CORREENA LORRAINE DUCKWORTH (NPI# 1700397635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700397635 |
| Entity Type | Individual |
| Full Name | CORREENA LORRAINE DUCKWORTH |
| Practice Address |
Po Box 4000 Polacca AZ 86042-4000 |
| Mailing Address |
Highway 264 Milepost 388 Polacca AZ 86042 |
| Practice Telephone | 9287376000 |
| Mailing Telephone | 9287376000 |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2017-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WE0003X |
Registered Nurse Specialization: Emergency |
RN123469 | GA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 020529 | 05 |
| Street Address |
PO BOX 4000 |
| City | POLACCA |
| State | AZ |
| Zip Code | 86042-4000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629588462 | William Randolph Hall | Registered Nurse | Po Box 4000, Polacca, AZ 86042-4000 | 2017-10-06 |
| 1578073805 | Gerhard Heinz Jakubowski | Registered Nurse | Po Box 4000, Polacca, AZ 86042-4000 | 2017-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553787 | Megan Gilliam | Pharmacist | Mile Post 288 Hwy 264, Polacca, AZ 86042 | 2020-09-21 |
| 1295348787 | Emma Guadalupe Cortez | Nurse's Aide | Hopi Health Care, Hwy 264 Mp 388, Polacca, AZ 86042 | 2020-08-25 |
| 1942835434 | Kevin C Powers | Registered Nurse | Route 264 Mp 388, Polacca, AZ 86042 | 2020-03-05 |
| 1780217463 | Kim N Le | Family Medicine | Mile Post 388 Highway 264, Polacca, AZ 86042 | 2020-02-20 |
| 1265959365 | Karen Olivia Francis | Registered Nurse | Highway 264 Mile Post, Hopi Health Care Facility, Polacca, AZ 86042 | 2017-08-29 |
| 1629598339 | Marina Kanoelani Mehau-sanchez | Pharmacist | Hwy 264 At Mile Post 388, Hopi Health Care Center, Polacca, AZ 86042 | 2017-06-23 |
| 1184096786 | Erica Lalo | Technician, Other | Hwy 264 Mp388, Polacca, AZ 86042 | 2015-10-22 |
| 1790124618 | Michael Everett Robinson | Registered Nurse | Highway 264 Mile Post 388, Polacca, Az 86042, Hopi Health Care Center (ihs), Polacca, AZ 86042 | 2013-06-25 |
| 1760728232 | Rhanishia Smith | Registered Nurse | Highway 264 Mile Pot 388, Polacca, AZ 86042 | 2013-01-02 |
| 1871818492 | Stacy Talahytewa II | Radiologic Technologist | Hwy 264 Mile Post 388, Polacca, AZ 86042 | 2010-04-07 |
| Find all providers in zip 86042 | ||||
| Taxonomy Code | 163WE0003X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Emergency |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629588462 | William Randolph Hall | Registered Nurse | Po Box 4000, Polacca, AZ 86042-4000 | 2017-10-06 |
| 1578073441 | George Robert Nickell | Registered Nurse | Highway 264, Mp 388, Polacca, AZ 86042 | 2017-10-05 |
| 1578073805 | Gerhard Heinz Jakubowski | Registered Nurse | Po Box 4000, Polacca, AZ 86042-4000 | 2017-09-29 |
| 1649597808 | Eric Espinosa | Registered Nurse | Hwy 264, Mp 388, Polacca, AZ 86042-4000 | 2010-04-28 |
| 1871620476 | Darlene Kay Greener | Registered Nurse | Hwy 264, Polacca, AZ 86042 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699375469 | Claire Catherine Bouchard | Registered Nurse | 353 E Cambridge Dr, Tucson, AZ 85704-7110 | 2020-10-29 |
| 1235746405 | Erin Joy Jensen | Registered Nurse | 3403 N Winding River Way, Tucson, AZ 85712-6665 | 2020-09-30 |
| 1992310809 | Fernisha Kaysteine Brown | Registered Nurse | 5227 E. Carefree Hwy, Cave Creek, AZ 85331 | 2020-09-09 |
| 1821600875 | Sara Kellogg | Registered Nurse | 5701 E Glenn St Apt 90, Tucson, AZ 85712-5222 | 2020-08-20 |
| 1144848326 | Elizabeth Arnold | Registered Nurse | 2025 W Iron Springs Rd, Prescott, AZ 86305-2502 | 2020-07-14 |
| 1558999441 | Christopher Council | Registered Nurse | 1210 E Fremont Dr, Tempe, AZ 85282-7116 | 2020-03-28 |
| 1598399677 | Michael John Berg | Registered Nurse | 3272 E Meadowview Dr, Gilbert, AZ 85298-4313 | 2020-02-27 |
| 1033741665 | Katherine J. White | Registered Nurse | 8812 W Mariposa Grande, Peoria, AZ 85383-1204 | 2020-02-11 |
| 1467084715 | Jennifer Rae Belinte | Registered Nurse | 391 Highway 163 Ste Ka2010, Kayenta, AZ 86033-9997 | 2020-02-05 |
| 1265072870 | Bryan Foli | Registered Nurse | 15916 W Port Au Prince Ln, Surprise, AZ 85379-5145 | 2020-01-11 |
| Find all providers with the same taxonomy | ||||
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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.