| Ri International | |
|
11361 N 99th Avenue Suites 400 & 402 Peoria AZ 85345 | |
| (602) 636-4605 | |
| (623) 972-6173 |
| Full Name | Ri International |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 11361 N 99th Avenue, Peoria, Arizona |
| Authorized Official Name and Position | Corina Ogaz (ASSOCIATE DIRECTOR, CREDENTIALING) |
| Authorized Official Contact | 6026363085 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ri International 2701 N 16th Street Suite 316 Phoenix AZ 85006 Ph: (602) 650-1212 | Ri International 11361 N 99th Avenue Suites 400 & 402 Peoria AZ 85345 Ph: (602) 636-4605 |
| NPI Number | 1609243518 |
|---|---|
| Provider Enumeration Date | 08/26/2015 |
| Last Update Date | 06/21/2022 |
| Certification Date | 06/21/2022 |
| Medicare PECOS PAC ID | 1456500628 |
|---|---|
| Medicare Enrollment ID | O20170606002503 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609243518 | NPI | - | NPPES |
| 110785 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Arizona) | Secondary |
| 251S00000X | Community/behavioral Health | OTC7470 (Arizona) | Primary |
| Provider Name | Tracy L Crews |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285712570 PECOS PAC ID: 4587607692 Enrollment ID: I20050608001032 |
| Provider Name | Lisa A D'alessandro-betancourt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730251034 PECOS PAC ID: 3375606049 Enrollment ID: I20090107000517 |
| Provider Name | Annette D Bunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831265354 PECOS PAC ID: 4183694433 Enrollment ID: I20110310000615 |
| Provider Name | Emina Foci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568750214 PECOS PAC ID: 1254508872 Enrollment ID: I20120123000843 |
| Provider Name | Renee H Kania |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184940652 PECOS PAC ID: 6204088123 Enrollment ID: I20121128000558 |
| Provider Name | Michael A Riddle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487859898 PECOS PAC ID: 3779646104 Enrollment ID: I20121228000386 |
| Provider Name | Anita T Sassaman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952644965 PECOS PAC ID: 1355589474 Enrollment ID: I20130601000027 |
| Provider Name | Blake L Solomon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225371776 PECOS PAC ID: 9234370008 Enrollment ID: I20130722000357 |
| Provider Name | Amber Lynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063842813 PECOS PAC ID: 3274762729 Enrollment ID: I20140204001341 |
| Provider Name | Patrick Kuritz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710191168 PECOS PAC ID: 7517182256 Enrollment ID: I20140714000262 |
| Provider Name | Andrea Pupillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265812135 PECOS PAC ID: 9537471693 Enrollment ID: I20150701001698 |
| Provider Name | Kimberly Keene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285004234 PECOS PAC ID: 2668781154 Enrollment ID: I20151023000975 |
| Provider Name | Emily A Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760745186 PECOS PAC ID: 2062722671 Enrollment ID: I20151111001924 |
| Provider Name | Sharon Sy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679975379 PECOS PAC ID: 2264721000 Enrollment ID: I20160517001934 |
| Provider Name | Aimee Uwimana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710435581 PECOS PAC ID: 0042598385 Enrollment ID: I20161020002260 |
| Provider Name | Adam Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558800904 PECOS PAC ID: 1254616782 Enrollment ID: I20170324001820 |
| Provider Name | Zita Schiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427355593 PECOS PAC ID: 0143599753 Enrollment ID: I20170712003260 |
| Provider Name | Courtney Jade Gaines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710466321 PECOS PAC ID: 8123371622 Enrollment ID: I20181031000689 |
| Provider Name | Amy Renee Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457905812 PECOS PAC ID: 2264764182 Enrollment ID: I20191025002561 |
| Provider Name | Allison Solarz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639727415 PECOS PAC ID: 9739513227 Enrollment ID: I20191216001178 |
| Provider Name | Lauren Margaret Carrizosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013463827 PECOS PAC ID: 5890021224 Enrollment ID: I20200226000140 |
| Provider Name | Tracie Hampton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841666237 PECOS PAC ID: 3577872639 Enrollment ID: I20200520000618 |
| Provider Name | Charles Rodney Sharpe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134274194 PECOS PAC ID: 1951720515 Enrollment ID: I20200930003067 |
| Provider Name | Susannamma Lijan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003424102 PECOS PAC ID: 0244650745 Enrollment ID: I20201022001927 |
| Provider Name | Sherri Ann Rhodes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831796549 PECOS PAC ID: 7810309341 Enrollment ID: I20201207002346 |
| Provider Name | Crystal Montague |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669887774 PECOS PAC ID: 1355560871 Enrollment ID: I20210426000260 |
| Provider Name | Rachel Bardos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265003081 PECOS PAC ID: 4385049360 Enrollment ID: I20210830001975 |
| Provider Name | Shawna Steffes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821614520 PECOS PAC ID: 2365840642 Enrollment ID: I20211018002781 |
| Provider Name | Kondal Rao Madaram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003952144 PECOS PAC ID: 4284826892 Enrollment ID: I20220309002809 |
| Provider Name | Stephanie J Dockins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114559366 PECOS PAC ID: 5597150318 Enrollment ID: I20220315000277 |
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