IAN PEDREGOSA DY (NPI# 1780288852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780288852 |
| Entity Type | Individual |
| Full Name | IAN PEDREGOSA DY |
| Gender | Male |
| Practice Address | 815 E Rose Ln Unit 117 Phoenix AZ 85014-1915 |
| Practice Telephone | 4802808690 |
| Mailing Address | 815 E Rose Ln Unit 117 Phoenix AZ 85014-1915 |
| Mailing Telephone | 4802808690 |
| Certification Date | 2020-11-30 |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2020-11-30 |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 250388 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Endpoint Type | Endpoint | Affiliation | Affiliation Address | Use | Content |
|---|---|---|---|---|---|
| FHIR URL | Phoenix | 815 E Rose Ln Unit 117, Phoenix, AZ 850141915 |
| Street Address | 815 E ROSE LN UNIT 117 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85014-1915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831796549 | Sherri Ann Rhodes | Registered Nurse | 5727 North 7th Street, Suite 308, Phoenix, AZ 85014 | 2020-10-06 |
| 1235746249 | Kaitlyn Landess | Occupational Therapist | 1190 W. Missouri Ave, Suite 100, Phoenix, AZ 85014 | 2020-09-24 |
| 1316579576 | Stefanie A Pinon-Sapien | Speech-Language Pathologist | 5314 N 7th Street, Phoenix, AZ 85014 | 2020-02-06 |
| 1396213542 | Arizona Youth & Family Services Inc. | Community/Behavioral Health | 3707 N. 7th Street, Ste. 200, Phoenix, AZ 85014 | 2018-11-06 |
| 1366815508 | Dehp LLC | Case Management | 3707 N. 7th St., Ste # 310, Phoenix, AZ 85014 | 2015-11-10 |
| 1659751972 | Carla Parola | Counselor · Professional | 1300 E Missouri Ave Ste A-120, Phoenix, AZ 85014 | 2015-06-02 |
| 1659763597 | Dale Carroll Davis | Dentist | 3132 N. 7th St, Phoenix, AZ 85014 | 2015-03-02 |
| 1407247091 | Cynthia Ruzich | Psychologist · Clinical | 1450 E. Indian School Rd. #101, Phoenix, AZ 85014 | 2015-02-18 |
| 1144618315 | Emily M Bentz | Specialist/Technologist · Speech-Language Assistant | 3514 N. 7th St, Phoenix, AZ 85014 | 2014-12-22 |
| 1962832238 | Sheila Yarbor | Social Worker | 4449 N 12th Street Sutie A1, Phoenix, AZ 85014 | 2013-11-22 |
| Find all providers in zip 85014 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659950715 | Anna Aminov | 7207 N 11th Pl, Phoenix, AZ 85020-5006 | 2021-04-06 | |
| 1053905919 | Well Fair Care International | 1095 E Indian School Rd Ste 700, Phoenix, AZ 85014-4846 | 2021-02-22 | |
| 1043802606 | Bryan Lankford | 2806 W Cactus Rd, Phoenix, AZ 85029-3364 | 2021-02-05 | |
| 1801487061 | Charles Paul Conway Jr. | 3540 E Baseline Rd, #130, Phoenix, AZ 85042 | 2021-01-31 | |
| 1841895356 | Amber Vercelline | 4646 E Robert E Lee St, Phoenix, AZ 85032-1572 | 2020-12-02 | |
| 1821690157 | Kristal L. Davis · Kristal Bondurant | 3905 N 7th Ave # 33490, Phoenix, AZ 85013-3368 | 2020-11-11 | |
| 1366052771 | Stephanie Elizabeth Blackmore | 9515 W Camelback Rd Ste 118, Phoenix, AZ 85037-1365 | 2020-07-31 | |
| 1992322168 | Tessie Leigh Eberhart | 6025 N 27th Ave Ste 6, Phoenix, AZ 85017-1764 | 2020-07-02 | |
| 1952927048 | John Leo Conway Jr. | 1705 E Claremont St, Phoenix, AZ 85016-1514 | 2020-06-24 | |
| 1902434855 | Alyssa Young | 3033 N 34th Pl, Phoenix, AZ 85018-6903 | 2020-03-27 | |
| Find all providers in PHOENIX | ||||
| City | PHOENIX |
| Zip Code | 85014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376675488 | G William Arnett | Dentist · Oral and Maxillofacial Surgery | 9 E Pedregosa, Santa Barbara, CA 93101 | 2007-03-12 |
| 1689709214 | David C Hall | Dentist · Oral and Maxillofacial Surgery | 9 E Pedregosa St, Santa Barbara, CA 93101-2416 | 2007-02-22 |
| 1386120269 | Kathryn Anne Koltun | Social Worker · Clinical | 216 E Pedregosa St, Santa Barbara, CA 93101-1051 | 2018-07-13 |
| 1245788439 | Regional Diagnostic Imaging | Radiology · Diagnostic Radiology | 902 W Pedregosa St, Santa Barbara, CA 93101-4622 | 2016-09-15 |
| 1982804076 | Carl Hennessy Williams | Family Medicine | 400 E Pedregosa St, #b, Santa Barbara, CA 93103 | 2007-07-18 |
| 1053534339 | Marc Howard Bienstock | Dentist · Oral and Maxillofacial Surgery | 9 E Pedregosa St, Santa Barbara, CA 93101-2416 | 2007-04-11 |
| 1013049121 | James A Tamborello | Dentist · Oral and Maxillofacial Surgery | 9 East Pedregosa, Santa Barbara, CA 93101 | 2007-03-12 |
| 1679803977 | Jonathan Patrick Coll | Radiology · Body Imaging | 902 W Pedregosa St, Apt A, Santa Barbara, CA 93101-4622 | 2010-01-08 |
| 1922607282 | Madelyn Gerard Pixley | Massage Therapist | 407 W Pedregosa St Unit 9, Santa Barbara, CA 93101-2873 | 2020-10-19 |
| 1114548872 | Ellaf Sabah Altamimi | Community Health Worker | 3115 Loma Pedregosa Nw, Albuquerque, NM 87120-1582 | 2020-05-04 |
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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.