PAULINA SIMON (NPI# 1962959346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962959346 |
| Entity Type | Individual |
| Full Name | PAULINA SIMON |
| Credential | AGPCNP |
| Practice Address |
14074 N 90th Dr Peoria AZ 85381-3678 |
| Mailing Address |
8380 W Emile Zola Ave #5178 Peoria AZ 85381-3068 |
| Practice Telephone | 6232197768 |
| Practice Fax Number | 4804366926 |
| Mailing Telephone | 6232197768 |
| Mailing Fax Number | 4804366926 |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2020-01-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP8849 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AP8849 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
AP8849 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
14074 N 90TH DR |
| City | PEORIA |
| State | AZ |
| Zip Code | 85381-3678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712122 | Vicki L Grenier | Registered Nurse | 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 | 2020-08-26 |
| 1568934107 | Earthwalk Wellness Group, LLC | Social Worker | 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 | 2018-12-20 |
| 1316412059 | John & Biljana Feeley Dba J & B Assisted Living IIi Inc | Community Based Residential Treatment Facility, Mental Illness | 7331 W Sweetwater Avenue, Peoria, AZ 85381 | 2018-10-09 |
| 1467958611 | Arizona Community Pharmacy | Pharmacy | 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 | 2018-04-04 |
| 1083112106 | Marissa Lynn Desjardins | Physical Therapist | 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 | 2018-01-23 |
| 1235651399 | Power Back Batteries LLC | Durable Medical Equipment & Medical Supplies | 9054 West Lisbon Ave, Peoria, AZ 85381 | 2017-07-11 |
| 1457897027 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 7524 W. Alexandria Way, Peoria, AZ 85381 | 2017-01-06 |
| 1386023448 | Scott Boone | Registered Nurse | 7715 W Watson Ln, Peoria, AZ 85381 | 2015-05-22 |
| 1881084838 | Pinnacle Women's Center LLC | Obstetrics & Gynecology | 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 | 2015-01-29 |
| 1245637081 | Kathi Locke | Counselor | 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 | 2014-11-21 |
| Find all providers in zip 85381 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538787072 | Brijeshaben Urvish Patel | Nurse Practitioner | 13300 N 88th Ave Apt 2007, Peoria, AZ 85381-2614 | 2020-07-10 |
| 1457906380 | Dana Putman | Nurse Practitioner | 26105 N 137th Ln, Peoria, AZ 85383-8080 | 2019-08-07 |
| 1255815858 | Karibu Family Care Pllc | Nurse Practitioner | 20542 N Lake Pleasant Rd Ste 105, Peoria, AZ 85382-9749 | 2018-09-19 |
| 1003170440 | Diana Sun Bone | Nurse Practitioner | 9947 West Happy Valley Parkway, # 104, Peoria, AZ 85383-6001 | 2012-06-29 |
| 1851333819 | Tina White | Nurse Practitioner | 1419 S Folkers Ave, Peoria, IL 61605-1356 | 2006-06-12 |
| 1457398265 | Cheryl Kliot-lape | Nurse Practitioner | 800 W Romeo B Garrett Ave, Peoria, IL 61605-2207 | 2006-06-01 |
| 1083263503 | Wellness for Life Family Practice | Nurse Practitioner | 20449 N Lake Pleasant Rd Ste 101, Peoria, AZ 85382-2707 | 2019-09-06 |
| 1366913618 | Krishna Keshav | Nurse Practitioner | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381 | 2018-12-16 |
| 1407223969 | Teresa Michelle Watts | Nurse Practitioner | 900 Main St, Suite 100, Peoria, IL 61602-1005 | 2015-08-31 |
| 1881912392 | Jailson Souza Nascimento | Nurse Practitioner | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2010-05-07 |
| Find all providers in PEORIA | ||||
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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.