THOMAS J PEMBERTON (NPI# 1528600012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528600012 |
| Entity Type | Individual |
| Full Name | THOMAS J PEMBERTON |
| Practice Address |
618 S Madison Dr Tempe AZ 85281-7248 |
| Mailing Address |
11518 E Apache Trl Ste 129 Apache Junction AZ 85120-3572 |
| Practice Telephone | 4807841514 |
| Mailing Telephone | 4803172214 |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2020-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN196326 | AZ | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346470119 | Thomas Paul Pemberton II | Pharmacist | 465 S Douglas Ave, Rockwood, TN 37854-2608 | 2009-07-15 |
| Street Address |
618 S MADISON DR |
| City | TEMPE |
| State | AZ |
| Zip Code | 85281-7248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023194289 | Benet R Press | Psychiatry & Neurology | 618 S Madison Dr, Tempe, AZ 85281-7248 | 2006-10-31 |
| 1346899440 | Karl Wick Pmhnp-bc LLC | Nurse Practitioner | 618 S Madison Dr, Tempe, AZ 85281-7248 | 2019-09-10 |
| 1346895992 | James W Flint | Nurse Practitioner | 618 S Madison Dr, Tempe, AZ 85281-7248 | 2019-08-09 |
| 1790265171 | Christine Louise Taylor | Counselor | 618 S Madison Dr, Tempe, AZ 85281-7248 | 2018-08-15 |
| 1265920490 | Lori Jones | Counselor | 618 S Madison Dr, Tempe, AZ 85281-7248 | 2018-04-24 |
| 1962905208 | Shana Lynn Thompson Smith | Social Worker | 618 S Madison Dr, Tempe, AZ 85281-7248 | 2018-03-13 |
| 1508368333 | Sarah Swonder | Social Worker | 618 S Madison Dr, Tempe, AZ 85281-7248 | 2018-03-07 |
| 1194245449 | Empact - Suicide Prevention Center | Community/Behavioral Health | 618 S Madison Dr, Tempe, AZ 85281-7248 | 2017-06-27 |
| 1013458629 | Jennifer Lindsey Atwood Green | Nurse Practitioner | 618 S Madison Dr, Tempe, AZ 85281-7248 | 2017-03-15 |
| 1023553211 | Empact - Suicide Prevention Center | Community/Behavioral Health | 618 S Madison Dr, Tempe, AZ 85281-7248 | 2016-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807052 | Thomas Langer | Specialist/Technologist | 1317 S Terrace Rd, Box #156, Tempe, AZ 85281 | 2020-10-02 |
| 1073124525 | Cinthia Guadalupe Arredondo Paramo | Nurse Practitioner | 1840 W. Broadway Rd., Tempe, AZ 85281 | 2020-08-10 |
| 1780219451 | Margaret Corbett | Specialist/Technologist | 500 East Veterans Way, Tempe, AZ 85281 | 2020-03-03 |
| 1457990913 | Renee Marie Rundle | Nurse Practitioner | 1750 E. University, Tempe, AZ 85281 | 2020-01-02 |
| 1265904932 | Halah Alateeq | Speech-Language Pathologist | Asu Speech & Hearing Clinic 975 S Myrtle Ave, Tempe, AZ 85281 | 2018-12-19 |
| 1962980961 | Calvin Wah Ngo | Dentist | 555 N. College Avenue, Apr 4018, Tempe, AZ 85281 | 2018-08-01 |
| 1922501840 | Sydney Blankenship | Physical Therapist | 260 E Rio Salado Pkwy, Apt 2045, Tempe, AZ 85281 | 2018-03-16 |
| 1609376698 | Agnes' Centers for Domestic Solutions | Community/Behavioral Health | 455 S 48th Street, 106, Tempe, AZ 85281 | 2018-02-15 |
| 1053826636 | Marta Solano | Nurse Practitioner | 415 S 48th St Ste 107, Tempe, AZ 85281 | 2017-12-05 |
| 1578085551 | Invitro Genetics Arizona | Clinical Medical Laboratory | 437 S. 48th Street, Suite 106, Tempe, AZ 85281 | 2017-07-12 |
| Find all providers in zip 85281 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235304031 | Siddiqui Rose Hernandez | Registered Nurse | 123 E Baseline Rd Ste D104, Tempe, AZ 85283-1291 | 2008-04-23 |
| 1265050850 | Laura Gonzales Richard | Registered Nurse | 505 S Madison Dr, Tempe, AZ 85281-7213 | 2020-07-09 |
| 1801245303 | Jami A Cline | Registered Nurse | 618 S Madison Dr, Tempe, AZ 85281-7248 | 2016-06-07 |
| 1093180614 | Holly Massey | Registered Nurse | 1642 S Priest Dr, Bldg 6, Suite 101, Tempe, AZ 85281-6204 | 2015-12-08 |
| 1851768030 | Milissa Ward | Registered Nurse | 1642 S Priest Dr, Tempe, AZ 85281-6204 | 2015-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053553 | Rachel Rt Wybron | Registered Nurse | 3317 S Higley Rd Ste 114-321, Gilbert, AZ 85297-5474 | 2020-11-04 |
| 1215544911 | Sadaf Carrillo | Registered Nurse | 910 W Calle Arroyo Norte, Green Valley, AZ 85614-3823 | 2020-09-26 |
| 1306458047 | Jeffrey Ralph Twiss | Registered Nurse | 4122 E 6th St, Tucson, AZ 85711-1918 | 2020-08-22 |
| 1053923912 | Julie Kotelman | Registered Nurse | 5170 N Amapola Way, Tucson, AZ 85745-9708 | 2020-08-20 |
| 1750993903 | Weston Tucker Anderson | Registered Nurse | 19060 E Arrowhead Trl, Queen Creek, AZ 85142-6846 | 2020-08-19 |
| 1235741679 | Benjamin Berthold | Registered Nurse | 2514 N Camino Reloj, Green Valley, AZ 85614-4925 | 2020-08-18 |
| 1003424771 | Emetu Onuma | Registered Nurse | 2745 W Jessica Ln, Phoenix, AZ 85041-4442 | 2020-07-20 |
| 1245858893 | Farshad Yahya | Registered Nurse | 7801 N 44th Dr Unit 1012, Glendale, AZ 85301-8106 | 2020-07-10 |
| 1710512462 | Isai Valdez | Registered Nurse | 10342 W Illini St, Tolleson, AZ 85353-4189 | 2020-03-03 |
| 1518506864 | Latanya Darden | Registered Nurse | 3327 W La Salle St, Phoenix, AZ 85041-3491 | 2020-01-04 |
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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.