MRS. PATTI LYNNE KILLINGSWORTH (NPI# 1972562411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972562411 |
| Entity Type | Individual |
| Full Name | MRS. PATTI LYNNE KILLINGSWORTH |
| Credential | M.SC. |
| Practice Address |
1300 N 12th St Phoenix AZ 85006-2848 |
| Mailing Address |
1441 N 12th St Phoenix AZ 85006-2837 |
| Practice Telephone | 6022395000 |
| Mailing Telephone | 6024954577 |
| Mailing Fax Number | 6024173549 |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1300 N 12TH ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-2848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831192590 | William Walter Holland | Family Medicine | 1300 N 12th St, Suite 605, Phoenix, AZ 85006-2848 | 2005-05-24 |
| 1699235127 | Mary Mihalko | Student in an Organized Health Care Education/Training Program | 1300 N 12th St, Phoenix, AZ 85006-2848 | 2019-03-21 |
| 1447779608 | Sara Marie Sorace | Physician Assistant | 1300 N 12th St, Phoenix, AZ 85006-2848 | 2017-09-19 |
| 1104350990 | Hillary Tamar | Student in an Organized Health Care Education/Training Program | 1300 N 12th St, Suite 605, Phoenix, AZ 85006-2848 | 2017-04-18 |
| 1669906459 | Michelle Sommer | Family Medicine | 1300 N 12th St, Suite 605, Phoenix, AZ 85006-2848 | 2017-04-18 |
| 1922532712 | Herbert Rosenbaum | Student in an Organized Health Care Education/Training Program | 1300 N 12th St, Suite 605, Phoenix, AZ 85006-2848 | 2017-04-18 |
| 1992239909 | Karalyne Blochberger | Family Medicine | 1300 N 12th St, Suite 605, Phoenix, AZ 85006-2848 | 2017-04-17 |
| 1104350123 | Akua Ekunwe | Family Medicine | 1300 N 12th St, Suite 605, Phoenix, AZ 85006-2848 | 2017-04-17 |
| 1073047098 | Viktoria Krajnc | Family Medicine | 1300 N 12th St, Suite 605, Phoenix, AZ 85006-2848 | 2017-04-17 |
| 1568995876 | Stefanie Handrick Brichta | Student in an Organized Health Care Education/Training Program | 1300 N 12th St, Suite 320, Phoenix, AZ 85006-2848 | 2017-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285063065 | Beverly Natausha Williams | Rehabilitation Practitioner | 3101 N Central Ave Ste 171, Phoenix, AZ 85012-3611 | 2013-11-02 |
| 1720157415 | Rosalind Lorena Canham | Rehabilitation Practitioner | 2041 N 7th St, Phoenix, AZ 85006-2102 | 2006-11-07 |
| 1033243894 | Elden Wick | Rehabilitation Practitioner | 2850 N 24th St, Phoenix, AZ 85008-1004 | 2007-03-15 |
| 1669432407 | Keri Lei Bigelow | Rehabilitation Practitioner | 1300 N 12th St, Suite 610, Phoenix, AZ 85006-2848 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316330178 | Kelly Martin | Rehabilitation Practitioner | 12111 N 66th Ave, Glendale, AZ 85304-1625 | 2015-03-17 |
| 1093151664 | Stephen Stone | Rehabilitation Practitioner | 2502 E 21st St, Tucson, AZ 85716-5711 | 2013-05-22 |
| 1851645527 | Nina A Francis | Rehabilitation Practitioner | 637 W Baylor Ln, Gilbert, AZ 85233-8215 | 2012-11-02 |
| 1508139429 | Sheitelman Medical Plc | Rehabilitation Practitioner | 13757 W. Bell Rd, Suite 101, Surprise, AZ 85374-2453 | 2012-02-23 |
| 1447547401 | Spa-aaah At Regent Healthcare, Inc | Rehabilitation Practitioner | 4110 N Scottsdale Rd Ste 325, Scottsdale, AZ 85251-4423 | 2011-06-28 |
| 1770813594 | Custom Physiotherapy | Rehabilitation Practitioner | 4910 W Ray Rd Ste 2, Chandler, AZ 85226-6221 | 2009-12-29 |
| 1336229475 | Physiatry Associates, Ltd | Rehabilitation Practitioner | 2102 N Country Club Rd Ste B, Tucson, AZ 85716-2831 | 2006-10-16 |
| 1194813279 | Neuro Institute, Inc | Rehabilitation Practitioner | 1221 W Warner Rd, Suite 102, Tempe, AZ 85284-1906 | 2006-10-11 |
| 1164455531 | Killeen Therapy Services, Inc | Rehabilitation Practitioner | 19047 N 76th Ave, Glendale, AZ 85308-8304 | 2006-07-09 |
| 1740661875 | Denise Bollinger | Rehabilitation Practitioner | 4902 S Val Vista Dr, Suite B101, Gilbert, AZ 85298-7325 | 2015-06-15 |
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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.