Nurse Practitioner

Address: 3540 E Baseline Rd, #130, Phoenix, AZ 85042

CHARLES PAUL CONWAY JR. (NPI# 1801487061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801487061
Entity Type Individual
Gender Male
Credential FNP
Practice Address 3540 E Baseline Rd, #130
AZ 85042
Practice Telephone 6232517559
Practice Fax Number 4806217043
Mailing Address 3540 E Baseline Rd, #130
AZ 85042
Mailing Telephone 6232517559
Mailing Fax Number 4806217043
Certification Date 2021-01-31
Enumeration Date 2021-01-31
Last Update Date 2021-01-31
Is Sole Proprietor Y


Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 253135 AZ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3540 E BASELINE RD, #130
State AZ
Zip Code 85042

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1306443197 Da Homes LLC Case Management 8026 S. 24th Way, Phoenix, AZ 85042 2020-10-05
1144790460 Ebony House Inc Substance Abuse Rehabilitation Facility 6222 S. 13th Street, Phoenix, AZ 85042 2018-11-29
1427538362 Abigail Mcgrath Dietitian, Registered 303 E Baseline Rd Ste 200, Phoenix, AZ 85042 2018-08-20
1174028310 Olufemi A Omodara Pharmacist 7227 S. Central Ave, #1080, Phoenix, AZ 85042 2018-03-29
1720537699 Mary Youngblood Registered Nurse 7210 S 27th Way, Phoenix, AZ 85042 2016-10-03
1922490382 Brian Zembower Optometrist 610 E Baseline Rd Ste C3, Phoenix, AZ 85042 2015-02-23
1972807998 Obinna Chukwuka Akubukwe Pharmacist 6006 S. Central Avenue, Phoenix, AZ 85042 2011-01-05
1104120328 Gisheys Patient Care LLC Custodial Care Facility 7232 South 12th Place, Phoeniz, AZ 85042 2011-01-03
1245463488 Lois Ann Hammitt Registered Nurse 6218 S. 7th Street, Phoenix, AZ 85042 2009-09-03
1841440211 Miranda Roberts Speech-Language Pathologist 1402 E. South Mountain Ave., Phoenix, AZ 85042 2008-09-23
Find all providers in zip 85042

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 4646 E Robert E Lee St, Phoenix, AZ 85032-1572 2020-12-02
1780288852 Ian Pedregosa Dy 815 E Rose Ln Unit 117, Phoenix, AZ 85014-1915 2020-11-30
1821690157 Kristal L. Davis · Kristal Bondurant 3905 N 7th Ave # 33490, Phoenix, AZ 85013-3368 2020-11-11
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
1609408194 Az Regenerative Medicne 16620 N 40th St Ste G2, Phoenix, AZ 85032-3351 2020-02-12
1124667175 Jennifer Leigh Hanisch 7314 S 26th Ln, Phoenix, AZ 85041-6475 2019-12-21
1295370179 Jessica Anne Harper 4141 N 32nd St Ste 104, Phoenix, AZ 85018-4775 2019-11-14
1134764590 Rachael Bennett 14001 N 7th St Ste F111, Phoenix, AZ 85022-4382 2019-11-08
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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.