MS. BEVERLY O'BRALLAGHAN (NPI# 1629306436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629306436 |
| Entity Type | Individual |
| Full Name | MS. BEVERLY O'BRALLAGHAN |
| Credential | RN |
| Practice Address |
12033 Agency Road Parker Indian Healthcare Center Parker AZ 85344 |
| Mailing Address |
12033 Agency Rd. Parker Indian Healthcare Center Parker AZ 85344 |
| Practice Telephone | 9286693130 |
| Practice Fax Number | 9286693131 |
| Mailing Telephone | 9286693130 |
| Mailing Fax Number | 9286693131 |
| Enumeration Date | 2009-12-07 |
| Last Update Date | 2009-12-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
081065 | IA | Nursing Service Providers |
| Street Address |
12033 AGENCY ROAD PARKER INDIAN HEALTHCARE CENTER |
| City | PARKER |
| State | AZ |
| Zip Code | 85344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427172550 | Jesdeen Lynn Nunez | Registered Nurse | 12033 Agency Road, Parker, AZ 86406 | 2007-03-16 |
| 1033451885 | Jo Ann Cook | Registered Nurse | 12033 Agency Road, Parker Indian Health Center, Parker, AZ 85344 | 2013-03-20 |
| 1124387402 | Kimberlee Angel | Registered Nurse | 12033 Agency Road, Parker Indian Health Center, Parker, AZ 85344 | 2012-05-08 |
| 1003136102 | Diandra Marlene Martinez | Technician/Technologist | 12033 Agency Road, Parker, AZ 85344 | 2010-06-11 |
| 1053542233 | Michael D Feiler | Registered Nurse | 12033 Agency Road, Parker Indian Health Center, Parker, AZ 85344 | 2009-08-05 |
| 1063640837 | Lori L Deysie | Licensed Practical Nurse | 12033 Agency Road, Parker, AZ 85344-7718 | 2009-06-30 |
| 1356479067 | Susan Luis-dougherty | Registered Nurse | 12033 Agency Road, Parker, AZ 85344-9703 | 2007-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689156366 | Kimberly Lynnette Kirkpatrick | Pharmacist | 12033 W Agency Ave, Parker, AZ 85344 | 2018-08-30 |
| 1811419534 | Cheryl Brooks | Registered Nurse | 12033 W. Agency Ave, Parker, AZ 85344 | 2017-07-14 |
| 1356877716 | Damian Jenkins | Specialist/Technologist, Other | 1200 S Mohave Ave, Parker, AZ 85344 | 2017-05-04 |
| 1821434184 | Rio Vista Surgical Associates P.C. | Surgery | 1200 Mohave Dr, Parker, AZ 85344 | 2013-05-14 |
| 1881039600 | Juan G Lopez | Counselor | 13376 1st Ave, Parker, AZ 85344 | 2013-05-07 |
| 1942581699 | Rocky Mountain Holdings LLC | Ambulance | 913 S Ocotillo Ave, Parker, AZ 85344 | 2011-09-07 |
| 1467732271 | Adam Caton | Podiatrist | 1713 S Kofa Ave Ste K, Parker, AZ 85344 | 2011-08-24 |
| 1902137516 | Shana Lee Tackett | Student in an Organized Health Care Education/Training Program | 12330 Agency Rd, Parker Indian Health Center, Parker, AZ 85344 | 2010-01-21 |
| 1649501339 | Alice Rodriguez | Student in an Organized Health Care Education/Training Program | 12330 Agency Rd., Parker, AZ 85344 | 2010-01-20 |
| 1821328931 | Armando Sosa Jr. | Student in an Organized Health Care Education/Training Program | 12330 Agency Road, Parker, AZ 85344 | 2010-01-12 |
| Find all providers in zip 85344 | ||||
| Taxonomy Code | 163WP2201X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Ambulatory Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588012348 | Monica Malekia Blakney-mercer | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2016-06-01 |
| 1740638592 | Sandhya Patel | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2016-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346805447 | Tiffani Pallanes | Registered Nurse | Az-86, Sells, AZ 85634 | 2019-05-03 |
| 1710491964 | Jayson Jeffery Lutes | Registered Nurse | 869 W Chilton Ave, Gilbert, AZ 85233-4710 | 2017-11-27 |
| 1700246279 | John Irwin James | Registered Nurse | 2240 E. Winrow Avenue, Fort Huachuca, AZ 85613-7079 | 2016-02-26 |
| 1861897225 | Yvonne Rabie | Registered Nurse | Hwy 86 Mp 74, San Simon Health Center, San Simon, AZ 85634 | 2014-10-28 |
| 1609276641 | Donald Reede | Registered Nurse | Jct U.S. Hwy 150 & Navajo Route 35 - Red Mesa, Teec Nos Pos, AZ 86514 | 2014-08-27 |
| 1083053250 | Shawna Marie Bonner | Registered Nurse | 645 N Elm St, Chandler, AZ 85226-2736 | 2013-06-20 |
| 1124268271 | Christos Addai-achampong | Registered Nurse | Hwy 98 & Navajo Rt 16, Inscription House Health Center, Tonalea, AZ 86044 | 2009-03-03 |
| 1689866485 | Laverne Holly | Registered Nurse | Jct U.S.hwy 160 & Navajo Rt 35, Red Mesa, AZ 86514 | 2007-08-15 |
| 1922145028 | Catherine Ann Hisle | Registered Nurse | 21111 N Get Around Dr, Maricopa, AZ 85239-3119 | 2007-01-30 |
| 1255948691 | Becka Eckert | Registered Nurse | 2202 N Forbes Blvd Ste 252, Tucson, AZ 85745-1412 | 2020-09-29 |
| 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.