HEATHER DESROCHES (NPI# 1902424393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902424393 |
| Entity Type | Individual |
| Full Name | HEATHER DESROCHES |
| Practice Address |
19555 N 59th Ave Glendale AZ 85308-6813 |
| Mailing Address |
17452 N 92nd Ave Peoria AZ 85382-8214 |
| Practice Telephone | 8607076856 |
| Mailing Telephone | 8607076856 |
| Enumeration Date | 2020-07-11 |
| Last Update Date | 2020-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
19555 N 59TH AVE |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85308-6813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831186428 | Dawn S Knudsen | Pharmacist | 19555 N 59th Ave, Glendale, AZ 85308-6813 | 2005-09-29 |
| 1932714839 | Laura Lynn Van Steyn | Physician Assistant | 19555 N 59th Ave, Glendale, AZ 85308-6813 | 2020-09-09 |
| 1467061697 | Jacqueline Elizabeth Vercauteren | Student in an Organized Health Care Education/Training Program | 19555 N 59th Ave, Glendale, AZ 85308-6813 | 2020-07-23 |
| 1356959936 | Nana Entsuah | Pharmacist | 19555 N 59th Ave, Glendale, AZ 85308-6813 | 2020-07-20 |
| 1992313761 | Ryan Ray Loveless | Student in an Organized Health Care Education/Training Program | 19555 N 59th Ave, Glendale, AZ 85308-6813 | 2020-07-17 |
| 1811515208 | Daniel Bruce Burkhart | Physician Assistant | 19555 N 59th Ave, Glendale, AZ 85308-6813 | 2020-07-11 |
| 1598383382 | Karrie Vi Ly | Student in an Organized Health Care Education/Training Program | 19555 N 59th Ave, Glendale, AZ 85308-6813 | 2020-07-08 |
| 1134747926 | Jeri Paige Sheldon | Student in an Organized Health Care Education/Training Program | 19555 N 59th Ave, Glendale, AZ 85308-6813 | 2020-07-08 |
| 1174141238 | Kaitlin Mcgillivray | Physician Assistant | 19555 N 59th Ave, Glendale, AZ 85308-6813 | 2020-07-06 |
| 1083232177 | Danielle Fairbanks | Physician Assistant | 19555 N 59th Ave, Glendale, AZ 85308-6813 | 2020-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
| 1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
| 1033742291 | Kaitlyn Marie Shannon | Dietitian, Registered | 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 | 2020-02-17 |
| 1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
| 1013567023 | Caitlyn Heredia | Student in an Organized Health Care Education/Training Program | 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 | 2019-09-12 |
| 1770141061 | Sydney Dangelo | Student in an Organized Health Care Education/Training Program | 7454 W Denaro Dr, Glendale, AZ 85308 | 2019-05-31 |
| 1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
| 1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
| 1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
| 1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
| Find all providers in zip 85308 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089437 | Karine Harutyunyan | Physician Assistant | 500 E Colorado St Ste 101, Glendale, CA 91205-1607 | 2020-10-06 |
| 1053928374 | Michael James Porter | Physician Assistant | 20003 N 77th Dr, Glendale, AZ 85308-8339 | 2020-09-30 |
| 1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
| 1417519588 | Elizabeth Lisa Chilian | Physician Assistant | 345 Pioneer Dr Unit 1203, Glendale, CA 91203-2780 | 2019-06-28 |
| 1659846988 | Gabriel Thomas Lopez | Physician Assistant | 7419 W Planada Ln, Glendale, AZ 85310-5886 | 2018-10-13 |
| 1417445487 | Core Geriatric Medical Group LLC | Physician Assistant | 1505 S Glendale Ave, Glendale, CA 91205-3315 | 2018-04-25 |
| 1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
| 1114465598 | Diana Andreea Stan | Physician Assistant | 18555 N 79th Ave Ste B108, Glendale, AZ 85308 | 2017-02-07 |
| 1235687310 | Lynzi Kay Warner | Physician Assistant | 4344 W Bell Rd Ste 102, Glendale, AZ 85308-3589 | 2016-09-16 |
| 1558737791 | Martin Airian | Physician Assistant | 1577 E Chevy Chase Dr Ste 240, Glendale, CA 91206-4742 | 2015-08-11 |
| Find all providers in GLENDALE | ||||
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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.