MELODY J DETWILLER (NPI# 1881253284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881253284 |
| Entity Type | Individual |
| Full Name | MELODY J DETWILLER |
| Credential | LPN |
| Practice Address |
3601 S 6th Ave Bldg 802 Tucson AZ 85723-0001 |
| Mailing Address |
3601 S 6th Ave Tucson AZ 85723-8705 |
| Practice Telephone | 5297921450 |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2019-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LPO44338 | AZ | Nursing Service Providers |
| Street Address |
3601 S 6TH AVE BLDG 802 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85723-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265912380 | Daniel Martyn Altig | Social Worker | Savahcs, 3601 South 6th Ave, Tucson, AZ 85723 | 2018-08-17 |
| 1760924757 | Jose Santos Urias | Respiratory Therapist, Registered | 3601s 6th Ave, Tucson, AZ 85723 | 2016-11-08 |
| 1144461898 | Roy Alan Kolden | Respiratory Therapist, Certified | 3601 South 6th Avenue, Tucson, AZ 85723 | 2009-03-10 |
| 1861689804 | Rene Adan Nunez | Radiologic Technologist | 3601 South 6th Avenue (9-05), Tucson, AZ 85723 | 2007-10-03 |
| 1609956176 | Kenneth Ely Monroe | Internal Medicine | 3601 So 6th Ave, Southern Arizona Va Health Care Service, Tucson, AZ 85723 | 2006-10-17 |
| 1639269566 | James Edward Hadley | Kinesiotherapist | 3601 S 6 Th Ave, Tucson, AZ 85723 | 2006-10-13 |
| 1437240470 | Anita Judith Goss | Nurse Practitioner | 3601 S 6th St, 4116a, Tucson, AZ 85723 | 2006-09-27 |
| 1053410795 | Edwin Harold Kroon | Psychiatry & Neurology | 3601 South 6th Ave, Southern Arizona Va Health Care System, Tucson, AZ 85723 | 2006-09-21 |
| 1568572469 | Joseph Edward Upson | Internal Medicine | 3601 S. 6th Avenue, Tucson, AZ 85723 | 2006-08-30 |
| 1528175072 | Jayendra H Shah | Internal Medicine | 3601 S. 6ht Avenue, Tucson, AR 85723 | 2006-08-23 |
| Find all providers in zip 85723 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811540941 | Allison Renee Moore-crum | Licensed Practical Nurse | 8174 N Plantation Pl, Tucson, AZ 85741-4038 | 2019-07-17 |
| 1841772159 | Mary E Shaffer | Licensed Practical Nurse | 6557 E 12th St, Tucson, AZ 85710-1008 | 2018-09-04 |
| 1265935910 | Carlos H Blancarte Sr. | Licensed Practical Nurse | 268 E River Rd Ste 150, Tucson, AZ 85704-5844 | 2018-03-08 |
| 1750890190 | Patricia Ruane | Licensed Practical Nurse | 1082 E Ajo Way # 100, Tucson, AZ 85713-5051 | 2017-09-28 |
| 1184015109 | Dorothea Leonis Weber | Licensed Practical Nurse | 1010 East 10th Street, Tucson Unified School District, Tucson, AZ 85719 | 2015-02-12 |
| 1942607338 | Benita Chilikwela | Licensed Practical Nurse | 1402 N Alvernon Way, Suite S3, Tucson, AZ 85712-3804 | 2014-12-01 |
| 1912307794 | Jose Lugo | Licensed Practical Nurse | 102 N. Plummer Ave., Tucson, AZ 85719 | 2014-08-28 |
| 1821433418 | Lori Ann Harmsen | Licensed Practical Nurse | 9111 E Broadway Blvd Apt 8101, Tucson, AZ 85710-3084 | 2013-05-08 |
| 1053755223 | Kristen Michelle Molander | Licensed Practical Nurse | 9018 N Palm Brook Dr, Tucson, AZ 85743-8923 | 2013-04-18 |
| 1255775532 | Jason Michael Alan Molander | Licensed Practical Nurse | 3216 W Liberty Tree Ln, Tucson, AZ 85741-1755 | 2013-04-17 |
| Find all providers in TUCSON | ||||
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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.