SHEILA DIANE CRENSHAW (NPI# 1770668931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770668931 |
| Entity Type | Individual |
| Full Name | SHEILA DIANE CRENSHAW |
| Credential | NP |
| Practice Address |
8802 N 61st Ave Glendale AZ 85302-4521 |
| Mailing Address |
Po Box 5860 Mesa AZ 85211-5860 |
| Practice Telephone | 6239341991 |
| Practice Fax Number | 4807333031 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN034205 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8802 N 61ST AVE |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85302-4521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144318775 | Frederick Chapman Green Jr. | Psychiatry & Neurology | 8802 N 61st Ave, Glendale, AZ 85302-4521 | 2006-10-10 |
| 1023107372 | A New Leaf, Inc. | Voluntary or Charitable | 8802 N 61st Ave, Glendale, AZ 85302-4521 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736190 | Tyler Davis LLC | Psychologist | 8607 N 59th Ave Suite C-6, Glendale, AZ 85302 | 2020-10-05 |
| 1679098420 | Sidney M Kingery | Physical Therapist | 5810 W Peoria Ave, Glendale, AZ 85302 | 2017-08-12 |
| 1255877825 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 5651 W. Harmont Dr, Glendale, AZ 85302 | 2017-01-06 |
| 1346696382 | Megan Mari Byrne | Chiropractor | 8425 N 61st Dr., Glendale, AZ 85302 | 2016-05-09 |
| 1558742007 | Farzan Mojgani | Dentist | 5929 W. Peoria Ave. Suite 101, Glendale, AZ 85302 | 2015-06-10 |
| 1255757308 | Glendale Modern Dentistry, LLP | Dentist | 5143 West Olive Ave, Suite 140, Glendale, AZ 85302 | 2014-03-13 |
| 1518391341 | Crystal Nicole-marie Whitman | Physical Therapy Assistant | 5411 W. Cinnabar Ave., Glendale, AZ 85302 | 2013-08-28 |
| 1013349570 | A New Leaf | Clinic/Center | 8581 N 61st Ave, Building A, Suite 101-102, Glendale, AZ 85302 | 2013-08-06 |
| 1255602439 | Alicia S Fennemore | Specialist/Technologist | 352 E. Camelback Rd., Suite 102, Phoenix, AZ 85302 | 2012-01-20 |
| 1639306731 | Total Medical Care, LLC | Clinic/Center | 5048 W. Northern Avenue, Suite 105, Glendale, AZ 85302 | 2009-06-16 |
| Find all providers in zip 85302 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033724737 | Stephanie Janice Blanks | Nurse Practitioner | 500 N Central Ave Ste 900, Glendale, CA 91203-3346 | 2020-09-10 |
| 1992341234 | Kiran Latif | Nurse Practitioner | 1133 Justin Ave Apt 210, Glendale, CA 91201-1825 | 2019-11-21 |
| 1225597727 | Sara Dyane Diaz- Ingram | Nurse Practitioner | 6702 W Bethany Home Rd Ste 14, Glendale, AZ 85303-4402 | 2019-03-14 |
| 1184198442 | Vitality Medical Center Inc | Nurse Practitioner | 1648 W Glenoaks Blvd # 101, Glendale, CA 91201-1827 | 2019-01-18 |
| 1952870628 | Svetlana Serebryanaya | Nurse Practitioner | 6007 W Potter Dr, Glendale, AZ 85308-6731 | 2018-11-24 |
| 1548765225 | Noralie Pizarro Raudszus | Nurse Practitioner | 1505 Wilson Ter Ste 155, Glendale, CA 91206-4032 | 2018-03-26 |
| 1255836904 | Shakeh Haghnazarian | Nurse Practitioner | 1163 Winchester Ave Apt 6, Glendale, CA 91201-1828 | 2018-03-26 |
| 1093261448 | Marina Podlubnaya | Nurse Practitioner | 230 N Maryland Ave Ste 209, Glendale, CA 91206-4282 | 2016-08-26 |
| 1760819866 | Desiree Maducdoc | Nurse Practitioner | 1137 N Central Ave Apt 1524, Glendale, CA 91202-3683 | 2013-10-03 |
| 1578874350 | Silver Continence Care Ca, Nursing PC | Nurse Practitioner | 1010 N Central Ave, Glendale, CA 91202-2937 | 2010-06-28 |
| Find all providers in GLENDALE | ||||
Please comment or provide details below to improve the information on SHEILA DIANE CRENSHAW.
| 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.