RESTORATION DERMATOLOGY LOUNGE LLC (NPI# 1861091514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861091514 |
| Entity Type | Organization |
| Organization Name | RESTORATION DERMATOLOGY LOUNGE LLC |
| Practice Address |
8753 E Bell Rd Ste D101 Scottsdale AZ 85260-1307 |
| Mailing Address |
Po Box 1205 Indianapolis IN 46206-1205 |
| Practice Telephone | 4802970727 |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2020-10-23 |
| Authorized Official Name | RYAN PATTERSON (OWNER) |
| Authorized Official Telephone | 4802970727 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8753 E BELL RD STE D101 |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85260-1307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153377 | Karen Lee Williams | Counselor | 7655 Eest Redfield Rd, Suite 4, Scottsdale, AZ 85260 | 2020-10-29 |
| 1477188001 | Dr. Lynne Remson, Stuttering Specialist, LLC | Clinic/Center | 7950 E. Acoma Dr., Ste 201, Scottsdale, AZ 85260 | 2020-03-04 |
| 1861049967 | Aca Wellness Institute | Registered Nurse | 10752 N. 89th Pl, 8, Ste 203, Scottsdale, AZ 85260 | 2019-08-22 |
| 1811542814 | Haven Home Physicians LLC | Internal Medicine | 15551 N Greenway-hayden Loop, Suite 155, Scottsdale, AZ 85260 | 2019-08-06 |
| 1700431079 | Corey Allen Niles | Physical Therapist | 16413 N 91st Street #c145, Scottsdale, AZ 85260 | 2019-08-05 |
| 1578126470 | Scottsdale Pediatric Dental Associates Inc | Dentist | 9280 E Raintree, Suite 108, Scottsdale, AZ 85260 | 2019-04-16 |
| 1548747645 | Oliver Canizales Renteria | Behavior Technician | 8310 East Cactus Road, Suite # 510, Scottsdale, AZ 85260 | 2018-07-23 |
| 1518454792 | Silent Night Sleep Center Lllp | Durable Medical Equipment & Medical Supplies | 9070 E Desert Cove Ave Ste 105, Scottsdale, AZ 85260 | 2018-04-13 |
| 1669976726 | Steincare Mobile Outpatient, LLC | Occupational Therapist | 9555 E. Raintree Drive, #2057, Scottsdale, AZ 85260 | 2018-03-22 |
| 1437658416 | Megan Anne Deffenbaugh | Behavior Technician | 8130 E Cactus Rd Suite 150, Scottsdale, AZ 85260 | 2018-02-06 |
| Find all providers in zip 85260 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376150219 | Whitney Griffin | Nurse Practitioner | 2700 N Hayden Rd Apt 1093, Scottsdale, AZ 85257-1750 | 2020-09-24 |
| 1558972752 | Iva Tirres | Nurse Practitioner | 11000 N Scottsdale Rd Ste 110, Scottsdale, AZ 85254-6168 | 2020-08-11 |
| 1508482191 | Caitlyn Ann Wells | Nurse Practitioner | 34310 N 139th Pl, Scottsdale, AZ 85262-5874 | 2020-06-19 |
| 1629612890 | Alexa Rae Mckinnon | Nurse Practitioner | 5338 E Winchcomb Dr, Scottsdale, AZ 85254-2938 | 2019-10-31 |
| 1760045603 | Aaron Andrade | Nurse Practitioner | 9177 E Nittany Dr, Scottsdale, AZ 85255-5369 | 2019-04-16 |
| 1336620582 | Rebecca Ross | Nurse Practitioner | 20201 N Scottsdale Healthcare Dr Ste 280, Scottsdale, AZ 85255-4140 | 2018-08-26 |
| 1609363159 | Sherry Caforio | Nurse Practitioner | 11333 N 92nd St Unit 2005, Scottsdale, AZ 85260-6154 | 2018-04-20 |
| 1437676491 | Michelle Root | Nurse Practitioner | 15059 N Scottsdale Rd Ste 600, Scottsdale, AZ 85254-2685 | 2017-08-29 |
| 1558885830 | Polly West | Nurse Practitioner | 5010 E Monte Cristo Ave, Scottsdale, AZ 85254-1672 | 2017-07-28 |
| 1346779626 | Jillian Manng | Nurse Practitioner | 11000 N. Scottsdale Rd., #145, Scottsdale, AZ 85254 | 2017-06-08 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85260 |
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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.