KIM MARY LICCIARDI (NPI# 1548516438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548516438 |
| Entity Type | Individual |
| Full Name | KIM MARY LICCIARDI |
| Credential | FNP-C. |
| Practice Address |
14672 N Frank Lloyd Wright Blvd Scottsdale AZ 85260-2043 |
| Practice Telephone | 8663892727 |
| Mailing Telephone | 8663892727 |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2014-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN102285 | AZ | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP4578 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
14672 N FRANK LLOYD WRIGHT BLVD |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85260-2043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952345209 | Arizona Cvs Stores LLC | Pharmacy | 14672 N Frank Lloyd Wright Blvd, Scottsdale, AZ 85260-2043 | 2006-06-16 |
| 1609408830 | Shelby A Seymour | Nurse Practitioner | 14672 N Frank Lloyd Wright Blvd, Scottsdale, AZ 85260-2043 | 2020-02-05 |
| 1952812257 | Lindsey Takamatsu | Nurse Practitioner | 14672 N Frank Lloyd Wright Blvd, Scottsdale, AZ 85260 | 2017-10-13 |
| 1922535475 | Chesley Brook Cranch-kaniut | Nurse Practitioner | 14672 N Frank Lloyd Wright Blvd, Scottsdale, AZ 85260-2043 | 2017-05-15 |
| 1750741062 | Heather Jimenez | Nurse Practitioner | 14672 N Frank Lloyd Wright Blvd, Scottsdale, AZ 85260 | 2016-02-29 |
| 1780041541 | Vara Ivezaj | Nurse Practitioner | 14672 N Frank Lloyd Wright Blvd, Scottsdale, AZ 85260-2043 | 2016-01-25 |
| 1275919334 | Nikita Stachnik | Pharmacist | 14672 N Frank Lloyd Wright Blvd, Scottsdale, AZ 85260-2043 | 2015-07-30 |
| 1679977169 | Kevin Rider | Pharmacist | 14672 N Frank Lloyd Wright Blvd, Scottsdale, AZ 85260-2043 | 2014-10-14 |
| 1104235563 | Cvs/pharmacy | Pharmacist | 14672 N Frank Lloyd Wright Blvd, Scottsdale, AZ 85260-2043 | 2014-08-10 |
| 1679767172 | Amy Robinson | Nurse Practitioner | 14672 N Frank Lloyd Wright Blvd, Scottsdale, AZ 85260-2043 | 2007-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153377 | Karen Lee Williams | Counselor | 7655 Eest Redfield Rd, Suite 4, Scottsdale, AZ 85260 | 2020-10-29 |
| 1477188001 | Dr. Lynne Remson, Stuttering Specialist, LLC | Clinic/Center | 7950 E. Acoma Dr., Ste 201, Scottsdale, AZ 85260 | 2020-03-04 |
| 1861049967 | Aca Wellness Institute | Registered Nurse | 10752 N. 89th Pl, 8, Ste 203, Scottsdale, AZ 85260 | 2019-08-22 |
| 1811542814 | Haven Home Physicians LLC | Internal Medicine | 15551 N Greenway-hayden Loop, Suite 155, Scottsdale, AZ 85260 | 2019-08-06 |
| 1700431079 | Corey Allen Niles | Physical Therapist | 16413 N 91st Street #c145, Scottsdale, AZ 85260 | 2019-08-05 |
| 1578126470 | Scottsdale Pediatric Dental Associates Inc | Dentist | 9280 E Raintree, Suite 108, Scottsdale, AZ 85260 | 2019-04-16 |
| 1548747645 | Oliver Canizales Renteria | Behavior Technician | 8310 East Cactus Road, Suite # 510, Scottsdale, AZ 85260 | 2018-07-23 |
| 1518454792 | Silent Night Sleep Center Lllp | Durable Medical Equipment & Medical Supplies | 9070 E Desert Cove Ave Ste 105, Scottsdale, AZ 85260 | 2018-04-13 |
| 1669976726 | Steincare Mobile Outpatient, LLC | Occupational Therapist | 9555 E. Raintree Drive, #2057, Scottsdale, AZ 85260 | 2018-03-22 |
| 1437658416 | Megan Anne Deffenbaugh | Behavior Technician | 8130 E Cactus Rd Suite 150, Scottsdale, AZ 85260 | 2018-02-06 |
| Find all providers in zip 85260 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063029700 | Kayla Renee Pokrzywinski | Nurse Practitioner | 15425 N Greenway Hayden Loop Ste 300, Scottsdale, AZ 85260-1204 | 2020-09-27 |
| 1609483486 | Emma May | Nurse Practitioner | 26804 N 70th Pl, Scottsdale, AZ 85266-8824 | 2020-09-25 |
| 1326654674 | Nidhi Singh | Nurse Practitioner | 10842 N 127th Pl, Scottsdale, AZ 85259-4330 | 2020-09-22 |
| 1710592720 | Kelly T Dowden | Nurse Practitioner | 7135 E Camelback Rd Ste 205, Scottsdale, AZ 85251-1290 | 2020-09-15 |
| 1770198020 | Steve Joseph Csanyi | Nurse Practitioner | 812 N 87th St, Scottsdale, AZ 85257-4513 | 2020-09-14 |
| 1770196271 | Amanda Marie Callahan | Nurse Practitioner | 3031 N Civic Center Plz Unit 219, Scottsdale, AZ 85251-7907 | 2020-08-25 |
| 1275143778 | Maryam Abdishoo | Nurse Practitioner | 15095 N Thompson Peak Pkwy Unit 2005, Scottsdale, AZ 85260-2878 | 2020-08-09 |
| 1235748849 | Karen Marie Marshall | Nurse Practitioner | 5644 E Saint John Rd, Scottsdale, AZ 85254-6413 | 2020-07-29 |
| 1386261907 | Nicole Farnsworth | Nurse Practitioner | 2935 N 68th St Unit 215, Scottsdale, AZ 85251-6868 | 2020-06-30 |
| 1114543865 | Amanda Rae Canizales | Nurse Practitioner | 33747 N Scottsdale Rd Ste 135, Scottsdale, AZ 85266-1566 | 2020-06-18 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85260 |
Please comment or provide details below to improve the information on KIM MARY LICCIARDI.
| 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.