FLAGSTAFF INTENSIVE CARE SPECIALISTS, PLLC (NPI# 1679018873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679018873 |
Entity Type | Organization |
Organization Name | FLAGSTAFF INTENSIVE CARE SPECIALISTS, PLLC |
Practice Address |
1200 N Beaver St Flagstaff AZ 86001 |
Mailing Address |
Po Box 967 Flagstaff AZ 86002-0967 |
Practice Telephone | 9287730003 |
Practice Fax Number | 9287731170 |
Mailing Telephone | 9287730003 |
Mailing Fax Number | 9287731170 |
Enumeration Date | 2016-12-23 |
Last Update Date | 2018-08-27 |
Authorized Official Name | DOUGLAS W MAPEL (MEMBER) |
Authorized Official Telephone | 9287730003 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 247046 | 05 |
Street Address |
1200 N BEAVER ST |
City | FLAGSTAFF |
State | AZ |
Zip Code | 86001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346241189 | Alvin B Elisco | Internal Medicine | 1200 N Beaver St, Fmc Hospitalists, Flagstaff, AZ 86001-3118 | 2005-08-02 |
1285240515 | Amika Noel | Nurse Anesthetist, Certified Registered | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-09-22 |
1669084190 | Margaret Grace Mcgough | Registered Nurse | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-08-17 |
1942818398 | Regan Rowson | Registered Nurse | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-07-21 |
1871118984 | Nancy Gloria Flores | Audiologist | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-06-15 |
1679100705 | Kristy Anderson | Occupational Therapist | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-03-26 |
1164058087 | Bryan J Ebeling | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-03-23 |
1447808407 | Bryce Aldworth Randall | Registered Nurse | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2019-09-03 |
1851952162 | Samuel Small | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2019-06-26 |
1235797283 | Rebecca R Boger | Dietitian, Registered | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2019-06-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
1962033712 | Laura-lee Prescott | Social Worker | Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 | 2020-01-30 |
1194360784 | Trinity Medical Consultants Pllc | Internal Medicine | 1521 N Cliff Drive, Flagstaff, AZ 86001 | 2019-11-07 |
1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
1487174926 | Lindsey Marie Forstie | Nurse Practitioner | 7263 E Dreamview Trail, Flagstaff, AZ 86001 | 2017-06-26 |
1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
1912432675 | Ryan Tiscareno | Specialist/Technologist | 621 West Cherry Ave, Flagstaff, AZ 86001 | 2017-05-01 |
1629432380 | Behavioral Consultation Services, Inc. | Clinic/Center | 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 | 2016-04-08 |
1275920928 | Junli Gallagher | Speech-Language Pathologist | 1215 N. Beaver St, Flagstaff, AZ 86001 | 2015-04-21 |
1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
Find all providers in zip 86001 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356967020 | Shay Linn Davis | Nurse Practitioner | 345 W Mount Elden Lookout Rd, Flagstaff, AZ 86001-3801 | 2020-06-18 |
1376078303 | Flagstaff Advanced Surgical Assistants Pllc | Nurse Practitioner | 2467 S Cliffview St, Flagstaff, AZ 86001-2989 | 2017-04-27 |
1427516053 | Alysa Patricia Held | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2019-03-02 |
1245743418 | Chascity Monroe | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2017-11-09 |
1295268415 | Laura Johnson | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001 | 2017-04-05 |
1356887640 | Nathan Moss Agacnp-bc Pllc | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2017-01-11 |
1588118111 | Nathan Alan Moss | Nurse Practitioner | 1215 N Beaver St, Flagstaff, AZ 86001-3126 | 2016-08-11 |
1356709877 | Erin Rasmussen | Nurse Practitioner | 2000 S Thompson St, Flagstaff, AZ 86001 | 2016-01-29 |
1114397957 | Amy Kathryn Taylor | Nurse Practitioner | 2000 S Thompson St, Flagstaff, AZ 86001 | 2015-10-06 |
1326425935 | Keith Wesley Kent | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001 | 2015-05-04 |
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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.