JONATHAN ROBBELOTH (NPI# 1891192126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891192126 |
| Entity Type | Individual |
| Full Name | JONATHAN ROBBELOTH |
| Practice Address |
503 E Sterling Canyon Dr Vail AZ 85641-2289 |
| Practice Telephone | 5203049422 |
| Mailing Telephone | 5203049422 |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2020-01-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
6173528 | AZ | Respite Care Facility |
| Street Address |
503 E STERLING CANYON DR |
| City | VAIL |
| State | AZ |
| Zip Code | 85641-2289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457814063 | Dentists of Vail, LLP | Dentist | 13410 E. Mary Ann Cleveland Way, Vail, AZ 85641 | 2019-04-10 |
| 1023560885 | Danielle Marie Villatoro | Nurse Practitioner | 9731 S Camino De La Calinda, Vail, AZ 85641 | 2016-10-27 |
| 1407254394 | Carol Vallecalle | Contractor | 12119 E. Metz Dr, Vail, AZ 85641 | 2014-12-09 |
| 1700214103 | Sarah Watza | Speech-Language Pathologist | 13801 E. Benson Hwy, Vail, AZ 85641 | 2013-10-22 |
| 1982985818 | Vanica Caswell | Registered Nurse | 11581 S. Mary Jane Warner Dr., Vail, AZ 85641 | 2011-09-06 |
| 1518299585 | James Shea Connolly | Respiratory Therapist, Registered | 9406 S. Leon Ranch Road, Vail, AZ 85641 | 2010-02-02 |
| 1477792158 | Julie C Duvall | Psychologist | 13801 E. Benson Highway, Vail, AZ 85641 | 2009-02-19 |
| 1952581720 | Sarah G. Grether | Psychologist | Vail School District, 13801 E. Benson Hwy., Vail, AZ 85641 | 2007-11-09 |
| 1902027915 | Yvonne Barnett | Speech-Language Pathologist | 13801 East Benson Highway, Vail, AZ 85641 | 2007-05-01 |
| 1922171586 | Sue Ellen Anderson | Respite Care | 13588 E Yorkie Place, Vail, AZ 85641 | 2006-11-15 |
| Find all providers in zip 85641 | ||||
| Taxonomy Code | 385HR2055X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Illness, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255850152 | Christie Jean Hart | Respite Care | 81 E Forrest Feezor St, Vail, AZ 85641-2795 | 2017-09-12 |
| 1114197555 | Linda K. Butler | Respite Care | 13409 E Cienega Creek Dr, Vail, AZ 85641-9079 | 2008-02-29 |
| 1558445387 | Mary Adella Packard | Respite Care | 14401 E Rincon Valley Dr, Vail, AZ 85641-6003 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539004 | Yvette I Haughton | Respite Care | 11275 N 99th Ave Lot 117, Peoria, AZ 85345-5479 | 2020-08-20 |
| 1700411576 | Jaquelina Andrea Reyes | Respite Care | 25279 W Centre Ave, Buckeye, AZ 85326-2468 | 2020-03-11 |
| 1740815497 | Jerome Alexander-terrell Jackson | Respite Care | 9680 W Northern Ave Unit 2311, Peoria, AZ 85345-4655 | 2020-03-03 |
| 1912539941 | Elizabeth Ann Mannel | Respite Care | 1225 W Panorama Rd, Tucson, AZ 85704-2834 | 2020-02-07 |
| 1093345498 | New Hope of Arizona, Inc. | Respite Care | 12545 W Woodland Ave, Avondale, AZ 85323-8025 | 2020-01-24 |
| 1033757877 | Jessica Annette Dixon-tatum | Respite Care | 401 N 6th St, Buckeye, AZ 85326-2415 | 2019-12-11 |
| 1700423902 | Randy Bland | Respite Care | 20731 W Stone Hill Road, Buckeye, AZ 85396 | 2019-12-06 |
| 1003459934 | Stephanie Denise Jackson | Respite Care | 22321 W Morning Glory St, Buckeye, AZ 85326-7181 | 2019-10-23 |
| 1285276345 | Charlyn Ponds | Respite Care | 235 E Ray Rd Apt 2035, Chandler, AZ 85225-3362 | 2019-10-10 |
| 1508416595 | Tyechia Webb | Respite Care | 21239 N 24th Ave Apt 214, Phoenix, AZ 85027-2524 | 2019-09-12 |
| Find all providers with the same taxonomy | ||||
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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.