DOVE MARIE GUNDERMANN (NPI# 1871102350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871102350 |
Entity Type | Individual |
Full Name | DOVE MARIE GUNDERMANN |
Practice Address |
300 W. Gurley St Prescott AZ 86301 |
Mailing Address |
5125 E Sapphire Dr Prescott AZ 86301-5906 |
Practice Telephone | 9284455400 |
Mailing Telephone | 9282775463 |
Enumeration Date | 2020-07-30 |
Last Update Date | 2020-07-30 |
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 |
SLPA12274 | AZ | Speech, Language and Hearing Service Providers |
Street Address |
300 W. GURLEY ST |
City | PRESCOTT |
State | AZ |
Zip Code | 86301 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
1538714092 | Prescott Complete Care | Family Medicine | 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 | 2019-08-01 |
1336612571 | Sarah Elizabeth Elliott | Registered Nurse | 500 Az 89, Prescott, AZ 86301 | 2019-01-10 |
1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
1396241394 | Jerome Alexander Longoria | Chiropractor | 142 N. Rush St, Prescott, AZ 86301 | 2018-03-30 |
1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
1164896999 | Spitler - Lilley, LLC | Hearing Instrument Specialist | 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 | 2015-11-17 |
1275925265 | Oral and Facial Surgery Center of Prescott | Dentist | 5415 Distiction Way, Prescott, AZ 86301 | 2015-02-27 |
1841680121 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3911 Hwy 69, Prescott, AZ 86301 | 2015-01-26 |
Find all providers in zip 86301 |
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 |
---|---|---|---|---|
1548829625 | Alexandra K Shelton | Specialist/Technologist | 1736 Juliana St, Prescott, AZ 86301-7442 | 2019-06-11 |
1740897651 | Lindsey Kate Adams | Specialist/Technologist | 812 Valley St, Prescott, AZ 86305-1826 | 2020-09-24 |
1033771548 | Rachel Johnson | Specialist/Technologist | 812 Valley St, Prescott, AZ 86305-1826 | 2019-07-03 |
1134608417 | Karyn Marie Bee | Specialist/Technologist | 812 Valley St, Prescott, AZ 86305-1826 | 2018-08-08 |
1992213706 | Shelby Rae Welch | Specialist/Technologist | 812 Valley St, Prescott, AZ 86305-1826 | 2018-01-15 |
1952820664 | Kendall Soheir Lohman | Specialist/Technologist | 812 Valley St, Prescott, AZ 86305-1826 | 2017-09-13 |
1841715109 | Heather Anne Donovan | Specialist/Technologist | 812 Valley St, Prescott, AZ 86305-1826 | 2017-08-08 |
1457790917 | Courtney Anne Brimm | Specialist/Technologist | 812 Valley St, Prescott, AZ 86305-1826 | 2013-06-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114528379 | Sienna Vidana | Specialist/Technologist | 1201 W Courtney Ln, Tempe, AZ 85284-5131 | 2020-11-04 |
1386244234 | Aileen Green | Specialist/Technologist | Camp Verde Elementary, 200 Camp Lincoln Rd, Camp Verde, AZ 86322 | 2020-10-29 |
1205434206 | Ambrielle Grace Begay | Specialist/Technologist | 48 Turquoise Drive, Tuba City, AZ 86045 | 2020-10-12 |
1124625447 | Victoria Washburn | Specialist/Technologist | 235 S Langley Ave, Tucson, AZ 85710-1037 | 2020-10-09 |
1720685241 | Paige Marie Walberg | Specialist/Technologist | 16629 N Greasewood St Apt 139, Surprise, AZ 85378-3686 | 2020-10-07 |
1356948970 | Kaylee M Peterson | Specialist/Technologist | 4150 E Winged Foot Pl, Chandler, AZ 85249-7279 | 2020-10-06 |
1134726037 | Rebecca Breanne Wilson | Specialist/Technologist | 1111 S Grenoble, Mesa, AZ 85208-7520 | 2020-10-04 |
1477160893 | Suzanne L Atkinson | Specialist/Technologist | 12120 W Briles Rd, Peoria, AZ 85383-5823 | 2020-09-29 |
1013524479 | Allison Herzog | Specialist/Technologist | 26140 N Wrangler Rd, Scottsdale, AZ 85255-1469 | 2020-09-29 |
1538776307 | Lindsay Martin | Specialist/Technologist | 195 W Juanita Ave, Gilbert, AZ 85233-2710 | 2020-09-25 |
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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.