JACLYN RENATA WEBER (NPI# 1700352564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700352564 |
| Entity Type | Individual |
| Full Name | JACLYN RENATA WEBER |
| Practice Address |
2373 E Baseline Rd Ste 100 Gilbert AZ 85234-2477 |
| Practice Telephone | 4804970814 |
| Mailing Telephone | 4804970814 |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2018-10-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 8697 | AZ | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | STATE LICENSE | 8697 | 01 |
| Street Address |
2373 E BASELINE RD STE 100 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85234-2477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500962 | Fatima Health LLC | Nurse Practitioner | 760 North Swallow Lane, Gilbert, AZ 85234 | 2020-05-22 |
| 1073152070 | American Care Concepts Hospice LLC | Hospice Care, Community Based | 765 N. Lindsay Rd., Ste. 208, Gilbert, AZ 85234 | 2019-12-23 |
| 1457918864 | Intuitive Healing Counseling Services, Pllc | Counselor | 3303 E Baseline Rd, Building 5, Suite 109, Gilbert, AZ 85234 | 2019-05-21 |
| 1487123907 | San Tan Behavioral Health Services LLC | Respite Care | 2671 East Vermont Court, Gilbert, AZ 85234 | 2018-11-14 |
| 1770052292 | San Tan Behavioral Health Services | Respite Care | 3970 East Juanita Avenue, Gilbert, AZ 85234 | 2018-11-14 |
| 1891262887 | Victoria Elizabeth Klennertt | Behavior Technician | 3503 E Michelle Way, Gilbert, AZ 85234 | 2018-10-27 |
| 1225503634 | Julia Elizabeth Wiens | Social Worker | 3651 E Baseline Rd Ste 120, Gilbert, AZ 85234 | 2018-10-11 |
| 1295219798 | Raylene Dawn Cargiulo | Registered Nurse | 55 S. Greenfield Rd., Gilbert, AZ 85234 | 2018-09-20 |
| 1346729092 | Katherine M Winegar | Nurse Practitioner | Banner Md Anderson Cancer Center- Administration Office, 2940 E Banner Gateway Drive, Gilbert, AZ 85234 | 2018-08-13 |
| 1881189199 | Desert Valley Oral Surgery | Oral & Maxillofacial Surgery | 2915 E. Baseline Road, Suite 106, Gilbert, AZ 85234 | 2018-06-28 |
| Find all providers in zip 85234 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538793252 | Silverstone Medical Center, LLC | Chiropractor | 754 S Val Vista Dr Ste 104, Gilbert, AZ 85296-3139 | 2020-03-03 |
| 1457985459 | Michael John Wenstrup | Chiropractor | 745 S Val Vista Dr Ste 105, Gilbert, AZ 85296-3131 | 2020-02-27 |
| 1912461872 | Zachary Richard Homer | Chiropractor | 450 E Sage Brush St, Gilbert, AZ 85296-2324 | 2019-01-24 |
| 1902311202 | Legacy Chiropractic Partners LLC | Chiropractor | 3570 S Val Vista Dr Ste 109, Gilbert, AZ 85297-7327 | 2017-12-08 |
| 1497272298 | Pivonka Health & Wellness LLC | Chiropractor | 1355 S Higley Rd Ste 103, Gilbert, AZ 85296-4799 | 2017-08-23 |
| 1639568470 | Alpha Medical Group LLC | Chiropractor | 3126 S Higley Rd Ste 102, Gilbert, AZ 85295-2030 | 2015-01-16 |
| 1679971170 | Travis Zachary Early | Chiropractor | 3800 E Trigger Way, Gilbert, AZ 85297 | 2014-12-15 |
| 1548696164 | James Holloway | Chiropractor | 4828 S Val Vista Dr, Gilbert, AZ 85298 | 2013-09-16 |
| 1417399981 | Tybradshaw Chiropractic | Chiropractor | 4179 E Fairbanks St, Gilbert, AZ 85295-6148 | 2013-07-24 |
| 1295070282 | Aaron M Hicks | Chiropractor | 2373e Baseline Rd 100, Gilbert, AZ 85234-2477 | 2012-12-03 |
| 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.