MRS. DEIDRE LEANN BALES-POIROT (NPI# 1740435288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740435288 |
| Entity Type | Individual |
| Full Name | MRS. DEIDRE LEANN BALES-POIROT |
| Other Name | MRS. DEIDRE LEANN BALES |
| Credential | APRN, CPNP-PC |
| Practice Address |
1432 S Dobson Rd Ste 403 Mesa AZ 85202-4777 |
| Practice Telephone | 4804127473 |
| Practice Fax Number | 4804127500 |
| Mailing Telephone | 4804127473 |
| Mailing Fax Number | 4804127500 |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2018-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 2004014988 | MO | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | R0101133 | OK | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | RN206703 | AZ | Nursing Service Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
2004014988 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R0101131 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP10033 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1432 S DOBSON RD STE 403 |
| City | MESA |
| State | AZ |
| Zip Code | 85202-4777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245375955 | Angela J Cabrera | Nurse Practitioner | 1432 S Dobson Rd Ste 403, Mesa, AZ 85202-4777 | 2007-02-20 |
| 1831747419 | Andrea Rose D'andrea Campos | Physician Assistant | 1432 S Dobson Rd Ste 403, Mesa, AZ 85202-4777 | 2019-08-28 |
| 1598256737 | Sapna R Kakwani | Nurse Practitioner | 1432 S Dobson Rd Ste 403, Mesa, AZ 85202-4777 | 2018-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
| Find all providers in zip 85202 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1184164808 | Loriann Rochelle Lang | Nurse Practitioner | 1450 S Dobson Rd Ste B220, Mesa, AZ 85202-4745 | 2017-02-28 |
| 1548568892 | Natalie Christine Monk | Nurse Practitioner | 1440 S Country Club Dr Ste 21, Mesa, AZ 85210-9704 | 2011-03-10 |
| 1427250232 | Cindy C Gaspar-rust | Nurse Practitioner | 2953 E Dover St, Mesa, AZ 85213-6934 | 2007-06-04 |
| 1730302753 | Deborah D Howard | Nurse Practitioner | 4540 E Baseline Rd Ste 108, Mesa, AZ 85206-4616 | 2007-04-10 |
| 1245375955 | Angela J Cabrera | Nurse Practitioner | 1432 S Dobson Rd Ste 403, Mesa, AZ 85202-4777 | 2007-02-20 |
| 1598256737 | Sapna R Kakwani | Nurse Practitioner | 1432 S Dobson Rd Ste 403, Mesa, AZ 85202-4777 | 2018-05-23 |
| 1114349784 | Breanna Chamoff | Nurse Practitioner | 1432 S Dobson Rd, Suite 501, Mesa, AZ 85202-4768 | 2014-01-15 |
| 1326472150 | Lindsey Nicole Weak | Nurse Practitioner | 1432 S Dobson Rd, Suite 403, Mesa, AZ 85202-4768 | 2013-08-28 |
| Find all providers in MESA | ||||
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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.