JANET MICHELLE GRADLE (NPI# 1710042957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710042957 |
Entity Type | Individual |
Full Name | JANET MICHELLE GRADLE |
Credential | CPNP |
Practice Address |
1075 S Idaho Rd Suite 206 Apache Junction AZ 85219-6496 |
Mailing Address |
2502 N Cabot Mesa AZ 85207-1516 |
Practice Telephone | 4808891234 |
Mailing Telephone | 4808891234 |
Enumeration Date | 2006-12-27 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
APO241 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1075 S IDAHO RD SUITE 206 |
City | APACHE JUNCTION |
State | AZ |
Zip Code | 85219-6496 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518952373 | Manu Bhakoo | Pediatrics | 1075 S Idaho Rd, Suite 206, Apache Junction, AZ 85219-6496 | 2005-09-16 |
1477027878 | Jeremy Michael Stewart | Physical Therapist | 1075 S Idaho Rd, Apache Junction, AZ 85119 | 2019-01-18 |
1548690837 | Mark Lostracco | Physical Therapist | 1075 S Idaho Rd, Apache Junction, AZ 85119-6496 | 2013-11-22 |
1144583592 | Continuum Wellness Clinic, LLC | Durable Medical Equipment & Medical Supplies | 1075 S Idaho Rd, Suite 210, Apache Junction, AZ 85119-6496 | 2012-06-20 |
1942446083 | Moulton Family Eye Care LLC | Optometrist | 1075 S Idaho Rd, Suite 105b, Apache Junction, AZ 85119-6496 | 2008-12-19 |
1548429996 | Evaune Gale Winsor | Contractor | 1075 S Idaho Rd, Suite 106a, Apache Junction, AZ 85219 | 2008-06-02 |
1225208481 | Winn's Orthotics & Prosthetics | Durable Medical Equipment & Medical Supplies | 1075 S Idaho Rd, Suite 101, Apache Junction, AZ 85219-6496 | 2008-03-04 |
1588866453 | Apache Junction Pediatrics | Pediatrics | 1075 S Idaho Rd, Suite 206, Apache Junction, AZ 85219-6496 | 2007-06-04 |
1154338440 | Shannon Cole Winn | Specialist | 1075 S Idaho Rd, Suite 101, Apache Junction, AZ 85219-6496 | 2006-08-01 |
1841238565 | Jason Hugh Moulton | Optometrist | 1075 S Idaho Rd, Suite 105b, Apache Junction, AZ 85119-6496 | 2006-06-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659508844 | John Gutierrez | Social Worker | 477 E Broadway Road, Apache Junction, AZ 85219 | 2009-06-16 |
1659533966 | Continuum Wellness Clinic | Clinic/Center | 1075 E Idaho Road, #210, Apache Junction, AZ 85219 | 2008-06-27 |
1932267846 | Jennifer Siozos | Counselor | 477 E. Broadway Road, Apache Junction, AZ 85219 | 2006-12-04 |
1285715458 | Brian M Bouck | Physical Therapist | 1075 S Idaho, #210, Apache Junction, AZ 85219 | 2006-10-17 |
1881778322 | Elwynn C Caffall | Dentist | 110 S Idaho Rd, #260, Apache Jct, AZ 85219 | 2006-10-24 |
1548419245 | Joyce Maurer Lindquist | Registered Nurse | 1785 N Idaho Rd, Apache Junction, AZ 85219-1716 | 2008-09-17 |
1790803849 | Apache Junction Unified School District | Speech-Language Pathologist | 1755 N Idaho Rd, Apache Junction, AZ 85219-1716 | 2007-03-27 |
1619197969 | Heather Ann Lundquest | Registered Nurse | 1755 N Idaho Rd, Apache Junction, AZ 85219-1716 | 2007-04-27 |
1740302728 | Four Peaks Elementary School | Licensed Practical Nurse | 1755 N Idaho Rd, Apache Junction, AZ 85219-1716 | 2007-04-03 |
1447223920 | Lisa R Field-sherlock | Optometrist | 110 S Idaho Rd, Apache Junction, AZ 85219-2379 | 2006-02-07 |
Find all providers in zip 85219 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
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1558961425 | Christian Reese Newsom | Nurse Practitioner | 6980 E Sahuaro Dr Apt 1085, Scottsdale, AZ 85254-5295 | 2020-10-29 |
1083258354 | Stephenie Ann Lechuga | Nurse Practitioner | 3415 W Glendale Ave Ste 32a, Phoenix, AZ 85051-8485 | 2019-10-30 |
1821650201 | Rebekah Ellen Charry | Nurse Practitioner | 115 Calle Portal Ste 700, Sierra Vista, AZ 85635-2950 | 2019-07-05 |
1326606146 | Mollie Finn | Nurse Practitioner | 2356 N Emerald Lake Ct, Tucson, AZ 85749-7925 | 2019-06-05 |
1134698160 | Kayla Rose Percy | Nurse Practitioner | 1205 N F Ave, Douglas, AZ 85607-1920 | 2018-11-20 |
1063987683 | Katherine Anne Bassler | Nurse Practitioner | 5375 E Erickson Dr Ste 103, Tucson, AZ 85712-2838 | 2018-10-10 |
1134613607 | Brittany Kunz | Nurse Practitioner | 2456 E Fairview Cir, Mesa, AZ 85204-5421 | 2018-06-19 |
1124526884 | Kidnurse, LLC | Nurse Practitioner | 1550 S Alma School Rd Ste 275, Mesa, AZ 85210-2107 | 2018-01-29 |
1407354244 | Mariah Karyn White | Nurse Practitioner | 13065 W Mcdowell Rd Ste C130, Avondale, AZ 85392-6448 | 2018-01-26 |
1750890075 | West Valley Pediatrics | Nurse Practitioner | 10750 West Mcdowell Rd, Suite G700, Avondale, AZ 85392 | 2017-09-29 |
Find all providers with the same taxonomy |
City | APACHE JUNCTION |
Zip Code | 85219 |
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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.