MS. ALICIA RENEE JENNINGS (NPI# 1700429057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700429057 |
Entity Type | Individual |
Full Name | MS. ALICIA RENEE JENNINGS |
Credential | CSA |
Practice Address |
4624 E Sands Dr Phoenix AZ 85050-6862 |
Practice Telephone | 5188361672 |
Mailing Telephone | 5188361672 |
Enumeration Date | 2019-10-18 |
Last Update Date | 2019-10-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366405037 | Alicia M Jennings | Internal Medicine | 101 Quartz Drive, Suite 201, Villa Rica, GA 30180 | 2006-04-11 |
1558814590 | Alicia Jennings | Social Worker | 66 Sunset Strip Ste 302, Succasunna, NJ 07876 | 2016-07-26 |
1336494129 | Alicia M Jennings | Rehabilitation Practitioner | 2933 El Nido Dr, Altadena, CA 91001-4529 | 2012-07-17 |
Street Address |
4624 E SANDS DR |
City | PHOENIX |
State | AZ |
Zip Code | 85050-6862 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770045528 | Jesse Micheal Stokke | Student in an Organized Health Care Education/Training Program | Honorhealth Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-04-02 |
1386104974 | Dania Aijaz Shah | Student in an Organized Health Care Education/Training Program | Honor Health Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-03-21 |
1205391588 | Sanctuary | Clinic/Center | 2550 E Rose Garden Ln, # 73404, Phoenix, AZ 85050 | 2019-01-31 |
1477026474 | Archer Health LLC | Nurse Practitioner | 21001 N Tatum Blvd Ste 1630 - 490, Phoenix, AZ 85050 | 2019-01-02 |
1548756059 | Preston Andrew Slade | Community/Behavioral Health | 20860 E. Tatum Blvd Ste, 300, Phoenix, AZ 85050 | 2018-07-09 |
1184126658 | Alisha Ramirez | Specialist/Technologist | 19638 N 37th Way, Phoenix, AZ 85050 | 2018-03-01 |
1720590011 | Dr Richards Pllc | Internal Medicine | 20815 N 25th Pl Ste A106, Phoenix, AZ 85050 | 2017-10-26 |
1417474792 | Heather Arabeity | Nurse Practitioner | 3762 E Zachary Dr, Phoenix, AZ 85050 | 2017-08-28 |
1083161087 | Haley Elaine Kinzer | Physician Assistant | 20950 N Tatum Blvd Ste 150, Phoenix, AZ 85050 | 2016-09-07 |
1003227927 | Chelsea Joy Thomsen | Internal Medicine | 26224 N Tatum Blvd Ste 7, Phoenix, AZ 85050 | 2014-05-13 |
Find all providers in zip 85050 |
Taxonomy Code | 246ZC0007X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Specialist/Technologist, Other |
Specialization | Surgical Assistant |
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457963894 | Arizona Surgical Affiliates Pllc | Specialist/Technologist, Other | Arizona Surgical Affiliates Pllc, 2222 E Highland Ave, Suite 222, Phoenix, AZ 85016-4876 | 2020-08-18 |
1336788777 | Rajan Lazar Paul | Specialist/Technologist, Other | 2941 W Donner Dr, Phoenix, AZ 85041-6344 | 2020-01-02 |
1073976775 | Rana Codrean | Specialist/Technologist, Other | 20435 N 7th St, Apt 1036, Phoenix, AZ 85024-6024 | 2016-03-30 |
1992172803 | Kelly Ann Madeline Connors | Specialist/Technologist, Other | 3940 E Crittenden Ln, Phoenix, AZ 85018-3660 | 2015-08-26 |
1144625245 | Raylene Knight | Specialist/Technologist, Other | 4322 E Janice Way, Phoenix, AZ 85032-8101 | 2014-10-31 |
1609119304 | Daniel Kullukian | Specialist/Technologist, Other | 4626 E. Sheena Dr., Phoenix, AZ 85032 | 2013-04-01 |
1649315805 | James E Feltman | Specialist/Technologist, Other | 1715 E Aurelius Ave, Phoenix, AZ 85020-5507 | 2007-02-21 |
1790820058 | Michael Lawrance Jones | Specialist/Technologist, Other | 3961 E Chandler Blvd, Ste 111-385, Phoenix, AZ 85048-0303 | 2007-02-21 |
1982243325 | Phoenix First Assist LLC | Specialist/Technologist, Other | 2941 W Donner Dr, Phoenix, AZ 85041-6344 | 2020-01-02 |
1689034829 | Raylene Knight Csfa Pllc | Specialist/Technologist, Other | 4322 E Janice Way, Phoenix, AZ 85032-8101 | 2016-03-01 |
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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.