ELISABETH MANCHA (NPI# 1760838684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760838684 |
| Entity Type | Individual |
| Full Name | ELISABETH MANCHA |
| Credential | N.P. |
| Practice Address |
1331 N 7th St Suite 400 Phoenix AZ 85006-2754 |
| Practice Telephone | 6022776181 |
| Mailing Telephone | 6022776181 |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-05-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP8660 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1331 N 7TH ST SUITE 400 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-2754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396748851 | Kevin S. Ladin | Physical Medicine & Rehabilitation | 1331 N 7th St, Ste 360, Phoenix, AZ 85006-2772 | 2005-05-27 |
| 1811423262 | Heather Anne Fett | Nurse Practitioner | 1331 N 7th St, Suite 405, Phoenix, AZ 85006-2754 | 2017-05-04 |
| 1255792354 | Sophia Y Weis | Nurse Practitioner | 1331 N 7th St, Ste 275, Phoenix, AZ 85006-2754 | 2016-03-16 |
| 1427432939 | Kim E Krmpotic | Clinical Nurse Specialist | 1331 N 7th St, Suite 375, Phoenix, AZ 85006-2754 | 2015-07-14 |
| 1588041156 | Barbara Marie Wysocki | Registered Nurse | 1331 N 7th St, Phoenix, AZ 85006-2754 | 2015-05-02 |
| 1285039891 | Jessica Vo | Physician Assistant | 1331 N 7th St, Suite 275, Phoenix, AZ 85006-2754 | 2014-10-24 |
| 1447692793 | Dejana Grk | Optometrist | 1331 N 7th St, Phoenix, AZ 85006 | 2013-07-26 |
| 1922359637 | Smi Imaging, LLC | Radiology | 1331 N 7th St, Suite 150, Phoenix, AZ 85006-2754 | 2012-09-21 |
| 1649581620 | Claire Julia Kelley | Nurse Practitioner | 1331 N 7th St, Suite 375, Phoenix, AZ 85006-2707 | 2010-06-24 |
| 1811120827 | Advanced Heart and Vascular Institude | Internal Medicine | 1331 N 7th St, 190, Phoenix, AZ 85006-2754 | 2009-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890969 | Kristen Cox | Nurse Practitioner | 35714 N 34th Ln, Phoenix, AZ 85086-2264 | 2020-10-28 |
| 1760097570 | Justin Thomas Partlow | Nurse Practitioner | 3124 E Bloomfield Rd, Phoenix, AZ 85032-7109 | 2020-09-09 |
| 1295352334 | Adrian Emil Stamp | Nurse Practitioner | 12641 N 19th St, Phoenix, AZ 85022-5735 | 2020-07-04 |
| 1093332082 | Marissa Katherine Chase | Nurse Practitioner | 340 E Palm Ln # A175, Phoenix, AZ 85004-4603 | 2020-06-25 |
| 1033739081 | Anthony Populo | Nurse Practitioner | 1700 W Whitton Ave, Phoenix, AZ 85015-5533 | 2020-04-20 |
| 1710446786 | Rosa Maria Ruiz | Nurse Practitioner | 10317 W Campbell Ave, Phoenix, AZ 85037-5530 | 2019-03-18 |
| 1205394947 | Maryann Smith | Nurse Practitioner | 2327 W Dewdrop Trl, Phoenix, AZ 85085-0719 | 2019-03-12 |
| 1952868309 | Emily B Cova | Nurse Practitioner | 1331 N 7th St Ste 405, Phoenix, AZ 85006-2754 | 2019-02-21 |
| 1376027144 | Ejiro Ojameruaye | Nurse Practitioner | 19636 N 27th Ave Ste 202, Phoenix, AZ 85027-4018 | 2018-09-18 |
| 1538646161 | Joshua Alexander Luke Hindman | Nurse Practitioner | 1833 W Mission Ln, Phoenix, AZ 85021-2947 | 2018-07-26 |
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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.