ALICE MUSTAPHA AMARA (NPI# 1477824894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477824894 |
Entity Type | Individual |
Full Name | ALICE MUSTAPHA AMARA |
Credential | ACNP |
Practice Address |
9250 W Thomas Rd Suite 200 Phoenix AZ 85037-3382 |
Mailing Address |
105 Professional Park Dr Cumming GA 30040-2381 |
Practice Telephone | 6235168252 |
Practice Fax Number | 6235168253 |
Mailing Telephone | 6232416152 |
Mailing Fax Number | 6232416152 |
Enumeration Date | 2012-01-17 |
Last Update Date | 2018-06-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | RN229290 | GA | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP4289 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | MEDICARE PTAN | Z71338 | 01 |
AZ | 687467 | 05 |
Street Address |
9250 W THOMAS RD SUITE 200 |
City | PHOENIX |
State | AZ |
Zip Code | 85037-3382 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124009352 | Jon A King | Surgery | 9250 W Thomas Rd, Ste 250, Phoenix, AZ 85037-3382 | 2005-11-05 |
1114431905 | Travis Nichols | Psychologist | 9250 W Thomas Rd, Phoenix, AZ 85037-3382 | 2017-12-01 |
1033623285 | Jordan Butay | Physical Therapist | 9250 W Thomas Rd, Phoenix, AZ 85037-3382 | 2017-11-27 |
1821471913 | Arizona Surgical Specialists Center, LLC | Clinic/Center | 9250 W Thomas Rd, Suite 220, Phoenix, AZ 85037-3382 | 2015-07-07 |
1477956621 | The Pain Center of Arizona, PC | Durable Medical Equipment & Medical Supplies | 9250 W Thomas Rd, Suite 200, Phoenix, AZ 85037-3382 | 2014-10-02 |
1114333432 | The Pain Center of Arizona, PC | Non-Pharmacy Dispensing Site | 9250 W Thomas Rd, Suite 200, Phoenix, AZ 85037-3382 | 2014-07-08 |
1891031019 | Manjit K Wright | Physician Assistant | 9250 W Thomas Rd, Suite 100, Phoenix, AZ 85037-3382 | 2012-12-15 |
1063767739 | Estrella Mountain Dialysis LLC | Clinic/Center | 9250 W Thomas Rd, Suite 120, Phoenix, AZ 85037-3382 | 2012-07-19 |
1770787863 | David Wayne Smith | Surgery | 9250 W Thomas Rd, Suite 250, Phoenix, AZ 85037-3382 | 2007-06-12 |
1497959589 | Ravia Bokhari | Surgery | 9250 W Thomas Rd, Ste 250, Phoenix, AZ 85037-3382 | 2007-06-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356969828 | Live Well Assisted Living LLC | Psychiatric Residential Treatment Facility | 9210 W Loow Bend Lane, Phoenix, AZ 85037 | 2020-07-10 |
1770126260 | Medical Management Systems, Inc. | Assisted Living Facility | 2209 N. Rascon Loop, Phoenix, AZ 85037 | 2019-10-28 |
1346800760 | Sonoran Sky Family Dentistry | Dentist | 9515 West Camelback Road, Suite #120, Phoenix, AZ 85037 | 2019-06-18 |
1578025136 | Jennifer Natasha Kunz | Nurse Practitioner | Cleanslate, 8410 W. Thomas Rd, Phoenix, AZ 85037 | 2019-04-03 |
1740751320 | Mariposa Phoenix Al Partners, Lp | Assisted Living Facility | 3100 N 91st Avenue, Phoenix, AZ 85037 | 2018-12-08 |
1417442799 | Prop Anesthesia LLC | Nurse Anesthetist, Certified Registered | 9250 W Thomas Rd Ste 220, Phoenix, AZ 85037 | 2018-06-28 |
1922522242 | Tree of Life Mental Health Systems, LLC | Behavior Technician | 8400 W. Virginia, #1138, Phoenix, AZ 85037 | 2017-07-28 |
1720500465 | Moc Phoenix, LLC | Assisted Living Facility | 3000 N. 91st Avenue, Phoenix, AZ 85037 | 2017-07-14 |
1407385826 | Not Alone Home Care, LLC | In Home Supportive Care | 9422 W Palm Lane, Phoenix, AZ 85037 | 2017-06-08 |
1063953081 | Karla Soward | Radiologic Technologist | 2015 N Rascon Loop, Phoenix, AZ 85037 | 2017-03-09 |
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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 |
---|---|---|---|---|
1992322168 | Tessie Leigh Eberhart | Nurse Practitioner | 6025 N 27th Ave Ste 6, Phoenix, AZ 85017-1764 | 2020-07-02 |
1952927048 | John Leo Conway Jr. | Nurse Practitioner | 1705 E Claremont St, Phoenix, AZ 85016-1514 | 2020-06-24 |
1902434855 | Alyssa Young | Nurse Practitioner | 3033 N 34th Pl, Phoenix, AZ 85018-6903 | 2020-03-27 |
1609408194 | Az Regenerative Medicne | Nurse Practitioner | 16620 N 40th St Ste G2, Phoenix, AZ 85032-3351 | 2020-02-12 |
1124667175 | Jennifer Leigh Hanisch | Nurse Practitioner | 7314 S 26th Ln, Phoenix, AZ 85041-6475 | 2019-12-21 |
1295370179 | Jessica Anne Harper | Nurse Practitioner | 4141 N 32nd St Ste 104, Phoenix, AZ 85018-4775 | 2019-11-14 |
1134764590 | Rachael Bennett | Nurse Practitioner | 14001 N 7th St Ste F111, Phoenix, AZ 85022-4382 | 2019-11-08 |
1720621410 | Cynthia Chebator | Nurse Practitioner | 3233 W Peoria Ave Ste 106&120, Phoenix, AZ 85029-4614 | 2019-10-24 |
1295396273 | Ashleigh Beatty | Nurse Practitioner | 334 E Acapulco Ln, Phoenix, AZ 85022-3620 | 2019-06-21 |
1295292589 | Rosalind Robles Caumban | Nurse Practitioner | 4575 E Cactus Rd Ste 130, Phoenix, AZ 85032-7700 | 2019-02-23 |
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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.