MS. DEBORAH ROSE DICICCO (NPI# 1770558272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770558272 |
| Entity Type | Individual |
| Full Name | MS. DEBORAH ROSE DICICCO |
| Credential | FNP |
| Practice Address |
3141 N 3rd Ave Suite 100 Phoenix AZ 85013-4351 |
| Mailing Address |
34 W Cambridge Ave Phoenix AZ 85003-1003 |
| Practice Telephone | 6027457953 |
| Practice Fax Number | 6027457949 |
| Mailing Telephone | 6025710040 |
| Mailing Fax Number | 6027457949 |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP1474 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3141 N 3RD AVE SUITE 100 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85013-4351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922006261 | Brenda Lue Sipes | Pediatrics | 3141 N 3rd Ave, Phoenix, AZ 85013-4360 | 2005-07-11 |
| 1609414481 | Emily Wirdzek | Physical Therapist | 3141 N 3rd Ave, Phoenix, AZ 85013-4360 | 2019-12-12 |
| 1235793118 | Harlyn V. Chacon | Social Worker | 3141 N 3rd Ave, Phoenix, AZ 85013-4360 | 2019-04-26 |
| 1942794920 | Nicholas Andrew Tanner | Psychologist | 3141 N 3rd Ave, Phoenix, AZ 85013 | 2018-06-21 |
| 1225520760 | Olga Elena Fernandez-pereyra | Speech-Language Pathologist | 3141 N 3rd Ave, Phoenix, AZ 85013-4360 | 2018-05-31 |
| 1013427517 | Dominica Wilhemina Dieffenbach | Dietitian, Registered | 3141 N 3rd Ave, Phoenix, AZ 85013-4360 | 2017-10-10 |
| 1457860694 | Jennifer Lee Jaeckel | Social Worker | 3141 N 3rd Ave, Phoenix, AZ 85013-4360 | 2017-09-20 |
| 1518413012 | Margarita Romero | Dietitian, Registered | 3141 N 3rd Ave, Phoenix, AZ 85013-4360 | 2016-08-25 |
| 1871945097 | Courtney L. Ginter | Physical Therapist | 3141 N 3rd Ave, Phoenix, AZ 85013-4360 | 2016-07-12 |
| 1013362326 | Lauren M Zimmerman | Speech-Language Pathologist | 3141 N 3rd Ave, Phoenix, AZ 85013 | 2016-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833700 | Marco Antonio Valdez Espinoza | Student in an Organized Health Care Education/Training Program | 500 W. Thomas Road, Suite 900 A, Phoenix, AZ 85013 | 2020-05-28 |
| 1518588292 | Santiago Garcia Ortiz | Student in an Organized Health Care Education/Training Program | 350w Thomas Rd St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013 | 2020-05-04 |
| 1356811970 | Lynne Shaunte Coleman | Nurse Practitioner | 3633 N 3rd Ave 2019, Phoenix, AZ 85013 | 2018-11-26 |
| 1467949156 | Solterra 3rd Indian School Operations, LLC | Assisted Living Facility | 4000 N 3rd Avenue, Phoenix, AZ 85013 | 2018-04-18 |
| 1083018345 | Romelda Antonio | Nurse Practitioner | 222 W Thomas Rd Ste 212, Phoenix, AZ 85013 | 2014-10-15 |
| 1760890131 | Emmitt Michael Thompson | General Practice | 822 West Earll Drive, Phoenix, AZ 85013 | 2014-07-29 |
| 1902218480 | Sreeja Biswas Roy | Internal Medicine | 350 W Thomas Road, Phoenix, AZ 85013 | 2014-06-02 |
| 1417381120 | Osama Qasim Agha | Internal Medicine | 350 W. Thomas Road, Suite 900a, Phoenix, AZ 85013 | 2013-08-29 |
| 1245679604 | Oculist Exceptional Eyewear Pllc | Optometrist | 5043-b N 7th Ave, Phoenix, AZ 85013 | 2013-06-19 |
| 1760829352 | Gina Wilding | Nurse Practitioner | 500 W Thomas Rd Ste 720, Phoenix, AZ 85013 | 2013-05-23 |
| Find all providers in zip 85013 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407456783 | Brenna Michelle Clements | Nurse Practitioner | 3226 W Donatello Dr, Phoenix, AZ 85086-2200 | 2020-10-27 |
| 1932712825 | Grace Wanjiru Karanja Adams | Nurse Practitioner | 200 E Thomas Rd Unit 217, Phoenix, AZ 85012-1182 | 2020-08-28 |
| 1649895574 | Jozzette Elaine Rubio | Nurse Practitioner | 1924 E Vineyard Rd, Phoenix, AZ 85042-5793 | 2020-06-16 |
| 1396360749 | Ulivvo Inc. | Nurse Practitioner | 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 | 2020-06-11 |
| 1568087955 | Christa Ann Colvin | Nurse Practitioner | 6800 E Mayo Blvd Apt 1211, Phoenix, AZ 85054-5619 | 2020-06-10 |
| 1497378541 | Sharon Uchechi Joshua | Nurse Practitioner | 9117 W Virginia Ave, Phoenix, AZ 85037-4233 | 2020-05-23 |
| 1992326102 | Ashley Elizabeth Hall | Nurse Practitioner | 15810 N 18th St, Phoenix, AZ 85022-3302 | 2020-04-28 |
| 1750916797 | Sebastian Freeman Smith | Nurse Practitioner | 2716 W Cedarwood Ln, Phoenix, AZ 85045-2224 | 2020-03-10 |
| 1295365724 | Jessica Veasy | Nurse Practitioner | 7251 N 23rd Ave, Phoenix, AZ 85021-7714 | 2020-01-23 |
| 1568092526 | Anuradha Lingamneni | Nurse Practitioner | 2313 E Dry Wood Rd, Phoenix, AZ 85024-8688 | 2020-01-18 |
| Find all providers in PHOENIX | ||||
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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.