NICHOLAS JAMES FAILLA (NPI# 1689179814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689179814 |
| Entity Type | Individual |
| Full Name | NICHOLAS JAMES FAILLA |
| Credential | AGACNP-BC |
| Practice Address |
3420 S Mercy Rd Ste 312 Gilbert AZ 85297 |
| Mailing Address |
3030 N Central Ave Ste 1001 Phoenix AZ 85012-2716 |
| Practice Telephone | 4807286400 |
| Practice Fax Number | 4807286440 |
| Mailing Telephone | 6024064786 |
| Mailing Fax Number | 9166364358 |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2019-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP11138 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP11138 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AP11138 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4555 E Inverness Ave Bldg 3, Mesa, AZ 852064630 | 4808303900 | 4808303901 |
| 4555 E Inverness Ave Ste 112, Mesa, AZ 852064630 | 4803610110 | 4808303901 |
| Street Address |
3420 S MERCY RD STE 312 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811130040 | Rachel Bond | Internal Medicine | 3420 S Mercy Rd Ste 312, Gilbert, AZ 85297-0425 | 2009-04-17 |
| 1184102519 | Michelle Lynn Gentsch | Registered Nurse | 3420 S Mercy Rd Ste 312, Gilbert, AZ 85297-0425 | 2018-07-28 |
| 1528315900 | Heather Michelle Gauthier | Dietitian, Registered | 3420 S Mercy Rd Ste 312, Gilbert, AZ 85297-0425 | 2012-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710592357 | Center for Orthopedic Research and Education LLC | Durable Medical Equipment & Medical Supplies | 3597 South Mercy Rd, Ste 200, Gilbert, AZ 85297 | 2020-09-10 |
| 1508483827 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3271 East Queen Creek, Bldg 2, Suite 101-p, Gilbert, AZ 85297 | 2020-07-02 |
| 1225653074 | Sigma Health and Wellness LLC | Nurse Practitioner | 3317 S. Higley Road, Ste 114-757, Gilbert, AZ 85297 | 2020-06-08 |
| 1750928727 | Emily Paige Stott | Specialist/Technologist | 4141 E Sidewinder Ct, Gilbert, AZ 85297 | 2019-12-09 |
| 1386280436 | Ocotillo Surgery Center LLC | Clinic/Center | 3920 S Rome Street, Gilbert, AZ 85297 | 2019-11-25 |
| 1366094930 | Psa Behavioral Health Agency | Community/Behavioral Health | 3271 E. Queen Creek Road, Ste. 105, 110, 111, Gilbert, AZ 85297 | 2019-07-12 |
| 1508337213 | Orthopedic Specialists of North America Pllc | Physical Therapist | 1675 E Melrose Street, Suites 101-103, Gilbert, AZ 85297 | 2018-12-07 |
| 1346766698 | Charles Stanley Bailey | Optometrist | 3098 E. Waterman Way, Gilbert, AZ 85297 | 2017-08-18 |
| 1982155503 | Sheli K Jensen | Marriage & Family Therapist | 7400 S. Power Road, Suite 116, Gilbert, AZ 85297 | 2016-10-19 |
| 1407302763 | Kelly Jo Plencner-vega | Advanced Practice Midwife | 3815 S Val Vista Dr, Gilbert, Az, Gilbert, AZ 85297 | 2016-08-28 |
| Find all providers in zip 85297 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962910877 | Peggy Hocutt | Nurse Practitioner | 3686 S Rome St Ste 201, Gilbert, AZ 85297-7341 | 2018-01-12 |
| 1467973156 | Michael Montoya | Nurse Practitioner | 2946 E Banner Gateway Drive - Bmdacc, Gilbert, AZ 85234 | 2017-07-03 |
| 1073059655 | Keata Bhakta | Nurse Practitioner | 721 E Elgin St, Gilbert, AZ 85295-1581 | 2017-01-06 |
| 1144770843 | Ansan Thomas | Nurse Practitioner | 1030 N Wade Dr, Gilbert, AZ 85234-2922 | 2016-10-06 |
| 1982070843 | Sharly K Thomas | Nurse Practitioner | 4099 E Bruce Ct, Gilbert, AZ 85234-0709 | 2015-08-14 |
| 1316324080 | Wendy Ann Robb | Nurse Practitioner | 1422 E Strawberry Dr, Gilbert, AZ 85298-0807 | 2015-05-01 |
| 1285030312 | Eddie Belleza Tabarangao | Nurse Practitioner | 4280 E Sierra Madre Ave, Gilbert, AZ 85296-1589 | 2014-11-17 |
| 1174949390 | Euly Cecille Smith | Nurse Practitioner | 3458 E Terrace Ave, Gilbert, AZ 85234-1721 | 2014-03-12 |
| 1801219449 | Hannah Bangura | Nurse Practitioner | 880 N. Colorado Strees, Gilbert, AZ 85233 | 2014-02-03 |
| 1154932051 | Margaret Capozzi | Nurse Practitioner | 2946 E Banner Gateway Dr, Gilbert, AZ 85234-2165 | 2020-08-13 |
| Find all providers in GILBERT | ||||
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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.