REBEKAH ELLEN CHARRY


Address: 115 Calle Portal Ste 700, Sierra Vista, AZ 85635-2950
Phone: 5204590203

REBEKAH ELLEN CHARRY (NPI# 1821650201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821650201
Entity Type Individual
Full Name REBEKAH ELLEN CHARRY
Credential PNP
Practice Address 115 Calle Portal Ste 700
Sierra Vista
AZ 85635-2950
Mailing Address 1205 N F Ave
Douglas
AZ 85607-1920
Practice Telephone 5204590203
Practice Fax Number 5203644261
Mailing Telephone 5203646852
Mailing Fax Number 5203644261
Enumeration Date 2019-07-05
Last Update Date 2020-06-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
227489 AZ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 115 CALLE PORTAL STE 700
City SIERRA VISTA
State AZ
Zip Code 85635-2950

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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033763958 Alexandra Deanna Zak Nurse Practitioner 155 Calle Portal Ste 700, Sierra Vista, AZ 85635-2973 2019-07-29
1033777560 Kelly Edmonds Barrington Nurse Practitioner 155 Calle Portal Ste 700, Sierra Vista, AZ 85635-2973 2019-05-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1558961425 Christian Reese Newsom Nurse Practitioner 6980 E Sahuaro Dr Apt 1085, Scottsdale, AZ 85254-5295 2020-10-29
1083258354 Stephenie Ann Lechuga Nurse Practitioner 3415 W Glendale Ave Ste 32a, Phoenix, AZ 85051-8485 2019-10-30
1326606146 Mollie Finn Nurse Practitioner 2356 N Emerald Lake Ct, Tucson, AZ 85749-7925 2019-06-05
1134698160 Kayla Rose Percy Nurse Practitioner 1205 N F Ave, Douglas, AZ 85607-1920 2018-11-20
1063987683 Katherine Anne Bassler Nurse Practitioner 5375 E Erickson Dr Ste 103, Tucson, AZ 85712-2838 2018-10-10
1134613607 Brittany Kunz Nurse Practitioner 2456 E Fairview Cir, Mesa, AZ 85204-5421 2018-06-19
1124526884 Kidnurse, LLC Nurse Practitioner 1550 S Alma School Rd Ste 275, Mesa, AZ 85210-2107 2018-01-29
1407354244 Mariah Karyn White Nurse Practitioner 13065 W Mcdowell Rd Ste C130, Avondale, AZ 85392-6448 2018-01-26
1750890075 West Valley Pediatrics Nurse Practitioner 10750 West Mcdowell Rd, Suite G700, Avondale, AZ 85392 2017-09-29
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Competitor

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City SIERRA VISTA
Zip Code 85635

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Dataset Information

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.

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