CAROLINE WACEKE MIYA (NPI# 1992266712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992266712 |
| Entity Type | Individual |
| Full Name | CAROLINE WACEKE MIYA |
| Credential | NP |
| Practice Address |
11361 N 99th Ave Ste 200 Peoria AZ 85345-5470 |
| Mailing Address |
2701 N 16th St Ste 316 Phoenix AZ 85006-1266 |
| Practice Telephone | 6026501212 |
| Mailing Telephone | 6026363085 |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2019-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN162403 | AZ | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
223230 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11361 N 99TH AVE STE 200 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85345-5470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730251034 | Lisa D'alessandro-betancourt | Nurse Practitioner | 11361 N 99th Ave Ste 200, Peoria, AZ 85345-5470 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215575824 | Maricopa County Special Health Care District | Pharmacy | 8088 W Whitney Dr, Peoria, AZ 85345 | 2019-12-13 |
| 1528604923 | Maricopa County Special Health Care District | Clinic/Center | 8088 West Whitney Dr., Peoria, AZ 85345 | 2019-11-20 |
| 1578057378 | Marigold Home Care LLC | In Home Supportive Care | 8917 N 90th Ave, Peoria, AZ 85345 | 2018-06-15 |
| 1518341551 | Recovery Innovations, Inc | Respite Care | 11361 N 99th Avenue, Suite 107, Peoria, AZ 85345 | 2015-07-18 |
| 1952655110 | Pmc Pain Management Center Pllc | Clinic/Center | 8914 N.91 Ave, Peoria, AZ 85345 | 2012-11-08 |
| 1831462993 | Mary Kate Burdick | Veterinarian | 9960 N 91st Ave, Peoria, AZ 85345 | 2012-02-20 |
| 1144545120 | Lawrence William Wolfe | Pharmacist | 9043 W. Olive Ave., Fry's Food and Drug, Peoria, AZ 85345 | 2010-04-01 |
| 1306169917 | Katherine Thompson Hinkle | Pharmacist | 7455 West Cactus, Frys Food and Drug, Peoria, AZ 85345 | 2010-03-10 |
| 1033307715 | American Current Care of Arizona Pa | Clinic/Center | 7400 West Olive Avenue, Suite 1, Peoria, AZ 85345 | 2007-10-09 |
| 1184746802 | Assisted Living Concepts Inc | Assisted Living Facility | 10401 North 79th Avenue, Peoria, AZ 85345 | 2007-04-04 |
| Find all providers in zip 85345 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821632126 | Mental Health Azforvets LLC | Nurse Practitioner | 20469 N 95th Dr, Peoria, AZ 85382-5133 | 2019-10-30 |
| 1881258416 | Tammy E. Hostetler | Nurse Practitioner | 14100 N 83rd Ave Ste 100, Peoria, AZ 85381-4621 | 2019-04-29 |
| 1811483480 | Kimberly Ann Cochran | Nurse Practitioner | 8194 W Deer Valley Rd Ste 106-516, Peoria, AZ 85382 | 2018-07-07 |
| 1992233977 | Jennifer Christine Alexander | Nurse Practitioner | 4215 N Prospect Rd, Peoria, IL 61616-7754 | 2017-06-02 |
| 1801322755 | Juan Gabriel Gomez | Nurse Practitioner | 8203 W Oraibi Dr, Apartment 1142, Peoria, AZ 85382-4680 | 2017-05-11 |
| 1538498738 | Ronnie Abush Brown-woodhull | Nurse Practitioner | Partners In Recovery - West Valley Clinic, 14100 W 83rd Avenue Ste 100, Peoria, AZ 85381 | 2009-12-17 |
| 1336307495 | Courtney Ann Keller | Nurse Practitioner | 9165 W Thunderbird Rd Suite 201, Peoria, AZ 85381-4847 | 2008-05-27 |
| 1730251034 | Lisa D'alessandro-betancourt | Nurse Practitioner | 11361 N 99th Ave Ste 200, Peoria, AZ 85345-5470 | 2006-11-14 |
| 1932713435 | Lori Sue Trilikis | Nurse Practitioner | 7317 N Willow Lake Ct, Peoria, IL 61614-8227 | 2020-09-02 |
| 1821614520 | Shawna Steffes | Nurse Practitioner | 11361 N 99th Ave, Peoria, AZ 85345-5470 | 2020-06-18 |
| Find all providers in PEORIA | ||||
Please comment or provide details below to improve the information on CAROLINE WACEKE MIYA.
| 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.