Ian Pedregosa Dy
Nurse Practitioner

Address: 815 E Rose Ln Unit 117, Phoenix, AZ 85014-1915
Phone: 4802808690

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).

Provider Overview

Nation Provider Identifier (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
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2020-11-30
Last Update Date 2020-11-30

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers 250388 AZ

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841895356 Amber Vercelline Nurse Practitioner 4646 E Robert E Lee St, Phoenix, AZ 85032-1572 2020-12-02
1821690157 Kristal L. Davis Nurse Practitioner 3905 N 7th Ave # 33490, Phoenix, AZ 85013-3368 2020-11-11
1992322168 Tessie Leigh Eberhart Nurse Practitioner 6025 N 27th Ave Ste 6, Phoenix, AZ 85017-1764 2020-07-02
1952927048 John Leo Conway Jr. Nurse Practitioner 1705 E Claremont St, Phoenix, AZ 85016-1514 2020-06-24
1902434855 Alyssa Young Nurse Practitioner 3033 N 34th Pl, Phoenix, AZ 85018-6903 2020-03-27
1124667175 Jennifer Leigh Hanisch Nurse Practitioner 7314 S 26th Ln, Phoenix, AZ 85041-6475 2019-12-21
1295370179 Jessica Anne Harper Nurse Practitioner 4141 N 32nd St Ste 104, Phoenix, AZ 85018-4775 2019-11-14
1134764590 Rachael Bennett Nurse Practitioner 14001 N 7th St Ste F111, Phoenix, AZ 85022-4382 2019-11-08
1720621410 Cynthia Chebator Nurse Practitioner 3233 W Peoria Ave Ste 106&120, Phoenix, AZ 85029-4614 2019-10-24
1295396273 Ashleigh Beatty Nurse Practitioner 334 E Acapulco Ln, Phoenix, AZ 85022-3620 2019-06-21
Find all providers in PHOENIX

Office Location

Street Address 815 E ROSE LN UNIT 117
City PHOENIX
State AZ
Zip Code 85014-1915

Providers in the same zip code

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
1467088062 Generational Bridges Neuropsychological Services Pllc Clinical Neuropsychologist 1515 E Missouri Dr, Phoenix, AZ 85014 2020-03-16
1861022881 Daza Astrid Hernandez Speech-Language Pathologist 5314 N 7th Street, Phoeniz, AZ 85014 2020-01-17
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 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 1450 E. Indian School Rd. #101, Phoenix, AZ 85014 2015-02-18
1144618315 Emily M Bentz Specialist/Technologist 3514 N. 7th St, Phoenix, AZ 85014 2014-12-22
Find all providers in zip 85014

Competitor

Search similar providers

City PHOENIX
Zip Code 85014

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Dataset Information

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.