GERALD ETSITTY (NPI# 1972885267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972885267 |
| Entity Type | Individual |
| Full Name | GERALD ETSITTY |
| Practice Address |
500 South Navajo Drive Page AZ 86040 |
| Practice Telephone | 9286081505 |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-09-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
4389376 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
500 SOUTH NAVAJO DRIVE |
| City | PAGE |
| State | AZ |
| Zip Code | 86040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487988556 | Faith Mooney | Psychologist | 500 South Navajo Drive, Page, AZ 86040 | 2009-09-23 |
| 1851847578 | Jordan Peterson | Psychologist | 500 South Navajo Drive, Page, AZ 86040 | 2016-09-01 |
| 1750778361 | Brittany Lynn Harrison | Specialist/Technologist | 500 South Navajo Drive, Page, AZ 86040 | 2015-04-21 |
| 1942541404 | Brendyce Monae Budd | Specialist/Technologist | 500 South Navajo Drive, Page, AZ 86040 | 2013-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881251437 | Amy Jean Snell | Nurse Practitioner | 501 N. Navajo Dr., Page, AZ 86040 | 2019-05-20 |
| 1740748441 | Cameron Sidney Shick | Pharmacist | 501 N Navajo Drive, Page, AZ 86040 | 2019-03-12 |
| 1891250338 | Samantha Elizabeth Cannavo | Specialist/Technologist | 1801 N Navajo Dr., Page, AZ 86040 | 2019-02-08 |
| 1023593282 | Sally Ann Breen | Nurse Practitioner | 440 N Navajo Drive, Page, AZ 86040 | 2018-10-03 |
| 1114447653 | Naquita Ahern | Physical Therapist | 501 N Navajo Rd, Page, AZ 86040 | 2017-06-26 |
| 1396270443 | Peter Richard Jones | Physical Therapy Assistant | 43 Sixth Ave, Page, AZ 86040 | 2017-04-26 |
| 1407392590 | Lake Powell Dental Center, PC | Dentist | 436 Vista Avenue, Box 1956, Page, AZ 86040 | 2017-01-12 |
| 1992257695 | Theodore Martin | Physical Therapist | 39 6th Avenue, Page, AZ 86040 | 2016-10-28 |
| 1750833539 | Jacqueline Joyce Muthanga Kigundu | Nurse Practitioner | 440 North Navajo Dr, Page, AZ 86040 | 2016-10-27 |
| 1821540899 | George Wertz | Physical Therapist | 39 6th Ave, Page, AZ 86040 | 2016-10-26 |
| Find all providers in zip 86040 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487988556 | Faith Mooney | Psychologist | 500 South Navajo Drive, Page, AZ 86040 | 2009-09-23 |
| 1851847578 | Jordan Peterson | Psychologist | 500 South Navajo Drive, Page, AZ 86040 | 2016-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912691 | Jane Ann Petschow | Psychologist | 445 W Chandler Blvd Apt 464, Chandler, AZ 85225-1965 | 2020-11-02 |
| 1225635154 | Shannon Napelee | Psychologist | 9405 N 53rd Dr, Glendale, AZ 85302-3305 | 2020-10-04 |
| 1922616929 | Latisha Kareem Ojuriye | Psychologist | 400 N Coronado St Apt 1012, Chandler, AZ 85224-4184 | 2020-07-16 |
| 1689299133 | Chloe Arns | Psychologist | 16484 N 68th Ave, Peoria, AZ 85382-3981 | 2020-06-10 |
| 1710522487 | Aubri Hall | Psychologist | 21115 E Alyssa Rd, Queen Creek, AZ 85142-6556 | 2019-11-16 |
| 1659927242 | Kristin Lee Carbone-kebble | Psychologist | 480 Mate Ln, Lake Havasu City, AZ 86406-6201 | 2019-08-10 |
| 1841843067 | Rebecca Harmon | Psychologist | 6151 E Wildcat Dr, Cave Creek, AZ 85331-3043 | 2019-07-17 |
| 1922589126 | Lisa M Browne | Psychologist | 3584 E Fox Trotter Rd, Tucson, AZ 85739-8334 | 2018-08-24 |
| 1336637321 | Rebecca Simonson | Psychologist | 6200 E San Bernardino, Tucson, AZ 85715-3037 | 2018-04-25 |
| 1053826545 | Angela Coyle | Psychologist | 4841 W Lone Dove Dr, Marana, AZ 85658-4735 | 2017-12-06 |
| 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.