JEFF JOHN WAKNITZ (NPI# 1598115388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598115388 |
| Entity Type | Individual |
| Full Name | JEFF JOHN WAKNITZ |
| Practice Address |
14820 W Wethersfield Rd Surprise AZ 85379-5968 |
| Practice Telephone | 6235128700 |
| Mailing Telephone | 6235128700 |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
RN143951 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
14820 W WETHERSFIELD RD |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85379-5968 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841818887 | Arizona Heartlands Home Care, LLC | Adult Companion | 14626 W. Wethersfield Rd, Surprise, AZ 85379 | 2020-07-07 |
| 1740832351 | Amanda Deangelis | Specialist/Technologist | 14064 W. Poinsettia Dr., Surprise, AZ 85379 | 2019-07-13 |
| 1720550767 | Anastasia Assisted Living Home LLC | Assisted Living Facility | 12805 N 145th Ave, Surprise, AZ 85379 | 2018-12-31 |
| 1306355821 | National Vision, Inc. | Technician/Technologist | Loop 303, Surprise, AZ 85379 | 2017-09-27 |
| 1306365770 | Christopher Albert Gard | Nurse Practitioner | 15643 W Cameron Dr, Surprise, AZ 85379 | 2017-09-16 |
| 1336667096 | Leon Quoc Lai | Pharmacist | 13723 Litchfield Rd, Surprise, AZ 85379 | 2017-09-01 |
| 1134664451 | Princess Valentin | Nurse Practitioner | 15400 W Waddell Road, Surprise, AZ 85379 | 2016-12-21 |
| 1871952408 | James Care Associates LLC | In Home Supportive Care | 12720 N. 149th Lane, Surprise, AZ 85379 | 2016-02-10 |
| 1669861688 | Todd Cleland | Physical Therapist | 15384 W. Dahlia Drive, Surprise, AZ 85379 | 2015-01-14 |
| 1326442187 | Sarpotdar Orthodontics, Pllc | Dentist | 13775 N. Litchfield Rd, Suite 108, Surprise, AZ 85379 | 2014-10-22 |
| Find all providers in zip 85379 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184190688 | Amy Marie Burke | Clinical Nurse Specialist | 9201 E. Moutain View Rd #220, Scottsdale, AZ 85258 | 2018-10-23 |
| 1235581794 | Dr Judith Ochieng Fnp-bc LLC | Clinical Nurse Specialist | 1925 W Orange Grove Rd Ste 103, Tucson, AZ 85704-1150 | 2016-07-08 |
| 1477998508 | Cheryl Ann Parker | Clinical Nurse Specialist | 2121 N Tanque Verde Loop Rd, Tucson, AZ 85749-8532 | 2013-05-02 |
| 1780945469 | Margot Veronica Wilson | Clinical Nurse Specialist | 1625 W Ina Rd Ste 123, Tucson, AZ 85704-1975 | 2012-05-30 |
| 1568746683 | Maura Lee Schoenle | Clinical Nurse Specialist | 10070 S Nogales Hwy, Tucson, AZ 85756-9209 | 2011-10-07 |
| 1114230893 | Innovative Health Care of Havasu LLC | Clinical Nurse Specialist | 297 Lake Havasu Ave South, Suite 200, Lake Havasu City, AZ 86403 | 2010-07-22 |
| 1174719397 | Patricia Kate Paradis | Clinical Nurse Specialist | 10046 N Metro Pkwy W, Suite 115, Phoenix, AZ 85051-1437 | 2007-09-20 |
| 1053844811 | Larissa Flores | Clinical Nurse Specialist | 10815 W Mcdowell Rd Ste 305, Avondale, AZ 85392-5016 | 2017-04-09 |
| 1578096798 | Advanced Clinical Practitioners, LLC | Clinical Nurse Specialist | 20823 N Cave Creek Rd, Suite 103, Phoenix, AZ 85024-4468 | 2017-04-05 |
| 1093257172 | Stewart Lewis | Clinical Nurse Specialist | 9302 E 22nd St, Tucson, AZ 85710 | 2016-11-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JEFF JOHN WAKNITZ.
| 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.