MRS. BETHANY DEREA CHEATHAM (NPI# 1457757585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457757585 |
Entity Type | Individual |
Full Name | MRS. BETHANY DEREA CHEATHAM |
Credential | NP-C |
Practice Address |
4425 E Agave Rd #148 Phoenix AZ 85044-0619 |
Practice Telephone | 4807047546 |
Mailing Telephone | 4807047546 |
Enumeration Date | 2014-11-17 |
Last Update Date | 2016-09-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F1114254 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
4425 E AGAVE RD #148 |
City | PHOENIX |
State | AZ |
Zip Code | 85044-0619 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356307300 | Harriet J Smith | Psychologist | 4425 E Agave Rd, #140, Phoenix, AZ 85044 | 2006-04-26 |
1841837051 | Cameron Call | Chiropractor | 4425 E Agave Rd, Ste 104, Phoenix, AZ 85044-0620 | 2019-12-06 |
1528432630 | Eric Matthew Dodson | Chiropractor | 4425 E Agave Rd, 150, Phoenix, AZ 85044-0619 | 2015-12-01 |
1801274600 | Mark Weaver | Physician Assistant | 4425 E Agave Rd, Suite 148, Phoenix, AZ 85044-0619 | 2015-05-12 |
1437435658 | Inmotion Health & Wellness, LLC | Chiropractor | 4425 E Agave Rd, Suite 150, Phoenix, AZ 85044-0619 | 2011-11-02 |
1407167596 | Ahwatukee Skin & Laser LLC | Dermatology | 4425 E Agave Rd, Suite 148, Phoenix, AZ 85044-0619 | 2010-06-23 |
1053633396 | Veronica Alexander | Counselor | 4425 E Agave Rd, Suite 140 Building 7, Phoenix, AZ 85044-0619 | 2010-02-26 |
1083883714 | Karen Gage | Marriage & Family Therapist | 4425 E Agave Rd, Suite 116, Phoenix, AZ 85044-0619 | 2008-02-27 |
1487781092 | Sarah E Neumann | Physician Assistant | 4425 E Agave Rd, 148, Phoenix, AZ 85044-0619 | 2007-02-28 |
1619012630 | Jereen Maria Goldstein | Counselor | 4425 E Agave Rd, Phoenix, AZ 85044-0619 | 2007-02-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023637345 | Jamie Roshun Dawson | Contractor | 13229 S 48th St Apt 3051, Phoenix, AZ 85044 | 2020-04-16 |
1548807514 | The Horizon Chiropractic Center | Clinic/Center | 4425 East Agave Road Suite 104, Phoenix, AZ 85044 | 2019-12-09 |
1134777634 | Elite Therapy of Az | Occupational Therapist | 15245 S 48th Street, Phoenix, AZ 85044 | 2019-08-28 |
1487217584 | Vitae Felix | Psychologist | 5010 E Warner Rd Ste 213, Phoenix, AZ 85044 | 2019-04-16 |
1578082392 | Karena Janiece Herron | Nurse Practitioner | 13625 S 48th St Apt 2100, Phoenix, AZ 85044 | 2017-09-13 |
1053847319 | Amanda Girardi | Dentist | 4726 E Verbena Dr, Phoenix, AZ 85044 | 2017-05-05 |
1518402593 | Janet Swift | Counselor | 10201 South 51st Street; Suite 130, Phoenix, AZ 85044 | 2016-12-29 |
1588074876 | Suzanne Morris | Nurse Practitioner | 4802 E. Ray Rd., Ste 23-364, Phoenix, AZ 85044 | 2014-05-07 |
1891117974 | Dr. Cameron Khavari Pllc | Chiropractor | 4001 E Mountain Sky Ave Ste 101, Phoenix, AZ 85044 | 2014-01-09 |
1316213416 | Shyam Sundar Tangri | Internal Medicine | 13623 S. 45th St, Phoenix, AZ 85044 | 2012-03-22 |
Find all providers in zip 85044 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407456783 | Brenna Michelle Clements | Nurse Practitioner | 3226 W Donatello Dr, Phoenix, AZ 85086-2200 | 2020-10-27 |
1932712825 | Grace Wanjiru Karanja Adams | Nurse Practitioner | 200 E Thomas Rd Unit 217, Phoenix, AZ 85012-1182 | 2020-08-28 |
1649895574 | Jozzette Elaine Rubio | Nurse Practitioner | 1924 E Vineyard Rd, Phoenix, AZ 85042-5793 | 2020-06-16 |
1396360749 | Ulivvo Inc. | Nurse Practitioner | 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 | 2020-06-11 |
1568087955 | Christa Ann Colvin | Nurse Practitioner | 6800 E Mayo Blvd Apt 1211, Phoenix, AZ 85054-5619 | 2020-06-10 |
1497378541 | Sharon Uchechi Joshua | Nurse Practitioner | 9117 W Virginia Ave, Phoenix, AZ 85037-4233 | 2020-05-23 |
1992326102 | Ashley Elizabeth Hall | Nurse Practitioner | 15810 N 18th St, Phoenix, AZ 85022-3302 | 2020-04-28 |
1750916797 | Sebastian Freeman Smith | Nurse Practitioner | 2716 W Cedarwood Ln, Phoenix, AZ 85045-2224 | 2020-03-10 |
1295365724 | Jessica Veasy | Nurse Practitioner | 7251 N 23rd Ave, Phoenix, AZ 85021-7714 | 2020-01-23 |
1568092526 | Anuradha Lingamneni | Nurse Practitioner | 2313 E Dry Wood Rd, Phoenix, AZ 85024-8688 | 2020-01-18 |
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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.