MS. ANDREA LYNN JOSHEVAMA (NPI# 1982155081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982155081 |
Entity Type | Individual |
Full Name | MS. ANDREA LYNN JOSHEVAMA |
Other Name | MS. ANDREA LYNN SECAKUKU |
Credential | M.ED. |
Practice Address |
Hwy 264, Mp 388 Hopi Behavioral Health Services Polacca AZ 86042 |
Mailing Address |
P.o. Box 68 The Hopi Tribe/hopi Guidance Center Second Mesa AZ 86043 |
Practice Telephone | 9287376300 |
Practice Fax Number | 9287376333 |
Mailing Telephone | 9287376300 |
Mailing Fax Number | 9287376333 |
Enumeration Date | 2016-10-24 |
Last Update Date | 2016-10-24 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LISAC11792 | AZ | Behavioral Health & Social Service Providers |
Street Address |
HWY 264, MP 388 HOPI BEHAVIORAL HEALTH SERVICES |
City | POLACCA |
State | AZ |
Zip Code | 86042 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881736072 | Marilyn Masayesva | Registered Nurse | Hwy 264, Mp 388, Polacca, AZ 86042 | 2007-02-13 |
1649597808 | Eric Espinosa | Registered Nurse | Hwy 264, Mp 388, Polacca, AZ 86042-4000 | 2010-04-28 |
1033432620 | Eugene Nodestine | Nurse's Aide | Hwy 264, Mp 388, Hopi Health Care Center, Polacca, AZ 86042-4000 | 2010-03-10 |
1760705354 | Susan Cody | Registered Nurse | Hwy 264, Mp 388, Hopi Health Care Center, Polacca, AZ 86042-4000 | 2010-03-10 |
1851623599 | Erica Yvonne Smith | Dietitian, Registered | Hwy 264, Mp 388, Polacca, AZ 86042-4000 | 2010-02-05 |
1659597284 | Susan Lippold | Internal Medicine | Hwy 264, Mp 388, Hopi Health Care Center, Polacca, AZ 86042 | 2007-04-18 |
1437292570 | Mary Beth Johnson | Dentist | Hwy 264, Mp 388, Polacca, AZ 86042 | 2007-02-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316553787 | Megan Gilliam | Pharmacist | Mile Post 288 Hwy 264, Polacca, AZ 86042 | 2020-09-21 |
1295348787 | Emma Guadalupe Cortez | Nurse's Aide | Hopi Health Care, Hwy 264 Mp 388, Polacca, AZ 86042 | 2020-08-25 |
1942835434 | Kevin C Powers | Registered Nurse | Route 264 Mp 388, Polacca, AZ 86042 | 2020-03-05 |
1780217463 | Kim N Le | Family Medicine | Mile Post 388 Highway 264, Polacca, AZ 86042 | 2020-02-20 |
1265959365 | Karen Olivia Francis | Registered Nurse | Highway 264 Mile Post, Hopi Health Care Facility, Polacca, AZ 86042 | 2017-08-29 |
1629598339 | Marina Kanoelani Mehau-sanchez | Pharmacist | Hwy 264 At Mile Post 388, Hopi Health Care Center, Polacca, AZ 86042 | 2017-06-23 |
1184096786 | Erica Lalo | Technician, Other | Hwy 264 Mp388, Polacca, AZ 86042 | 2015-10-22 |
1790124618 | Michael Everett Robinson | Registered Nurse | Highway 264 Mile Post 388, Polacca, Az 86042, Hopi Health Care Center (ihs), Polacca, AZ 86042 | 2013-06-25 |
1760728232 | Rhanishia Smith | Registered Nurse | Highway 264 Mile Pot 388, Polacca, AZ 86042 | 2013-01-02 |
1871818492 | Stacy Talahytewa II | Radiologic Technologist | Hwy 264 Mile Post 388, Polacca, AZ 86042 | 2010-04-07 |
Find all providers in zip 86042 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215534946 | Jodie Lynn Gonzalez | Counselor | 20430 W Carla Vista, Buckeye, AZ 85326-4698 | 2020-10-06 |
1649885716 | Global Family LLC | Counselor | 4523 N 92nd Ave, Phoenix, AZ 85037-2450 | 2020-09-15 |
1891300299 | Roundsville Drug and Alcohol Treatment of Arizona | Counselor | 610 N Bagby Dr, Prescott, AZ 86301-2588 | 2020-09-11 |
1982218772 | Bashar Aldeen | Counselor | 3401 W Country Gables Dr, Phoenix, AZ 85053-4756 | 2020-08-31 |
1811509581 | Creosote Mental Health Group | Counselor | 4646 N Swan Rd Ste 105, Tucson, AZ 85718-6715 | 2020-08-23 |
1316559644 | Pamela Mcrae | Counselor | 17611 W Pershing St, Surprise, AZ 85388-5024 | 2020-08-18 |
1508478082 | Tahonna Latreise Surrell | Counselor | 3236 E Chandler Blvd Unit 1034, Phoenix, AZ 85048-7281 | 2020-08-17 |
1619588209 | Teri Sebastian | Counselor | 240 S Montezuma St Ste 201e, Prescott, AZ 86303-4712 | 2020-08-16 |
1497366314 | Cachora Standifer | Counselor | 6294 S Eagles Talon Pkwy, Tucson, AZ 85757-1639 | 2020-08-13 |
1346858883 | Heather Romero | Counselor | 110 W Camelback Rd Ste 200, Phoenix, AZ 85013-2564 | 2020-07-21 |
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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.