DEZIRAE R. CORDERO (NPI# 1659646511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659646511 |
| Entity Type | Individual |
| Full Name | DEZIRAE R. CORDERO |
| Credential | CNA, |
| Practice Address |
7500 N Dreamy Draw Dr Phoenix AZ 85020-4660 |
| Mailing Address |
5615 W Camelback Rd Phoenix AZ 85031-1017 |
| Practice Telephone | 6023251606 |
| Practice Fax Number | 6029068216 |
| Mailing Telephone | 6236404300 |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2012-03-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | CNA1000016799 | AZ | Student, Health Care |
| Street Address |
7500 N DREAMY DRAW DR |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85020-4660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487653739 | Johan E. Samanta | Psychiatry & Neurology | 7500 N Dreamy Draw Dr, Suite 133, Phoenix, AZ 85020-4660 | 2005-07-19 |
| 1972058725 | Delta T | Nursing Care | 7500 N Dreamy Draw Dr, Suite250, Phoenix, AZ 85020-4660 | 2016-08-22 |
| 1821444357 | Central Neurology LLC | Clinic/Center | 7500 N Dreamy Draw Dr, Ste. #133, Phoenix, AZ 85020-4660 | 2016-05-13 |
| 1417326042 | Shirlene Gardner | Licensed Practical Nurse | 7500 N Dreamy Draw Dr, Phoenix, AZ 85020-4660 | 2015-09-24 |
| 1114279528 | Horizon Hospice, LLC | Hospice Care, Community Based | 7500 N Dreamy Draw Dr, Suite 225, Phoenix, AZ 85020-4660 | 2012-10-09 |
| 1831463686 | Delta-t Nursing | Skilled Nursing Facility | 7500 N Dreamy Draw Dr, Suite 205, Phoenix, AZ 85020-4660 | 2012-02-25 |
| 1124292271 | Coralee H Mckay Md PC | Internal Medicine | 7500 N Dreamy Draw Dr, Suite 133, Phoenix, AZ 85020-4660 | 2008-04-19 |
| 1871782466 | Johan Samanta, Md PC | Clinic/Center | 7500 N Dreamy Draw Dr, Suite 133, Phoenix, AZ 85020-4668 | 2007-10-18 |
| 1861681454 | Maria Cristina Ospina Md Plc | Clinic/Center | 7500 N Dreamy Draw Dr, Suite 133, Phoenix, AZ 85020-4660 | 2007-10-18 |
| 1457432676 | Horizon Home Health, Lc | Home Health | 7500 N Dreamy Draw Dr, Suite 225, Phoenix, AZ 85020-4660 | 2006-10-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124683537 | Joseph A Jones | Pharmacist | 7543 N 20th St, Phoenix, AZ 85020 | 2019-05-01 |
| 1871022210 | Amber L Enright | Physical Therapist | 1675 E Morten Ave, 4155, Phoenix, AZ 85020 | 2017-06-08 |
| 1518407683 | Harmony Dental Partners, LLC | Dentist | 7150 North 7th Street, Phoenix, AZ 85020 | 2017-03-08 |
| 1104369495 | Michelle Mastro | Registered Nurse | 1234 E. Northern Avenue, Phoenix, AZ 85020 | 2016-11-18 |
| 1912363003 | Charles D. Atkinson | Social Worker | 1716 East Seldon Lane, Phoenix, AZ 85020 | 2016-01-06 |
| 1477928471 | Erin Testa | Psychologist | 7600 N 16th St Ste 218, Phoenix, AZ 85020 | 2015-12-02 |
| 1972977569 | Borpan Monitoring, Pllc | Psychiatry & Neurology | 7000 N 16th Street Ste 120 # 281, Phoenix, AZ 85020 | 2015-11-19 |
| 1275906984 | Summer Macey | Nurse Practitioner | 9225 N. 3rd St #304, Affiliated Hospitalists, Phoenix, AZ 85020 | 2015-11-03 |
| 1356712772 | Maurie S Comenzo | Clinic/Center | 11024 North 28th Drive/suite #200, Lake Biltmore Corporate Center, Phoenix, AZ 85020 | 2015-10-12 |
| 1700260692 | Stansberry Family Dentistry Pllc | Dentist | 7501 N. 16th St. #100, Phoenix, AZ 85020 | 2015-07-10 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615814 | Ethan Robert Curtis | Student in an Organized Health Care Education/Training Program | 9467 Dinglehole Rd, Phoenix, NY 13135-9504 | 2020-09-25 |
| 1508470642 | Aisha J Ramirez-maya | Student in an Organized Health Care Education/Training Program | 5230 S 40th Pl, Phoenix, AZ 85040-3909 | 2020-09-05 |
| 1003429846 | Krista Lyn Beerling | Student in an Organized Health Care Education/Training Program | 5827 E Indian School Rd, Phoenix, AZ 85018-6104 | 2020-08-30 |
| 1568075877 | Melissa Coronado | Student in an Organized Health Care Education/Training Program | 1906 W Latona Ln, Phoenix, AZ 85041-7703 | 2020-08-26 |
| 1801409248 | Javier Bruno Limon | Student in an Organized Health Care Education/Training Program | 4233 N 77th Dr, Phoenix, AZ 85033-2401 | 2020-08-25 |
| 1841803277 | Tiffany Figueroa | Student in an Organized Health Care Education/Training Program | 3416 N 44th St Unit 24, Phoenix, AZ 85018-6044 | 2020-08-25 |
| 1669085353 | Lea Yusupov | Student in an Organized Health Care Education/Training Program | 325 W Anderson Ave, Phoenix, AZ 85023-6545 | 2020-08-24 |
| 1528671179 | Olivia Rose Warner | Student in an Organized Health Care Education/Training Program | 2308 E Heatherbrae Dr, Phoenix, AZ 85016-6216 | 2020-08-24 |
| 1689285470 | Mati Aamed | Student in an Organized Health Care Education/Training Program | 5350 N 20th St, Phoenix, AZ 85016-3321 | 2020-08-13 |
| 1124638689 | Emily Anne Nelson | Student in an Organized Health Care Education/Training Program | 22829 N 39th Run, Phoenix, AZ 85050-5417 | 2020-08-08 |
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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.