NICHOLE BEULAH NESBITT (NPI# 1427539410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427539410 |
| Entity Type | Individual |
| Full Name | NICHOLE BEULAH NESBITT |
| Practice Address |
3701 E Broadway Ave Apache Junction AZ 85119-9301 |
| Mailing Address |
9829 E Birchwood Ave Mesa AZ 85208-1878 |
| Practice Telephone | 4806777519 |
| Mailing Telephone | 6235653500 |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2018-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LP048010 | AZ | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | DRIVER LICENSE | D07954245 | 01 |
| Street Address |
3701 E BROADWAY AVE |
| City | APACHE JUNCTION |
| State | AZ |
| Zip Code | 85119-9301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659407617 | Christine Marie Slack | Licensed Practical Nurse | 3701 E Broadway Ave, Apache Junction, AZ 85219-9301 | 2007-02-26 |
| 1821524612 | Maria Baugh | Specialist/Technologist | 3701 E Broadway Ave, Apache Junction, AZ 85119-9301 | 2017-05-11 |
| 1952659781 | Linda K Kobylanski | Student in an Organized Health Care Education/Training Program | 3701 E Broadway Ave, Apache Junction, AZ 85119-9301 | 2012-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891344065 | Vivienne Elizabeth Alonzo | Technician | 982 N Mountain View Rd, Apache Junction, AZ 85119 | 2019-09-10 |
| 1487006433 | Regina L Brown | Homemaker | 3282 S Bowman Road, Apache Junction, AZ 85119 | 2016-07-01 |
| 1447675665 | Michelle Wadsworth | Nurse's Aide | 1785 N. Idaho Rd., Apache Junction, AZ 85119 | 2014-02-25 |
| 1427481175 | Pinal County Arizona | Public Health or Welfare | 575 N. Idaho Street, Suite 301, Apache Junction, AZ 85119 | 2013-08-16 |
| 1174609176 | Horizon Health and Wellness, Inc. | Community/Behavioral Health | 477 East Broadway Ave, Apache Junction, AZ 85119 | 2006-10-31 |
| 1477027878 | Jeremy Michael Stewart | Physical Therapist | 1075 S Idaho Rd, Apache Junction, AZ 85119 | 2019-01-18 |
| 1396787974 | Smiths Food & Drug Centers Inc | Durable Medical Equipment & Medical Supplies | 150 E Old West Hwy, Apache Junction, AZ 85119-0002 | 2006-06-11 |
| 1578065827 | Heavens Urgent Care LLC | Clinic/Center | 95 S Idaho Rd Ste 140, Apache Junction, AZ 85119-0006 | 2018-03-02 |
| 1295246312 | Dentists of Apache Junction, LLP | Dentist | 95 S Idaho Rd Ste 100, Apache Junction, AZ 85119-0006 | 2017-10-16 |
| 1679129316 | Jillian Renee Kersten | Dentist | 95 S Idaho Rd Ste 100, Apache Junction, AZ 85119-0006 | 2019-08-16 |
| Find all providers in zip 85119 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659407617 | Christine Marie Slack | Licensed Practical Nurse | 3701 E Broadway Ave, Apache Junction, AZ 85219-9301 | 2007-02-26 |
| 1629624929 | Lovie Leon | Licensed Practical Nurse | 2525 S Ironwood Dr, Apache Junction, AZ 85120-7100 | 2019-08-13 |
| 1235460635 | Mary Elizabeth Griffin | Licensed Practical Nurse | 801 W Southern Ave, Apache Junction, AZ 85120-7416 | 2010-01-25 |
| 1609024405 | Joy Lee Potersnak | Licensed Practical Nurse | 2525 S Ironwood Dr, Apache Junction, AZ 85220-7100 | 2008-09-04 |
| 1487834925 | Cori M Huhn | Licensed Practical Nurse | 801 W Southern Ave, Apache Junction, AZ 85220-7416 | 2007-11-13 |
| 1740302728 | Four Peaks Elementary School | Licensed Practical Nurse | 1755 N Idaho Rd, Apache Junction, AZ 85219-1716 | 2007-04-03 |
| 1063555191 | Carmella Renae Staley | Licensed Practical Nurse | 1575 W Southern Ave, Apache Junction, AZ 85220-7456 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313033 | Stephanie Lyn Medina | Licensed Practical Nurse | 2349 N 83rd Dr, Phoenix, AZ 85037-3742 | 2020-10-13 |
| 1134736291 | Rosa Luz Helm | Licensed Practical Nurse | 3434 S 67th Ave, Phoenix, AZ 85043-6523 | 2020-09-23 |
| 1588270441 | Undre Webb | Licensed Practical Nurse | 567 W 11th St, Florence, AZ 85132-9126 | 2020-09-16 |
| 1639783160 | Jennifer Nadine Stockton | Licensed Practical Nurse | 2702 W Yorkshire Dr Apt 3100, Phoenix, AZ 85027-3939 | 2020-09-02 |
| 1487277844 | Lake Havasu Unified School Distrct | Licensed Practical Nurse | 1250 Pawnee Dr, Lake Havasu City, AZ 86406-8764 | 2020-05-20 |
| 1982248399 | Barbara Frazey | Licensed Practical Nurse | 3404 Santa Maria Rd., Golden Valley, AZ 86413 | 2019-10-30 |
| 1215587795 | Payton Caliste | Licensed Practical Nurse | 21646 W Hilton Ave, Buckeye, AZ 85326-6555 | 2019-09-16 |
| 1770131336 | Margaret A Dusold | Licensed Practical Nurse | 21827 E Creosote Dr, Queen Creek, AZ 85142-4932 | 2019-08-27 |
| 1225684046 | Denise Plott | Licensed Practical Nurse | 13825 W Desert Cove Rd, Surprise, AZ 85379-9702 | 2019-08-16 |
| 1871149765 | Victoria Elizabeth Bare | Licensed Practical Nurse | 1718 W Vineyard Rd, Phoenix, AZ 85041-5804 | 2019-08-15 |
| Find all providers with the same taxonomy | ||||
| City | APACHE JUNCTION |
| Zip Code | 85119 |
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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.