CAROL ANN BURGESS (NPI# 1851601603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851601603 |
| Entity Type | Individual |
| Full Name | CAROL ANN BURGESS |
| Credential | RN |
| Practice Address |
167 North Main St Tuba City AZ 86045 |
| Mailing Address |
Po Box 1230 Tuba City AZ 86045-1230 |
| Practice Telephone | 9282832501 |
| Mailing Telephone | 9282255732 |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2010-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA2000X |
Registered Nurse Specialization: Administrator |
134234-030 | WI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871746206 | Carol Anne Burgess | Nurse Anesthetist, Certified Registered | 4216 King St, Alexandria, VA 22302 | 2008-10-29 |
| 1548256779 | Carol J Burgess | Internal Medicine | 1444 Western Ave, Suite B -1, Albany, NY 12203-3440 | 2005-09-22 |
| Street Address |
167 NORTH MAIN ST |
| City | TUBA CITY |
| State | AZ |
| Zip Code | 86045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679611743 | Susan Elizabeth Reily | Pulmonary Function Technologist | 167 North Main St, Tuba City, AZ 86045 | 2007-02-02 |
| 1750849832 | Robert Jay Anderson | Pharmacist | 167 North Main St, Tuba City, AZ 86045 | 2019-03-07 |
| 1811413156 | Hoang Nguyen Ha | Pharmacist | 167 North Main St, Tuba City, AZ 86045 | 2017-08-18 |
| 1548796667 | Kahsu Desta | Pharmacist | 167 North Main St, Tuba City, AZ 86045 | 2017-05-10 |
| 1013458082 | Rodney Smith | Respiratory Therapist, Registered | 167 North Main St, Tuba City, AZ 86045 | 2017-03-10 |
| 1184167157 | Brittany Louise Baker | Physician Assistant | 167 North Main St, Tuba City, AZ 86045 | 2016-11-23 |
| 1477822385 | Cornelia E Begay | Dental Hygienist | 167 North Main St, Tuba City, AZ 86045 | 2011-12-21 |
| 1871862854 | Gillian Ann Stoker | Pharmacist | 167 North Main St, Tuba City, AZ 86045-0600 | 2011-12-21 |
| 1568731560 | Cindy Jo Wilson | Nurse's Aide | 167 North Main St, Tuba City, AZ 86045 | 2011-12-20 |
| 1104103043 | Stacey Lynn Frey | Registered Nurse | 167 North Main St, Tuba City, AZ 86045 | 2011-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434206 | Ambrielle Grace Begay | Specialist/Technologist | 48 Turquoise Drive, Tuba City, AZ 86045 | 2020-10-12 |
| 1063028124 | Fresenius Medical Care Tuba City, LLC | Clinic/Center | 50 S. Main Street, Ste 108, Tuba City, AZ 86045 | 2020-09-23 |
| 1609422484 | Rebekah Lee | Pharmacist | 167 North Main St. Tuba City Regional Health Care Corp., Tuba City, AZ 86045 | 2019-08-16 |
| 1861977050 | Kyle C Nguyen | Pharmacist | 3008 E. Birch Ave, Tuba City, AZ 86045 | 2018-10-03 |
| 1518419845 | John Glenn Ives | Pharmacist | 167 N, Main St, Tuba City, AZ 86045 | 2016-11-03 |
| 1497208433 | Toweringrock Non-emergency Medical Transport, LLC | Non-emergency Medical Transport (VAN) | 1029 E. Tc North Side Trailer, 36.153821-111.233925, Tuba City, AZ 86045 | 2016-07-26 |
| 1699153270 | Hopi Assisted Living Facility Inc. | Point of Service | 21 Senior Lane Upper Hud Housing Moenkopi, Hopi Assisted Living, Tuba City, AZ 86045 | 2015-05-14 |
| 1306223870 | Mia Seimy | Driver | Adair Avenue Space #5, Tuba City, AZ 86045 | 2015-05-04 |
| 1033507587 | Tari Carroll | Home Health Aide | Tumbleweed Drive Nha E-3, Tuba City, AZ 86045 | 2015-01-07 |
| 1023452984 | Amanda Bancroft Burrage | Pediatrics | 167 Main St., Tuba City, AZ 86045 | 2013-04-23 |
| Find all providers in zip 86045 | ||||
| Taxonomy Code | 163WA2000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Administrator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669773099 | Alvina Rosales | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045 | 2010-11-17 |
| 1871894097 | Timothy Paul Newland | Registered Nurse | 167 North Main St, Tuba City, AZ 86045 | 2010-11-04 |
| 1942501176 | William Scott Dey | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2010-11-04 |
| 1205137411 | Merrildine Loy Tarango | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2010-11-04 |
| 1760783971 | Dianne Lou Torrez | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2010-11-04 |
| 1497939631 | Hope Carolyn West | Registered Nurse | 167 N Main St, Tuba City, AZ 86045-0600 | 2007-12-24 |
| 1538356183 | Dollie Ann Luna | Registered Nurse | 167 North Main St., Tuba City, AZ 86045-0600 | 2007-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932672086 | Donka Dyer-abougou | Registered Nurse | 10950 E Fourwing Pl, Tucson, AZ 85748-3552 | 2019-01-10 |
| 1043796360 | Mckenzie Buck-friis | Registered Nurse | 1750 E Riggs Rd, Gilbert, AZ 85298-0144 | 2018-07-19 |
| 1811419534 | Cheryl Brooks | Registered Nurse | 12033 W. Agency Ave, Parker, AZ 85344 | 2017-07-14 |
| 1700253994 | Stephanie Brigham | Registered Nurse | 3011 W Cheyenne Dr, Laveen, AZ 85339-1747 | 2015-08-24 |
| 1972979508 | Julia Monroe | Registered Nurse | Hwy 163, Bldg Ka-2010, Kayenta, AZ 86033-0368 | 2015-08-18 |
| 1003237694 | Stephanie Jenkins | Registered Nurse | 14202 W Mauna Loa Ln, Surprise, AZ 85379-8669 | 2013-12-26 |
| 1396951901 | Lisa Ann Feddersen | Registered Nurse | 1450 S Dobson Rd Ste B324, Mesa, AZ 85202-4712 | 2007-05-14 |
| 1598785081 | Canyon Health Care Services,inc. | Registered Nurse | 932 N Camino Seco, Tucson, AZ 85710-1708 | 2006-07-20 |
| 1205470598 | Danyashae Martinez | Registered Nurse | 11225 N 28th Dr Ste A102-22, Phoenix, AZ 85029-5606 | 2019-10-30 |
| 1255858072 | Orchid M Lopez | Registered Nurse | 4502 N Central Ave, Phoenix, AZ 85012-1817 | 2017-08-23 |
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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.