LEANNE SERMENO (NPI# 1629014196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629014196 |
| Entity Type | Individual |
| Full Name | LEANNE SERMENO |
| Credential | PMHNP |
| Practice Address |
4250 E Florian Ave Building 1 Mesa AZ 85206 |
| Mailing Address |
1372 E Saragosa St Chandler AZ 85225-2093 |
| Practice Telephone | 4808441653 |
| Practice Fax Number | 4805394947 |
| Mailing Telephone | 4806348839 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP1714 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | NURSING LICENSE | RN122425 | 01 |
| DRUG ENFORCEMENT AGENCY # | ML0986490 | 01 | |
| AZ | 791071 | 05 |
| Street Address |
4250 E FLORIAN AVE BUILDING 1 |
| City | MESA |
| State | AZ |
| Zip Code | 85206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619912029 | Marc Community Resources, Inc. | Clinic/Center | 4250 E Florian Ave, Building 1, Mesa, AZ 85206 | 2006-06-19 |
| 1134774417 | Dennis Ray | Behavior Technician | 4250 E Florian Ave, Building 1 & 2, Mesa, AZ 85206 | 2019-08-05 |
| 1770041386 | Cecillie Nakai | Behavior Technician | 4250 E Florian Ave, Mesa, AZ 85206-2797 | 2019-03-04 |
| 1306344908 | Laura Norfor | Behavior Technician | 4250 E Florian Ave, Mesa, AZ 85206-2797 | 2018-01-29 |
| 1922544337 | Christa Crohurst | Counselor | 4250 E Florian Ave, Building #1, Mesa, AZ 85206-2797 | 2017-01-09 |
| 1285189019 | Tonia Halona | Technician, Other | 4250 E Florian Ave, Building #1, Mesa, AZ 85206-2797 | 2016-08-22 |
| 1851750061 | Sam Jackson | Counselor | 4250 E Florian Ave, Building #1, Mesa, AZ 85206-2797 | 2016-02-16 |
| 1174993984 | Benjamin Salicco | Technician, Other | 4250 E Florian Ave, Building #1, Mesa, AZ 85206-2797 | 2015-10-06 |
| 1063891638 | Brett Petersen | Social Worker | 4250 E Florian Ave, Building #1, Mesa, AZ 85206-2797 | 2015-05-28 |
| 1982016432 | Jennifer Kizer | Counselor | 4250 E Florian Ave, Building #1, Mesa, AZ 85206-2797 | 2014-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487149 | Sunitha Jose | Nurse Practitioner | 3308 N Higley Rd, Mesa, AZ 85215-9781 | 2020-08-10 |
| 1447877972 | Reena Pathak | Nurse Practitioner | 1111 S Stapley Dr # 5060, Mesa, AZ 85204-5059 | 2020-07-01 |
| 1760021885 | Matthew Deise | Nurse Practitioner | 460 N Mesa Dr Ste 201, Mesa, AZ 85201-5957 | 2020-01-06 |
| 1639713621 | Summit Place Mental Health, LLC | Nurse Practitioner | 625 W Southern Ave Ste E, Mesa, AZ 85210-5018 | 2019-11-01 |
| 1063062149 | Makenna Francis | Nurse Practitioner | 2730 S. Val Vista Dr, 146, Mesa, AZ 85215 | 2019-09-19 |
| 1891341947 | James M Theiss | Nurse Practitioner | 5439 E Ellis St, Mesa, AZ 85205-5470 | 2019-08-14 |
| 1134527534 | Susan Willever | Nurse Practitioner | 11331 E Starfire Cir, Mesa, AZ 85212-7062 | 2014-12-17 |
| 1326443003 | Jennifer Anderson | Nurse Practitioner | 6262 E Brown Rd Unit 43, Mesa, AZ 85205-4846 | 2014-10-24 |
| 1356616205 | Sukanlaya Hughes | Nurse Practitioner | 2444 E. Southern Ave. Ste. 103, Mesa, AZ 85204 | 2012-03-11 |
| 1942403076 | Shosamana | Nurse Practitioner | 3740 E Southern Ave Ste 207, Mesa, AZ 85206-2512 | 2007-06-06 |
| Find all providers in MESA | ||||
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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.