CARRIE WENGER (NPI# 1548700594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548700594 |
| Entity Type | Individual |
| Full Name | CARRIE WENGER |
| Credential | N.P. |
| Practice Address |
4212 N 16th St Phoenix AZ 85016-5319 |
| Mailing Address |
Po Box 31001-0698 Pasadena CA 91110-0698 |
| Practice Telephone | 6022631200 |
| Mailing Telephone | 6022631200 |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2019-05-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP10567 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
AP10567 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4212 N 16TH ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85016-5319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184627648 | Judy Marie Pinsonneault | Family Medicine | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2005-05-27 |
| 1568071348 | Christopher Tran | Pharmacist | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2020-07-28 |
| 1659980480 | Corinne Easterling | Pharmacist | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2020-07-28 |
| 1598383192 | Tamika Howard | Pharmacist | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2020-07-09 |
| 1659901544 | Joseph Maloy | Pharmacist | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2020-01-20 |
| 1437709680 | Kymberly Sue Ludwig | Pharmacist | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2019-09-18 |
| 1962052746 | Jamie C Wilson | Registered Nurse | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2019-09-13 |
| 1427602721 | Jonathon Andrew Marquez | Respiratory Therapist, Certified | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2019-07-25 |
| 1700441664 | Douglas Edward Henry | Physical Therapist | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2019-05-07 |
| 1982189205 | Rachael Renina Hunter Edwards | Psychologist | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2018-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
| 1780215681 | Sip Home Systems - Mesa LLC | Home Health | 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 | 2020-01-29 |
| 1760945588 | Wei Wei | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 | 2019-04-09 |
| 1942765623 | Grace Hatfield | Dietitian, Registered | Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 | 2019-02-06 |
| 1861977027 | Dawn Yvette Lima | Occupational Therapy Assistant | 3128 E Cheery Ln, Phoenix, AZ 85016 | 2018-10-03 |
| 1720583685 | Kristin Pauline Hicklin | Registered Nurse | 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 | 2018-03-24 |
| 1588181622 | Taness Eyre Billington | Pharmacist | 1625 E. Camelback Rd., Phoenix, AZ 85016 | 2017-08-29 |
| 1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
| 1609396985 | Mohammed Waseemuddin | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2017-06-27 |
| 1144777632 | Amanda Mazerall | Occupational Therapist | 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 | 2016-09-01 |
| Find all providers in zip 85016 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831713148 | Alexis Petra Md | Nurse Practitioner | 21835 N 51st St, Phoenix, AZ 85054-7140 | 2020-06-02 |
| 1326675166 | Kendrick Wright | Nurse Practitioner | 2727 E Camelback Rd Apt 525, Phoenix, AZ 85016-4481 | 2020-03-23 |
| 1518591510 | Laura Larson | Nurse Practitioner | 1929 W Fillmore St Bldg C, Phoenix, AZ 85009-3812 | 2020-02-27 |
| 1538709415 | Bertha Nambuye Mbatau | Nurse Practitioner | 2332 W Calle Marita, Phoenix, AZ 85085-7064 | 2020-01-08 |
| 1790346443 | Elena Nickolaevna Klimova | Nurse Practitioner | 2218 E Wahalla Ln, Phoenix, AZ 85024-1231 | 2019-06-24 |
| 1306341748 | Kerry L Oliver | Nurse Practitioner | 12010 S Warner Elliot Loop Ste 1, Phoenix, AZ 85044-2731 | 2018-03-28 |
| 1891294583 | Helena Taboy | Nurse Practitioner | 34975 N North Valley Pkwy Ste 138, Phoenix, AZ 85086-4030 | 2018-02-07 |
| 1528431152 | Judith Harmon | Nurse Practitioner | 12413 N 41st Pl, Phoenix, AZ 85032-7439 | 2015-11-04 |
| 1669865408 | Sj Medical Group | Nurse Practitioner | 4622 N 35th Ave, Phoenix, AZ 85017-3403 | 2015-03-17 |
| 1386032753 | Abcore Medical Group | Nurse Practitioner | 2023 W Bethany Home Rd, Phoenix, AZ 85015-2444 | 2015-01-07 |
| Find all providers in PHOENIX | ||||
Please comment or provide details below to improve the information on CARRIE WENGER.
| 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.