JOLENE TOM (NPI# 1699934281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699934281 |
| Entity Type | Individual |
| Full Name | JOLENE TOM |
| Credential | RN |
| Practice Address |
167 Main St Tuba City AZ 86045-0600 |
| Mailing Address |
Po Box 600 Tuba City AZ 86045-0600 |
| Practice Telephone | 9282832788 |
| Mailing Telephone | 9282832788 |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
RN117235 | AZ | Nursing Service Providers |
| Street Address |
167 MAIN ST |
| City | TUBA CITY |
| State | AZ |
| Zip Code | 86045-0600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699387183 | Michelle R Vickers | Radiology | 167 Main St, Tuba City, AZ 86045 | 2020-08-18 |
| 1205458080 | Casey Moore | Pharmacist | 167 Main St, Tuba City, AZ 86045-0600 | 2020-05-14 |
| 1144864794 | Christine Long | Pharmacist | 167 Main St, Tuba City, AZ 86045 | 2019-11-06 |
| 1275195315 | Yolanda Li | Optometrist | 167 Main St, Tuba City, AZ 86045 | 2019-06-28 |
| 1700375664 | Adnew M Workneh | Pharmacist | 167 Main St, Tuba City, AZ 86045 | 2018-05-07 |
| 1265940183 | Sara Bekele | Pharmacist | 167 Main St, Tuba City, AZ 86045 | 2018-01-12 |
| 1861948291 | Kimberly June Frantz | Pharmacist | 167 Main St, Tuba City, AZ 86045 | 2016-08-26 |
| 1821428517 | Jenessa Payano Stark | Midwife | 167 Main St, Tuba City, AZ 86045 | 2013-11-18 |
| 1184994857 | Eben Clattenburg | Emergency Medicine | 167 Main St, Tuba City, AZ 86045 | 2012-01-11 |
| 1558549782 | Grant Raymond Bender | Pharmacist | 167 Main St, Tuba City, AZ 86045 | 2008-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434206 | Ambrielle Grace Begay | Specialist/Technologist | 48 Turquoise Drive, Tuba City, AZ 86045 | 2020-10-12 |
| 1063028124 | Fresenius Medical Care Tuba City, LLC | Clinic/Center | 50 S. Main Street, Ste 108, Tuba City, AZ 86045 | 2020-09-23 |
| 1609422484 | Rebekah Lee | Pharmacist | 167 North Main St. Tuba City Regional Health Care Corp., Tuba City, AZ 86045 | 2019-08-16 |
| 1861977050 | Kyle C Nguyen | Pharmacist | 3008 E. Birch Ave, Tuba City, AZ 86045 | 2018-10-03 |
| 1518419845 | John Glenn Ives | Pharmacist | 167 N, Main St, Tuba City, AZ 86045 | 2016-11-03 |
| 1497208433 | Toweringrock Non-emergency Medical Transport, LLC | Non-emergency Medical Transport (VAN) | 1029 E. Tc North Side Trailer, 36.153821-111.233925, Tuba City, AZ 86045 | 2016-07-26 |
| 1699153270 | Hopi Assisted Living Facility Inc. | Point of Service | 21 Senior Lane Upper Hud Housing Moenkopi, Hopi Assisted Living, Tuba City, AZ 86045 | 2015-05-14 |
| 1306223870 | Mia Seimy | Driver | Adair Avenue Space #5, Tuba City, AZ 86045 | 2015-05-04 |
| 1033507587 | Tari Carroll | Home Health Aide | Tumbleweed Drive Nha E-3, Tuba City, AZ 86045 | 2015-01-07 |
| 1023452984 | Amanda Bancroft Burrage | Pediatrics | 167 Main St., Tuba City, AZ 86045 | 2013-04-23 |
| Find all providers in zip 86045 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336308915 | Phyllis J Winans | Registered Nurse | 167 Main Street, Tuba City, AZ 86045-0600 | 2008-06-09 |
| 1245497643 | Katherine A Hardy | Registered Nurse | 167 N Main Street, Tuba City, AZ 86045-0600 | 2008-05-22 |
| 1427215169 | Rajean P. Victor | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2008-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720614134 | Rochelle Williams | Registered Nurse | 11454 E Quintana Ave, Mesa, AZ 85212-4103 | 2020-03-17 |
| 1184257537 | Frances Morris | Registered Nurse | 308 Hermosa Dr, Holbrook, AZ 86025-2031 | 2020-02-13 |
| 1902456833 | Marleah Olsen | Registered Nurse | 102 Medicine Way Rd., Peridot, AZ 85542-8554 | 2019-09-12 |
| 1841854932 | Lynn Stafford | Registered Nurse | 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-04-24 |
| 1598227340 | Jane Ramenofsky Ramenofsky Stewart | Registered Nurse | 4041 So. Mcclintock Suite 302, Tempe, AZ 85282 | 2019-04-02 |
| 1588124093 | Jennifer Hanes | Registered Nurse | 828 N Slater, Mesa, AZ 85205-5862 | 2019-03-21 |
| 1588129902 | Mary K Wheeler Mcfarland | Registered Nurse | Adobe Care and Wellness LLC, Address Is 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-02-11 |
| 1275987794 | Jane Collins | Registered Nurse | 8500 E.jackrabbit Rd, Scottsdale, AZ 85250 | 2016-04-21 |
| 1831500073 | Suzanne Gould | Registered Nurse | 4891 E Grant Rd, Tucson, AZ 85712-2704 | 2014-05-09 |
| 1356768493 | Melody Dawn Austin | Registered Nurse | 8510 W Deer Valley Rd Ste 100, Peoria, AZ 85382-5386 | 2014-03-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JOLENE TOM.
| 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.