MS. TINA JEAN PALONE (NPI# 1780109710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780109710 |
| Entity Type | Individual |
| Full Name | MS. TINA JEAN PALONE |
| Practice Address |
2200 E Show Low Lake Rd Show Low AZ 85901-7831 |
| Mailing Address |
1901 W Deuce of Clubs Apt 121 Show Low AZ 85901-6945 |
| Practice Telephone | 9285328663 |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2018-12-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP10491 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 1780109710 | 05 |
| Street Address |
2200 E SHOW LOW LAKE RD |
| City | SHOW LOW |
| State | AZ |
| Zip Code | 85901-7831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427054154 | David Kies | Anesthesiology | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7881 | 2005-06-27 |
| 1568089787 | Austin Johnson | Physician Assistant | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2020-07-03 |
| 1477104552 | Summit Healthcare Association | Psychiatric Unit | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2019-09-20 |
| 1174187546 | Constance L Collman | Nurse Practitioner | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2019-04-30 |
| 1912463084 | Sophie Shizuyo Jessop | Physician Assistant | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2019-02-14 |
| 1851870919 | Mary Jane Wild Sorenson | Nurse Practitioner | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2018-08-09 |
| 1235641382 | Nicolette Broby | Nurse Practitioner | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2017-10-30 |
| 1689184616 | Chasen Kenneth Halcomb | Physician Assistant | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2017-10-04 |
| 1255859567 | Shane Mcbride Smith | Physician Assistant | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2017-09-07 |
| 1982133542 | Lisa A Young Do Pllc | Family Medicine | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2017-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811468804 | Summit Healthcare Association | Pharmacy | 4951 South White Mountain Road, Bldg A., Suite 1500, Show Low, AZ 85901 | 2018-12-17 |
| 1821446386 | Ivy L Loney | Social Worker | 580 E. Old Linden Rd #6, Show Low, AZ 85901 | 2016-05-25 |
| 1750749214 | Summit Healthcare | General Acute Care Hospital | 181 East Sylvester, Show Low, AZ 85901 | 2016-01-29 |
| 1194153916 | Alpha & Omega Physical Therapy Acc | Physical Therapist | 861 E Cooley St # B, Show Low, AZ 85901 | 2013-10-15 |
| 1033454707 | North Country Healthcare, Inc. | Family Medicine | 2600 E. Show Low Lake Rd., Show Low, AZ 85901 | 2012-12-06 |
| 1073740098 | North Country Healthcare, Inc. | Clinic/Center | 2650 E. Show Low Lake Rd, Suite 1, Show Low, AZ 85901 | 2009-06-17 |
| 1215174768 | Coast To Coast Air Ambulance, LLC | Ambulance | 3151 Airport Loop Ste 2, Show Low, AZ 85901 | 2009-01-20 |
| 1487899712 | Akdhc, LLC | Internal Medicine | 2051 Evergreen Lane, Ste D, Your Family Practice Team, Show Low, AZ 85901 | 2008-12-16 |
| 1851553192 | Health Angels Companion Care, Inc. | Technician | 1001 E. Huning, Show Low, AZ 85901 | 2008-06-27 |
| 1528231586 | Peggy Johnson | Occupational Therapist | Cusd# 24 Hwy 191, Chinle, AZ 85901 | 2008-04-10 |
| Find all providers in zip 85901 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627965 | White Mountain Mobile Care | Nurse Practitioner | 650 N Penrod Rd # 533, Show Low, AZ 85901-5284 | 2020-07-27 |
| 1972121861 | Jessica Dixon | Nurse Practitioner | 4951 S White Mountain Rd Bldg A3, Show Low, AZ 85901-7827 | 2020-07-08 |
| 1043673262 | Kelly Curiel | Nurse Practitioner | 2061 S Canyon Ridge Trl, Show Low, AZ 85901-6798 | 2016-04-04 |
| 1275962219 | Raedene Ann Hageman | Nurse Practitioner | 2621 Maple Lane, Show Low, AZ 85902-3526 | 2013-11-08 |
| 1093148991 | Brandie Dianna Griffin | Nurse Practitioner | 2500 E Hunt Dr Ste H, Show Low, AZ 85901-7954 | 2013-08-14 |
| 1780670398 | Debra L Bergstrom | Nurse Practitioner | 1500 S White Mountain Rd, Suite 401, Show Low, AZ 85901-7111 | 2005-09-20 |
| 1336705151 | Amber Luna | Nurse Practitioner | 320 E Deuce of Clubs, Show Low, AZ 85901-4808 | 2019-05-16 |
| 1598321481 | Ashley Marie Smith | Nurse Practitioner | 320 E Deuce of Clubs, Show Low, AZ 85901-4808 | 2019-05-15 |
| 1174187546 | Constance L Collman | Nurse Practitioner | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2019-04-30 |
| 1851870919 | Mary Jane Wild Sorenson | Nurse Practitioner | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2018-08-09 |
| Find all providers in SHOW LOW | ||||
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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.