrie Castelluccio | Specialist/Technologist | 17958 W Brown St, Waddell, AZ 85355-4151 | 2008-02-11 |
| 1578020285 | Shea Grant | Specialist/Technologist | 17958 W Brown St, Waddell, AZ 85355-4151 | 2019-02-28 |
| 1073015061 | Sarah Patricia Pratt | Specialist/Technologist | 17958 W Brown St, Waddell, AZ 85355-4151 | 2018-03-06 |
| 1336483072 | Maria R Villamar | Specialist/Technologist | 17958 W Brown St, Waddell, AZ 85355-4151 | 2012-11-19 |
| 1609181890 | Progressive Therapy L.L.C. | Occupational Therapist | 17958 W Brown St, Waddell, AZ 85355-4151 | 2010-08-11 |
| 1902118342 | Kristen Danielle Wilson | Speech-Language Pathologist | 17958 W Brown St, Progressive Therapy LLC, Waddell, AZ 85355-4151 | 2010-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295135432 | Jennifer Fowler | Psychologist | 6431 N 181st Ave, Waddell, AZ 85355 | 2014-08-25 |
| 1033272646 | Norma M Hernandez | Technician | 18220 West North Court, Waddell, AZ 85355 | 2006-12-18 |
| 1356885164 | Elite Assisted Living Home | Assisted Living Facility | 15928 W Ironwood Dr, Waddell, AZ 85355-2001 | 2016-12-13 |
| 1326377565 | Amber Marie Werner | Military Health Care Provider | 9603 N 179th Dr, Waddell, AZ 85355-4107 | 2009-12-17 |
| 1306259171 | Aaron Alvarez | Military Health Care Provider | 18026 W Carol Ave, Waddell, AZ 85355-4127 | 2014-06-09 |
| 1528607108 | Amie Raina Cooke | Nurse Practitioner | 18072 W Vogel Ave, Waddell, AZ 85355-4133 | 2019-12-31 |
| 1245878982 | Ndolia Noma Carew Schild | Counselor | 17949 W Purdue Ave, Waddell, AZ 85355-4143 | 2019-12-12 |
| 1477050615 | Robert Wayne | Orthotist | 18140 W Purdue Ave, Waddell, AZ 85355-4237 | 2018-04-12 |
| 1437308830 | Suzanne Patricia Coppola | Nurse Practitioner | 17946 W North Ln, Waddell, AZ 85355-4254 | 2008-09-10 |
| 1497036503 | Margaret Kathryn Maclachlan | Speech-Language Pathologist | 18302 W Burton Ave, C/o Mountain View Elementary, Waddell, AZ 85355-4275 | 2011-09-01 |
| Find all providers in zip 85355 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023631108 | Merisa Stefaniak | Specialist/Technologist | 7815 N 183rd Ave, Waddell, AZ 85355-9809 | 2020-05-22 |
| 1235307455 | Corrie Castelluccio | Specialist/Technologist | 17958 W Brown St, Waddell, AZ 85355-4151 | 2008-02-11 |
| 1962616615 | Kim L Swanson | Specialist/Technologist | 7615 N Perryville Rd, Waddell, AZ 85355-9635 | 2007-05-10 |
| 1578020285 | Shea Grant | Specialist/Technologist | 17958 W Brown St, Waddell, AZ 85355-4151 | 2019-02-28 |
| 1073015061 | Sarah Patricia Pratt | Specialist/Technologist | 17958 W Brown St, Waddell, AZ 85355-4151 | 2018-03-06 |
| 1336483072 | Maria R Villamar | Specialist/Technologist | 17958 W Brown St, Waddell, AZ 85355-4151 | 2012-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528379 | Sienna Vidana | Specialist/Technologist | 1201 W Courtney Ln, Tempe, AZ 85284-5131 | 2020-11-04 |
| 1386244234 | Aileen Green | Specialist/Technologist | Camp Verde Elementary, 200 Camp Lincoln Rd, Camp Verde, AZ 86322 | 2020-10-29 |
| 1205434206 | Ambrielle Grace Begay | Specialist/Technologist | 48 Turquoise Drive, Tuba City, AZ 86045 | 2020-10-12 |
| 1124625447 | Victoria Washburn | Specialist/Technologist | 235 S Langley Ave, Tucson, AZ 85710-1037 | 2020-10-09 |
| 1720685241 | Paige Marie Walberg | Specialist/Technologist | 16629 N Greasewood St Apt 139, Surprise, AZ 85378-3686 | 2020-10-07 |
| 1356948970 | Kaylee M Peterson | Specialist/Technologist | 4150 E Winged Foot Pl, Chandler, AZ 85249-7279 | 2020-10-06 |
| 1134726037 | Rebecca Breanne Wilson | Specialist/Technologist | 1111 S Grenoble, Mesa, AZ 85208-7520 | 2020-10-04 |
| 1477160893 | Suzanne L Atkinson | Specialist/Technologist | 12120 W Briles Rd, Peoria, AZ 85383-5823 | 2020-09-29 |
| 1013524479 | Allison Herzog | Specialist/Technologist | 26140 N Wrangler Rd, Scottsdale, AZ 85255-1469 | 2020-09-29 |
| 1538776307 | Lindsay Martin | Specialist/Technologist | 195 W Juanita Ave, Gilbert, AZ 85233-2710 | 2020-09-25 |
| 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.