KRISTIN WATRAS (NPI# 1619597002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619597002 |
| Entity Type | Individual |
| Full Name | KRISTIN WATRAS |
| Credential | APRN |
| Practice Address |
9930 W Indian School Rd Phoenix AZ 85037-5902 |
| Mailing Address |
14565 W Wilshire Dr Goodyear AZ 85395-2033 |
| Practice Telephone | 6238467558 |
| Mailing Telephone | 6236959552 |
| Enumeration Date | 2020-04-25 |
| Last Update Date | 2020-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
240700 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9930 W INDIAN SCHOOL RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85037-5902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851505887 | Jennifer Spiser Woodruff | Nurse Practitioner | 9930 W Indian School Rd, Phoenix, AZ 85037-5902 | 2007-05-09 |
| 1447850649 | Margaret Over | Physician Assistant | 9930 W Indian School Rd, Phoenix, AZ 85037-5902 | 2020-10-27 |
| 1104452028 | Karline Paige Snyder | Obstetrics & Gynecology | 9930 W Indian School Rd, Phoenix, AZ 85037-5902 | 2020-03-23 |
| 1194287250 | Yisel Viridiana Carter | Physician Assistant | 9930 W Indian School Rd, Phoenix, AZ 85037-5902 | 2019-04-05 |
| 1316431695 | Meaghan Volk Gomez | Nurse Practitioner | 9930 W Indian School Rd, Phoenix, AZ 85037-5902 | 2018-06-19 |
| 1972013381 | Morgan Pellegrini | Physician Assistant | 9930 W Indian School Rd, Phoenix, AZ 85037-5902 | 2017-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969828 | Live Well Assisted Living LLC | Psychiatric Residential Treatment Facility | 9210 W Loow Bend Lane, Phoenix, AZ 85037 | 2020-07-10 |
| 1770126260 | Medical Management Systems, Inc. | Assisted Living Facility | 2209 N. Rascon Loop, Phoenix, AZ 85037 | 2019-10-28 |
| 1346800760 | Sonoran Sky Family Dentistry | Dentist | 9515 West Camelback Road, Suite #120, Phoenix, AZ 85037 | 2019-06-18 |
| 1578025136 | Jennifer Natasha Kunz | Nurse Practitioner | Cleanslate, 8410 W. Thomas Rd, Phoenix, AZ 85037 | 2019-04-03 |
| 1740751320 | Mariposa Phoenix Al Partners, Lp | Assisted Living Facility | 3100 N 91st Avenue, Phoenix, AZ 85037 | 2018-12-08 |
| 1417442799 | Prop Anesthesia LLC | Nurse Anesthetist, Certified Registered | 9250 W Thomas Rd Ste 220, Phoenix, AZ 85037 | 2018-06-28 |
| 1922522242 | Tree of Life Mental Health Systems, LLC | Behavior Technician | 8400 W. Virginia, #1138, Phoenix, AZ 85037 | 2017-07-28 |
| 1720500465 | Moc Phoenix, LLC | Assisted Living Facility | 3000 N. 91st Avenue, Phoenix, AZ 85037 | 2017-07-14 |
| 1407385826 | Not Alone Home Care, LLC | In Home Supportive Care | 9422 W Palm Lane, Phoenix, AZ 85037 | 2017-06-08 |
| 1063953081 | Karla Soward | Radiologic Technologist | 2015 N Rascon Loop, Phoenix, AZ 85037 | 2017-03-09 |
| Find all providers in zip 85037 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962018952 | Marlene Hildegard Zeller | Nurse Practitioner | 16630 S 38th Pl, Phoenix, AZ 85048-7944 | 2020-09-16 |
| 1962034355 | Jessica Lynn Contreras | Nurse Practitioner | 6704 N 10th Ave, Phoenix, AZ 85013-1008 | 2020-02-04 |
| 1437442076 | Mary Franice Dunn | Nurse Practitioner | 2222 E. Highland Ave Ste. 220, Kronos Longevity Research Institute, Phoenix, AZ 85016-4876 | 2011-05-16 |
| 1831418763 | Pamela Barbour Peat | Nurse Practitioner | 3125 N 32nd St Ste 200, Phoenix, AZ 85018-6218 | 2010-05-17 |
| 1851505887 | Jennifer Spiser Woodruff | Nurse Practitioner | 9930 W Indian School Rd, Phoenix, AZ 85037-5902 | 2007-05-09 |
| 1679793780 | Sherry Lee Gorslin | Nurse Practitioner | 9303 N 7th St, Ste 4, Phoenix, AZ 85020 | 2007-04-30 |
| 1497876056 | Bonnie Rose Hare | Nurse Practitioner | 1661 E. Camelback Road, Ste 160, Phoenix, AZ 85016 | 2007-04-02 |
| 1750468138 | Traci Rae Aldridge | Nurse Practitioner | 11209 N. Tatum Blvd, Suite 255, Phoenix, AZ 85028 | 2006-11-01 |
| 1538190269 | Debra Laseter | Nurse Practitioner | 2255 N 44th St, Suite #200, Phoenix, AZ 85008-3293 | 2006-07-05 |
| 1588665061 | Joyce Morgan | Nurse Practitioner | 6601 W Thomas Rd, Phoenix, AZ 85033-5700 | 2005-08-09 |
| Find all providers in PHOENIX | ||||
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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.