CATHERINE L. PEACOCK (NPI# 1760532295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760532295 |
| Entity Type | Individual |
| Full Name | CATHERINE L. PEACOCK |
| Credential | RN, APRN |
| Practice Address |
9515 W Camelback Rd Suite 102 Phoenix AZ 85037-1355 |
| Mailing Address |
3815 E Bell Rd Suite 2300 Phoenix AZ 85032-2122 |
| Practice Telephone | 6237726999 |
| Practice Fax Number | 6237726444 |
| Mailing Telephone | 6029314586 |
| Mailing Fax Number | 6029314591 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2009-01-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP180 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649712506 | Catherine Elizabeth Peacock | Counselor | 370 9th St, Crescent City, CA 95531-3432 | 2016-11-09 |
| Street Address |
9515 W CAMELBACK RD SUITE 102 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85037-1355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861494197 | Gary Lynn Kersten | Obstetrics & Gynecology | 9515 W Camelback Rd, Ste 108, Phoenix, AZ 85037-1355 | 2005-05-31 |
| 1538627914 | Chandra Vivian Sorrelle | Internal Medicine | 9515 W Camelback Rd, Phoenix, AZ 85037-1355 | 2019-03-05 |
| 1124428875 | Arizona Central Surgical Associates Pllc | Surgery | 9515 W Camelback Rd, Suite 132, Phoenix, AZ 85037-1355 | 2014-08-31 |
| 1619389145 | Siri Priyam, LLC | Internal Medicine | 9515 W Camelback Rd, Suite 114, Phoenix, AZ 85037-1355 | 2014-06-02 |
| 1770862484 | Vein Specialists of Arizona LLC | Surgery | 9515 W Camelback Rd, Suite 108, Phoenix, AZ 85037-1355 | 2011-08-11 |
| 1750690335 | Thomas Brent Strawn | Specialist | 9515 W Camelback Rd, Suite 106, Phoenix, AZ 85037 | 2010-09-30 |
| 1831401934 | The Vision Center of West Phoenix | Optometrist | 9515 W Camelback Rd, Suite 110, Phoenix, AZ 85037-1355 | 2010-07-06 |
| 1598097388 | Auc Investor's Group, LLC. | Clinic/Center | 9515 W Camelback Rd, Suite 136, Phoenix, AZ 85037-1355 | 2010-02-04 |
| 1194059931 | Kids Dental, P.C. | Dentist | 9515 W Camelback Rd, #140, Phoenix, AZ 85037-1355 | 2009-09-28 |
| 1174767834 | Digestive Healthcare Associates, LLC | Internal Medicine | 9515 W Camelback Rd, Suite 102, Phoenix, AZ 85037-1355 | 2009-04-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969828 | Live Well Assisted Living LLC | Psychiatric Residential Treatment Facility | 9210 W Loow Bend Lane, Phoenix, AZ 85037 | 2020-07-10 |
| 1770126260 | Medical Management Systems, Inc. | Assisted Living Facility | 2209 N. Rascon Loop, Phoenix, AZ 85037 | 2019-10-28 |
| 1346800760 | Sonoran Sky Family Dentistry | Dentist | 9515 West Camelback Road, Suite #120, Phoenix, AZ 85037 | 2019-06-18 |
| 1578025136 | Jennifer Natasha Kunz | Nurse Practitioner | Cleanslate, 8410 W. Thomas Rd, Phoenix, AZ 85037 | 2019-04-03 |
| 1740751320 | Mariposa Phoenix Al Partners, Lp | Assisted Living Facility | 3100 N 91st Avenue, Phoenix, AZ 85037 | 2018-12-08 |
| 1417442799 | Prop Anesthesia LLC | Nurse Anesthetist, Certified Registered | 9250 W Thomas Rd Ste 220, Phoenix, AZ 85037 | 2018-06-28 |
| 1922522242 | Tree of Life Mental Health Systems, LLC | Behavior Technician | 8400 W. Virginia, #1138, Phoenix, AZ 85037 | 2017-07-28 |
| 1720500465 | Moc Phoenix, LLC | Assisted Living Facility | 3000 N. 91st Avenue, Phoenix, AZ 85037 | 2017-07-14 |
| 1407385826 | Not Alone Home Care, LLC | In Home Supportive Care | 9422 W Palm Lane, Phoenix, AZ 85037 | 2017-06-08 |
| 1063953081 | Karla Soward | Radiologic Technologist | 2015 N Rascon Loop, Phoenix, AZ 85037 | 2017-03-09 |
| Find all providers in zip 85037 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819230 | Care On Pllc | Nurse Practitioner | 7171 S 51 Ave, Phoenix, AZ 85339-2923 | 2020-07-23 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1710522024 | Kelsey Conrad | Nurse Practitioner | 1 E Lexington Ave Unit 1602, Phoenix, AZ 85012-4203 | 2019-11-11 |
| 1124662408 | Rayiom Health and Wellness, Inc | Nurse Practitioner | 11225 N 28th Dr Ste A102-22, Phoenix, AZ 85029-5606 | 2019-10-30 |
| 1699259580 | Keith Dibenedetto | Nurse Practitioner | 2617 Stockton Rd, Phoenix, MD 21131-1117 | 2018-09-18 |
| 1467975698 | Samantha June Collett | Nurse Practitioner | 3201 W Peoria Ave Ste 804, Phoenix, AZ 85029 | 2017-07-19 |
| 1598135741 | Sandra Shearer | Nurse Practitioner | 513 W Lavitt Ln, Phoenix, AZ 85086-6346 | 2015-09-30 |
| 1023499860 | Kelly Lynn Schultz | Nurse Practitioner | 3944 E Hillery Dr, Phoenix, AZ 85032-5245 | 2015-06-17 |
| 1609298900 | Lorna Ann Hill | Nurse Practitioner | 13224 N 31st Pl, Phoenix, AZ 85032-6041 | 2014-01-06 |
| 1801217765 | Trifit Pain Management LLC | Nurse Practitioner | 505 E Camelback Rd, Phoenix, AZ 85012-1615 | 2013-12-19 |
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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.