MR. KEITH ROBERT SUTTON (NPI# 1487877296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487877296 |
| Entity Type | Individual |
| Full Name | MR. KEITH ROBERT SUTTON |
| Credential | FNP |
| Practice Address |
41818 N Venture Dr Ste 150 Anthem AZ 85086-3190 |
| Practice Telephone | 6233418469 |
| Mailing Telephone | 6233418469 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2018-03-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP3009 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
F334791-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 506568 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912218561 | Keith D Sutton | Case Manager/Care Coordinator | 310 E Byrd Ave, Bonifay, FL 32425-3068 | 2010-06-29 |
| Street Address |
41818 N VENTURE DR STE 150 |
| City | ANTHEM |
| State | AZ |
| Zip Code | 85086-3190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497250195 | Emma Dambi | Nurse Practitioner | 41818 N Venture Dr Ste 150, Anthem, AZ 85086-3190 | 2018-03-26 |
| 1972910990 | Anthem Pain Management, LLC | Health Maintenance Organization | 41818 N Venture Dr Ste 150, Anthem, AZ 85086-3190 | 2014-07-22 |
| 1457662165 | Veroncia Jeanne Fox | Nurse Practitioner | 41818 N Venture Dr Ste 150, Anthem, AZ 85086-3190 | 2010-06-28 |
| 1326369497 | James Mccalmont | Orthotist | 41818 N Venture Dr Ste 150, Anthem, AZ 85086-3190 | 2010-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097703 | Cindy Ryanto | Pharmacist | 39508 W Daisy Mountain Dr, Phoenix, AZ 85086 | 2020-09-15 |
| 1912559857 | Cathey Michelle Allen | Massage Therapist | 39006 N 11th Ave, Phoenix, AZ 85086 | 2019-07-11 |
| 1174000871 | Anthem Eye Group Pllc | Optometrist | 4205 W Anthem Way #101, Anthem, AZ 85086 | 2018-07-25 |
| 1366982449 | Angela Ann Childs | Registered Nurse | 42104 N Venture Dr Ste D118, Anthem, AZ 85086 | 2017-03-08 |
| 1144772054 | Joe Bezerra | Specialist | 39818 N Bell Meadow Trl, Phoenix, AZ 85086 | 2016-10-26 |
| 1669821252 | Arizona Procedural Center | Clinic/Center | 3655 West Anthem Way, Suite 109 Box 272, Athem, AZ 85086 | 2016-06-06 |
| 1124499280 | Shane Carr | Physical Therapist | 39716 N 7th St, Phoenix, AZ 85086 | 2015-10-15 |
| 1790174167 | Kelly Christine Collins | Dermatology | 42211 N 41st Dr. #a109, Phoenix, AZ 85086 | 2015-01-22 |
| 1174953913 | Sung Ae Lee | Radiology | 820 W. Ravina Lane, Anthem, AZ 85086 | 2013-11-14 |
| 1881034080 | Bryan Michael Hays | Dentist | 40411 N Capra Way, Anthem, AZ 85086 | 2013-07-02 |
| Find all providers in zip 85086 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255943221 | Karen Nicole Cox | Nurse Practitioner | 41517 N Mill Creek Way, Anthem, AZ 85086-1193 | 2020-08-20 |
| 1902435795 | Sarah Jean Garrison | Nurse Practitioner | 3624 W Anthem Way Ste C108, Anthem, AZ 85086-0457 | 2020-04-03 |
| 1518598671 | Amber Nassif | Nurse Practitioner | 43257 N Heavenly Way, Anthem, AZ 85086-8112 | 2020-01-28 |
| 1033674759 | Rowena Ramos | Nurse Practitioner | 3328 W Inspiration Dr, Anthem, AZ 85086-2734 | 2019-02-06 |
| 1144733767 | Jillian Brynn Goldney | Nurse Practitioner | 41810 N Venture Dr Unit D136, Anthem, AZ 85086-3174 | 2017-11-06 |
| 1487166534 | Angel A Merriman | Nurse Practitioner | 3758 W Ghost Flower Ln, Anthem, AZ 85086-3785 | 2017-10-30 |
| 1043720766 | Lauren Bisswurm | Nurse Practitioner | 3648 W Anthem Way Ste A100, Anthem, AZ 85086-7002 | 2017-10-08 |
| 1982132775 | Jana Hower | Nurse Practitioner | 39506 N. Daily Mountain Drive, #122-627, Anthem, AZ 85086-4915 | 2017-05-24 |
| 1942636410 | Christine Ann Smith | Nurse Practitioner | 41810 N Venture Dr Unit E160, Anthem, AZ 85086-3177 | 2013-09-17 |
| 1871833871 | Maureen Boyle | Nurse Practitioner | 808 W Ravina Ln, Anthem, AZ 85086-5915 | 2013-02-27 |
| Find all providers in ANTHEM | ||||
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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.