OLIVIA CLAIRE VAN DYK (NPI# 1790201648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790201648 |
Entity Type | Individual |
Full Name | OLIVIA CLAIRE VAN DYK |
Practice Address |
2302 N 15th Ave Phoenix AZ 85007-1201 |
Practice Telephone | 6022654124 |
Practice Fax Number | 6022488843 |
Mailing Telephone | 6022654124 |
Mailing Fax Number | 6022488843 |
Enumeration Date | 2017-08-22 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
Speech, Language and Hearing Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
6027 E Danbury Rd, Scottsdale, AZ 852546445 | (480) 292-1229 |
Street Address |
2302 N 15TH AVE |
City | PHOENIX |
State | AZ |
Zip Code | 85007-1201 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376536250 | Anna Cardosa Gray | Physical Therapist | 2302 N 15th Ave, Phoenix, AZ 85007-1201 | 2005-08-25 |
1780291567 | Michelle Christine Mueller | Physical Therapist | 2302 N 15th Ave, Phoenix, AZ 85007-1201 | 2020-09-25 |
1427666528 | Justine Collado Gonzales | Occupational Therapist | 2302 N 15th Ave, Phoenix, AZ 85007-1201 | 2020-07-15 |
1043853906 | Arizona Orthopedic Physical Therapy, Pllc | Physical Medicine & Rehabilitation | 2302 N 15th Ave, Phoenix, AZ 85007-1201 | 2019-10-23 |
1225686165 | Chantal Scott | Physical Therapist | 2302 N 15th Ave, Phoenix, AZ 85007-1201 | 2019-09-03 |
1619525631 | Lisa Jennifer De Los Santos | Speech-Language Pathologist | 2302 N 15th Ave, Phoenix, AZ 85007-1201 | 2019-09-03 |
1245888254 | Lena Sarsour | Speech-Language Pathologist | 2302 N 15th Ave, Phoenix, AZ 85007-1201 | 2019-09-03 |
1609429398 | Tori Louise Bacher | Speech-Language Pathologist | 2302 N 15th Ave, Phoenix, AZ 85007-1201 | 2019-07-22 |
1124508395 | Lauryn Bates | Speech-Language Pathologist | 2302 N 15th Ave, Phoenix, AZ 85007-1201 | 2018-08-17 |
1164939435 | Pauline Munoz | Speech-Language Pathologist | 2302 N 15th Ave, Phoenix, AZ 85007-1201 | 2018-01-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861017824 | Tembre Eliza Delong | Student in an Organized Health Care Education/Training Program | 230 South 12th Ave, Phoenix, AZ 85007 | 2020-06-15 |
1841706785 | Circle The City | Clinic/Center | 206 S 12th Ave, Phoenix, AZ 85007 | 2017-12-14 |
1922559624 | Community Bridges, Inc. | Community/Behavioral Health | 1125 W Jackson St, Phoenix, AZ 85007 | 2016-10-18 |
1912358045 | Isabel Victoria Rodriguez | Speech-Language Pathologist | 2302 North 15th Avenue, Phoenix, AZ 85007 | 2016-06-30 |
1730441825 | Sara Joyce Edmund | Nurse Practitioner | 1424 S 7th Avenue, Phoenix, AZ 85007 | 2012-06-13 |
1295781771 | Ilin Chuang | Pediatrics | 150 N. 18th Ave., Suite 150, Arizona Depart. of Health Services, Phoenix, AZ 85007 | 2006-05-26 |
1518924802 | Michael James Higbee | Physician Assistant | 1201 S. 7th Avenue, Suite 150, Phoenix, AZ 85007 | 2006-04-28 |
1942278676 | David Paul Brown | Emergency Medicine | 1201 S 7 Avenue, Phoenix, AZ 85007 | 2006-03-09 |
1265409759 | Carol D Watkins | Emergency Medicine | 1201 S 7th Avenue, Phoenix, AZ 85007 | 2006-03-02 |
1982695615 | Mary Pat Nesbit | Emergency Medicine | 1201 S 7th Ave, Phoenix, AZ 85007 | 2005-11-02 |
Find all providers in zip 85007 |
Taxonomy Code | 2355S0801X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Specialist/Technologist |
Specialization | Speech-Language Assistant |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356951743 | Marlen Eilyn Murillo | Specialist/Technologist | 9150 W Indian School Rd # 150, Phoenix, AZ 85037-2384 | 2020-07-31 |
1619585411 | Risa Fly | Specialist/Technologist | 3700 N 24th St Ste 130, Phoenix, AZ 85016-6535 | 2020-07-17 |
1750916755 | Jessika Beltran Salazar | Specialist/Technologist | 7120 W Pioneer St, Phoenix, AZ 85043-7289 | 2020-03-10 |
1700419439 | Brandy Danielle Levy | Specialist/Technologist | 18242 N 5th Pl, Phoenix, AZ 85022-1012 | 2020-02-21 |
1639700115 | Sadie Merrill | Specialist/Technologist | 15201 N Central Ave, Phoenix, AZ 85022-3641 | 2020-02-03 |
1093346983 | Theresa Joan Trollinger | Specialist/Technologist | 16220 N 7th St Apt 3030, Phoenix, AZ 85022-6662 | 2020-01-29 |
1801436720 | Jordan Leigh Sonneborn | Specialist/Technologist | 1616 N Central Ave Apt 2459, Phoenix, AZ 85004-1670 | 2020-01-08 |
1790320141 | Anah Navarro | Specialist/Technologist | 5208 S 40th Pl, Phoenix, AZ 85040-3909 | 2019-11-08 |
1700427614 | Rosa Dalila Paz | Specialist/Technologist | 6454 W Blue Sky Dr, Phoenix, AZ 85083-7554 | 2019-10-02 |
1063060739 | Alondra Mata Bustillos | Specialist/Technologist | 3408 W Altadena Ave, Phoenix, AZ 85029-3228 | 2019-08-27 |
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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.