MRS. SISHANA JANELLE GERALD (NPI# 1942626486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942626486 |
| Entity Type | Individual |
| Full Name | MRS. SISHANA JANELLE GERALD |
| Credential | HAIR LOSS SPECIALIST |
| Practice Address |
4045 E Broadway Blvd Tucson AZ 85711-3454 |
| Mailing Address |
4714 E 13th St Tucson AZ 85711-4302 |
| Practice Telephone | 5209817380 |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2014-03-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
10502032 | AZ | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NON SURGICAL HAIR REPLACEMENT | 1744P3200X | 01 |
| Street Address |
4045 E BROADWAY BLVD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85711-3454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356959951 | Ridgeline Practice | Counselor | 4625 N Broadway, Suite 105, Tucson, AZ 85711 | 2020-07-20 |
| 1881229946 | Famiglia Amore II LLC | Assisted Living Facility | 632 N. Wilmot, Tucson, AZ 85711 | 2020-03-10 |
| 1992343362 | Laurie Anne Mcmahon | Family Medicine | 899 N. Wilmot, Building B, Tucson, AZ 85711 | 2019-12-17 |
| 1063060093 | Sharese Ann Bailey | Counselor | 300 S Craycroft Rd, Tucson, AZ 85711 | 2019-09-03 |
| 1467940015 | Jin Zhang | Ophthalmology | 655 N Alvernon Way Ste 204, Tucson, AZ 85711 | 2018-04-30 |
| 1447779525 | Catherine Butler Hobart | Pharmacist | 535 North Wilmont Road, Suite 101, Tucson, AZ 85711 | 2017-09-11 |
| 1689196420 | Cope Community Services, Inc. | Case Management | 924 N Alvernon Way, Tucson, AZ 85711 | 2017-07-13 |
| 1124561477 | Regina Maendler | Behavioral Analyst | 630 N. Craycroft Rd, Tucson, AZ 85711 | 2016-11-18 |
| 1881140184 | Elleda Linsmeyer | Speech-Language Pathologist | St. Joesph's Hosptial, 350 N. Wilmont Rd., Tucson, AZ 85711 | 2016-08-28 |
| 1962856260 | Csl-tucson, LLC | Assisted Living Facility | 1020 N. Woodland Avenue, Tucson, AZ 85711 | 2016-04-22 |
| Find all providers in zip 85711 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023375516 | Edna Mae Harris | Specialist | 6970 E 22nd St, Suite #110, Tucson, AZ 85710-5121 | 2012-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267346 | Chanel Gordon | Specialist | 1731 W Baseline Rd Ste 107, Mesa, AZ 85202-5730 | 2019-10-21 |
| 1144772054 | Joe Bezerra | Specialist | 39818 N Bell Meadow Trl, Phoenix, AZ 85086 | 2016-10-26 |
| 1295789196 | Gerald L Echols | Specialist | 1241 E. Broadway #28, Mesa, AZ 85204-2254 | 2006-05-22 |
| 1669907150 | Tommie Foxworth | Specialist | 1616 E Main St, Suite 102-103, Mesa, AZ 85203-9071 | 2017-04-22 |
| 1356718480 | Margo Grant-bryan | Specialist | 19395 N John Wayne Pkwy, Maricopa, AZ 85139-2833 | 2015-08-24 |
| 1154338440 | Shannon Cole Winn | Specialist | 1075 S Idaho Rd, Suite 101, Apache Junction, AZ 85219-6496 | 2006-08-01 |
Please comment or provide details below to improve the information on MRS. SISHANA JANELLE GERALD.
| 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.