CATHERINE JACKEY (NPI# 1598286155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598286155 |
| Entity Type | Individual |
| Full Name | CATHERINE JACKEY |
| Credential | FNP |
| Practice Address |
36800 N Sidewinder Rd Ste A4 Carefree AZ 85377 |
| Mailing Address |
Po Box 5848 Carefree AZ 85377-5848 |
| Practice Telephone | 4805950431 |
| Practice Fax Number | 4805952322 |
| Mailing Telephone | 4805950431 |
| Mailing Fax Number | 4805952322 |
| Enumeration Date | 2017-07-04 |
| Last Update Date | 2019-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | AP10283 | AZ | Allopathic & Osteopathic Physicians |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP10283 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
36800 N SIDEWINDER RD STE A4 |
| City | CAREFREE |
| State | AZ |
| Zip Code | 85377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093887515 | Vallery Coats | Counselor | 36800 N Sidewinder Rd, Suite C23, Carefree, AZ 85377-2382 | 2006-11-14 |
| 1104166271 | Advanced Counseling, Pllc | Community/Behavioral Health | 36800 N Sidewinder Rd, C23, Carefree, AZ 85377-2382 | 2013-02-26 |
| 1386864726 | Carrie Bourget | Physician Assistant | 36800 N Sidewinder Rd, Ste A-4, Carefree, AZ 85377 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417579913 | Patricia Lillian Miller | Counselor | 36809 N Dream St, Carefree, AZ 85377 | 2020-05-07 |
| 1023658127 | Carefree Manor Assisted Living LLC | Residential Treatment Facility, Physical Disabilities | 7886 E Breathless Dr, Carefree, AZ 85377 | 2020-01-07 |
| 1457997744 | Dream Street Care LLC | Custodial Care Facility | 37412 N Dream Street, Carefree, AZ 85377 | 2019-11-21 |
| 1083189112 | Naomi Nicole Jimenez | Nurse Practitioner | 36889 N. Tom Darlington Dr. A4, Carefree, AZ 85377 | 2018-10-04 |
| 1982114385 | Primary Care Medical Group, LLC | General Practice | 36600 N. Pima Road, Ste 307, Carefree, AZ 85377 | 2017-10-11 |
| 1861917379 | Shauna Leigh Epperson | Physical Therapist | 36600 N Pima Rd #406, Carefree, AZ 85377 | 2017-08-04 |
| 1982139804 | Kaylee Paciora | Dietitian, Registered | 36800 N. Sidewinder Rd, A4, Carefree, AZ 85377 | 2017-04-28 |
| 1508308909 | Colleen Payne | Nurse Practitioner | 36800 N. Sidewinder Road, Ste A4, Carefree, AZ 85377 | 2016-11-16 |
| 1598148223 | Kenneth Kearns | Obstetrics & Gynecology | 36600 N. Pima Rd, Carefree, AZ 85377 | 2015-06-30 |
| 1699178020 | Faiza Malik | Pharmacist | 5400 East Carefree Highway, Carefree, AZ 85377 | 2014-09-30 |
| Find all providers in zip 85377 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083189112 | Naomi Nicole Jimenez | Nurse Practitioner | 36889 N. Tom Darlington Dr. A4, Carefree, AZ 85377 | 2018-10-04 |
| 1508308909 | Colleen Payne | Nurse Practitioner | 36800 N. Sidewinder Road, Ste A4, Carefree, AZ 85377 | 2016-11-16 |
| 1891897823 | Sabrena Desiree Risz | Nurse Practitioner | 37002 N Long Rifle, Carefree, AZ 85377-3462 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760921 | Valerie Pong | Nurse Practitioner | 530 Karen Way, Bullhead City, AZ 86442-6177 | 2020-11-03 |
| 1407456783 | Brenna Michelle Clements | Nurse Practitioner | 3226 W Donatello Dr, Phoenix, AZ 85086-2200 | 2020-10-27 |
| 1902406499 | Kimberly Brown | Nurse Practitioner | 4315 N Adams St, Kingman, AZ 86409-2610 | 2020-10-26 |
| 1669071361 | Harmony Clinic and Medspa | Nurse Practitioner | 670 E 32nd St Ste 8, Yuma, AZ 85365-3576 | 2020-10-22 |
| 1528667615 | Elena Eloriaga | Nurse Practitioner | 1925 S Coronado Rd Apt 2133, Gilbert, AZ 85295-2219 | 2020-10-20 |
| 1942809165 | Barbara Powers | Nurse Practitioner | 9251 E Snyder Rd, Tucson, AZ 85749-9443 | 2020-10-19 |
| 1861091175 | Guiding Light Holistic Healthcare | Nurse Practitioner | 9758 S La Rosa Dr, Tempe, AZ 85284-5004 | 2020-10-19 |
| 1598364838 | Ryan Nelson Sutton | Nurse Practitioner | 3719 E Loma Vista St, Gilbert, AZ 85295-4675 | 2020-10-19 |
| 1942808431 | Vera Adell Dujmic | Nurse Practitioner | 10959 E Actinidia St, Tucson, AZ 85747-8862 | 2020-10-15 |
| 1376141184 | Laura E Ahumada | Nurse Practitioner | 3417 N Sand Creek Ct, Tucson, AZ 85745-7126 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
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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.