MR. KIRK KOYAMA (NPI# 1770603979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770603979 |
| Entity Type | Individual |
| Full Name | MR. KIRK KOYAMA |
| Credential | RN, PHN, MSN, CNS |
| Practice Address |
Hwy 191, Hospital Dr. Chinle AZ 86503-0220 |
| Mailing Address |
Po Box 220 Chinle AZ 86503-0220 |
| Practice Telephone | 9286747184 |
| Mailing Telephone | 9286747184 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 163WC1500X |
Registered Nurse Specialization: Community Health |
511644 | CA | Nursing Service Providers |
| X | 364SC1501X |
Clinical Nurse Specialist Specialization: Community Health/Public Health |
2218 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
HWY 191, HOSPITAL DR. |
| City | CHINLE |
| State | AZ |
| Zip Code | 86503-0220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042461 | Jonathan Lam | Optometrist | Us 191 & Hospital Dr., Chinle, AZ 86503 | 2020-04-16 |
| 1154950004 | David Gibrael | Pharmacist | Us 191 Hospital Drive, Chinle, AZ 86503 | 2020-04-03 |
| 1366076739 | Calli Jo Swenson | Pharmacist | Us 191 & Hospital Drive, Chinle, AZ 86503 | 2020-02-25 |
| 1336770338 | Quan The Truong | Pharmacist | Us Hway 191 & Hospital Road, Po Drawer Ph, Chinle, AZ 86503 | 2020-01-29 |
| 1275172264 | Alexandra Guthart | Pharmacist | Us 191 and Hospital Dr, Chinle, AZ 86503 | 2019-12-23 |
| 1811530819 | Brian Spencer | Dentist | U.S. 191 and Hospital Drive, Chinle, AZ 86503 | 2019-10-22 |
| 1881249084 | Natasha Renee Bitsui | Community Health Worker | Navajo Rte 7 and 102-1, C012-118, Chinle, AZ 86503 | 2019-08-05 |
| 1871063628 | Zachary Holtkamp | Physical Therapist | Off Highway 191, Hospital Rd, Chinle, AZ 86503 | 2018-12-04 |
| 1841774296 | Tanieca Marie Downing | Dietitian, Registered | U.S. 191 & Hospital Drive, Chinle, AZ 86503 | 2018-09-21 |
| 1417430331 | Virginia Lois Woollens | Dietitian, Registered | Chinle Comprehensive Healthcare Facility, Us 191, Chinle, AZ 86503 | 2018-09-07 |
| Find all providers in zip 86503 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932301058 | Karen B Thomas | Registered Nurse | Highway 191, Chinle, AZ 86503 | 2007-06-01 |
| 1730381963 | Christine Delmas | Registered Nurse | 2011 Barboncito Ave, Chinle, AZ 86503 | 2007-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720614134 | Rochelle Williams | Registered Nurse | 11454 E Quintana Ave, Mesa, AZ 85212-4103 | 2020-03-17 |
| 1184257537 | Frances Morris | Registered Nurse | 308 Hermosa Dr, Holbrook, AZ 86025-2031 | 2020-02-13 |
| 1902456833 | Marleah Olsen | Registered Nurse | 102 Medicine Way Rd., Peridot, AZ 85542-8554 | 2019-09-12 |
| 1841854932 | Lynn Stafford | Registered Nurse | 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-04-24 |
| 1598227340 | Jane Ramenofsky Ramenofsky Stewart | Registered Nurse | 4041 So. Mcclintock Suite 302, Tempe, AZ 85282 | 2019-04-02 |
| 1588124093 | Jennifer Hanes | Registered Nurse | 828 N Slater, Mesa, AZ 85205-5862 | 2019-03-21 |
| 1588129902 | Mary K Wheeler Mcfarland | Registered Nurse | Adobe Care and Wellness LLC, Address Is 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-02-11 |
| 1275987794 | Jane Collins | Registered Nurse | 8500 E.jackrabbit Rd, Scottsdale, AZ 85250 | 2016-04-21 |
| 1831500073 | Suzanne Gould | Registered Nurse | 4891 E Grant Rd, Tucson, AZ 85712-2704 | 2014-05-09 |
| 1356768493 | Melody Dawn Austin | Registered Nurse | 8510 W Deer Valley Rd Ste 100, Peoria, AZ 85382-5386 | 2014-03-26 |
| Find all providers with the same taxonomy | ||||
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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.