KRISTIN D. EMBRY (NPI# 1750886867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750886867 |
| Entity Type | Individual |
| Full Name | KRISTIN D. EMBRY |
| Credential | PA-C |
| Practice Address |
2946 E Banner Gateway Dr Gilbert AZ 85234-2165 |
| Mailing Address |
2940 E. Banner Gateway Drive Suite 450 Gilbert AZ 85234 |
| Practice Telephone | 4802566444 |
| Mailing Telephone | 4802563430 |
| Mailing Fax Number | 4802563682 |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2018-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2946 E BANNER GATEWAY DR |
| City | GILBERT |
| State | AZ |
| Zip Code | 85234-2165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841291929 | Bryan Y Wong | Internal Medicine | 2946 E Banner Gateway Dr, Gilbert, AZ 85234 | 2005-08-10 |
| 1154932051 | Margaret Capozzi | Nurse Practitioner | 2946 E Banner Gateway Dr, Gilbert, AZ 85234-2165 | 2020-08-13 |
| 1588288708 | Lisa Thompson | Pharmacist | 2946 E Banner Gateway Dr, Gilbert, AZ 85234-2165 | 2020-06-03 |
| 1265068456 | Alexandra Erin Chambers | Pharmacist | 2946 E Banner Gateway Dr, Gilbert, AZ 85234-2165 | 2020-03-19 |
| 1154896058 | Jamie Lee Boma | Physician Assistant | 2946 E Banner Gateway Dr, Gilbert, AZ 85234 | 2018-10-06 |
| 1801315262 | Peter Do | Physician Assistant | 2946 E Banner Gateway Dr, Gilbert, AZ 85234-2165 | 2017-09-15 |
| 1124543244 | Shelly Marie Erickson | Nurse Practitioner | 2946 E Banner Gateway Dr, Gilbert, AZ 85234-2165 | 2017-08-09 |
| 1073050456 | Soffia Elisabet Palsdottir | Psychologist | 2946 E Banner Gateway Dr, Gilbert, AZ 85234-2165 | 2017-01-24 |
| 1114479870 | Nathan Cochrane | Physician Assistant | 2946 E Banner Gateway Dr, Gilbert, AZ 85234-2165 | 2016-10-28 |
| 1407300189 | Kayla Ellen Davies | Nurse Practitioner | 2946 E Banner Gateway Dr, Gilbert, AZ 85234-2165 | 2016-08-10 |
| Find all providers in the same location | ||||
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427687953 | Zachary Scott | Physician Assistant | 562 E Campbell Ave, Gilbert, AZ 85234-4612 | 2020-04-06 |
| 1912539511 | Amber Lee Price | Physician Assistant | 428 S Gilbert Rd Ste 114, Gilbert, AZ 85296-2262 | 2020-02-11 |
| 1912549379 | Brooke Elizabeth Lopez | Physician Assistant | 1489 S Higley Rd Ste 101, Gilbert, AZ 85296-4777 | 2019-10-16 |
| 1477118180 | Mai Thai | Physician Assistant | 1725 S Coronado Rd Apt 1035, Gilbert, AZ 85295-0080 | 2019-05-08 |
| 1356800924 | Kirstin Lampi Tymkew | Physician Assistant | 4255 E Pecos Rd Apt 3011, Gilbert, AZ 85295-7842 | 2019-03-13 |
| 1033685763 | Jocelyn Lucita Ore | Physician Assistant | 3011 S Lindsay Rd Ste 105, Gilbert, AZ 85295-4333 | 2018-10-20 |
| 1003381633 | Samuel Dean Fox | Physician Assistant | 4915 E Baseline Rd Ste 102, Gilbert, AZ 85234-2966 | 2018-10-10 |
| 1598240731 | Sylvia Phommalinh | Physician Assistant | 1309 S Minneola Ln, Gilbert, AZ 85296-7824 | 2018-10-03 |
| 1518441831 | Kara Lyn Holyoak | Physician Assistant | 1359 S. Porter St., Gilbert, AZ 85296 | 2018-09-21 |
| 1144703257 | Annie Celeste Hart | Physician Assistant | 610 W Sereno Dr, Gilbert, AZ 85233-7251 | 2018-09-13 |
| 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.