ELENA NICKOLAEVNA KLIMOVA (NPI# 1790346443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790346443 |
| Entity Type | Individual |
| Full Name | ELENA NICKOLAEVNA KLIMOVA |
| Other Name | ELENA JOHNSON |
| Credential | NP |
| Practice Address |
2218 E Wahalla Ln Phoenix AZ 85024-1231 |
| Practice Telephone | 4807739035 |
| Mailing Telephone | 4807739035 |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-06-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
226877 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2218 E WAHALLA LN |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85024-1231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740701960 | Milena Jovanovic | Assisted Living Facility | 20652 N. 16th Way, Phoenix, AZ 85024 | 2017-06-28 |
| 1326592825 | Lifestream Complete Senior Living At Northeast Phoenix, Inc. | Skilled Nursing Facility | 20802 N. Cave Creek Road, Building 86, Phoenix, AZ 85024 | 2016-08-12 |
| 1174926034 | Audrey Gale | Physician Assistant | 19401 N Cave Creek Rd Ste 18, Phoenix, AZ 85024 | 2014-10-06 |
| 1760891972 | Automotive Personnel Network LLC | Case Management | 20827 N Cave Creek Road, Suite103, Phoenix, AZ 85024 | 2014-08-13 |
| 1437571551 | Topical Solutions Pharmacy | Pharmacy | 20622 N Cave Creek Rd Ste C-121, Phoenix, AZ 85024 | 2014-01-08 |
| 1720319494 | Brooke Joanne Adams | Pharmacist | 20441 N 10th St, Phoenix, AZ 85024 | 2010-01-20 |
| 1558596437 | Accurate Care Chiropractic & Acupuncture PC | Chiropractor | 20235 N Cave Creek Road, Suite 110, Phoenix, AZ 85024 | 2009-05-21 |
| 1144348111 | Adam's House Inc | Home Health | 20625 N 8th St, Phoenix, AZ 85024 | 2007-03-27 |
| 1518085828 | Marisa Rubio Ellis | Dentist | 822 East Union Hills Dr, Ste D6, Phoenix, AZ 85024 | 2007-03-26 |
| 1891888483 | Lc Global Company Incorporated | Durable Medical Equipment & Medical Supplies | 20021 N. Cavecreek Rd, Unit#7, Phoenix, AZ 85024 | 2006-10-02 |
| Find all providers in zip 85024 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831713148 | Alexis Petra Md | Nurse Practitioner | 21835 N 51st St, Phoenix, AZ 85054-7140 | 2020-06-02 |
| 1326675166 | Kendrick Wright | Nurse Practitioner | 2727 E Camelback Rd Apt 525, Phoenix, AZ 85016-4481 | 2020-03-23 |
| 1518591510 | Laura Larson | Nurse Practitioner | 1929 W Fillmore St Bldg C, Phoenix, AZ 85009-3812 | 2020-02-27 |
| 1538709415 | Bertha Nambuye Mbatau | Nurse Practitioner | 2332 W Calle Marita, Phoenix, AZ 85085-7064 | 2020-01-08 |
| 1306341748 | Kerry L Oliver | Nurse Practitioner | 12010 S Warner Elliot Loop Ste 1, Phoenix, AZ 85044-2731 | 2018-03-28 |
| 1891294583 | Helena Taboy | Nurse Practitioner | 34975 N North Valley Pkwy Ste 138, Phoenix, AZ 85086-4030 | 2018-02-07 |
| 1528431152 | Judith Harmon | Nurse Practitioner | 12413 N 41st Pl, Phoenix, AZ 85032-7439 | 2015-11-04 |
| 1669865408 | Sj Medical Group | Nurse Practitioner | 4622 N 35th Ave, Phoenix, AZ 85017-3403 | 2015-03-17 |
| 1386032753 | Abcore Medical Group | Nurse Practitioner | 2023 W Bethany Home Rd, Phoenix, AZ 85015-2444 | 2015-01-07 |
| 1275885030 | Nancy Louise Brewer | Nurse Practitioner | 3800 E Sky Harbor Blvd Fl T4, Phoenix, AZ 85034 | 2012-10-03 |
| 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.