| Resilient Health, Inc. | |
|
3271 E Queen Creek Rd Ste 101 Gilbert AZ 85297-8511 | |
| (602) 995-1767 | |
| (602) 995-1863 |
| Full Name | Resilient Health, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3271 E Queen Creek Rd Ste 101, Gilbert, Arizona |
| Authorized Official Name and Position | Kimberly Quiros (COO) |
| Authorized Official Contact | 6029951767 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Resilient Health, Inc. 2255 W Northern Ave Ste B100 Phoenix AZ 85021-4936 Ph: (602) 995-1767 | Resilient Health, Inc. 3271 E Queen Creek Rd Ste 101 Gilbert AZ 85297-8511 Ph: (602) 995-1767 |
| NPI Number | 1285150896 |
|---|---|
| Provider Enumeration Date | 08/15/2017 |
| Last Update Date | 11/20/2024 |
| Medicare PECOS PAC ID | 6305017245 |
|---|---|
| Medicare Enrollment ID | O20110926000247 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285150896 | NPI | - | NPPES |
| OTC8445 | Other | AZ | AZ LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | OTC8445 (Arizona) | Primary |
| Provider Name | Randy Jon Brazie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740493428 PECOS PAC ID: 4688664188 Enrollment ID: I20040517000371 |
| Provider Name | Aimee Schwartz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861684532 PECOS PAC ID: 7012000870 Enrollment ID: I20070910000787 |
| Provider Name | Daniel D Hammond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518116839 PECOS PAC ID: 2961541495 Enrollment ID: I20140820000525 |
| Provider Name | Nicole M Lyons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093121600 PECOS PAC ID: 3274751359 Enrollment ID: I20140903000615 |
| Provider Name | Ethel Winfunke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588052823 PECOS PAC ID: 5496042665 Enrollment ID: I20161003001520 |
| Provider Name | Aaron Hiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235774480 PECOS PAC ID: 6406289057 Enrollment ID: I20191212000829 |
| Provider Name | Anthony Kimani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295370401 PECOS PAC ID: 2365877842 Enrollment ID: I20200123001343 |
| Provider Name | Mildred K Omoongeh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760945752 PECOS PAC ID: 8426485269 Enrollment ID: I20200217004459 |
| Provider Name | Francis Kangere Kahiga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477185759 PECOS PAC ID: 2567891773 Enrollment ID: I20200408003598 |
| Provider Name | Amber Valerie Leonhardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073142386 PECOS PAC ID: 0840611224 Enrollment ID: I20200611000935 |
| Provider Name | Ikechi Alex Ikechi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083221006 PECOS PAC ID: 5193132900 Enrollment ID: I20210323001577 |
| Provider Name | Roseann O'connell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588235204 PECOS PAC ID: 3375947252 Enrollment ID: I20210816000267 |
| Provider Name | Katherine Marie Romo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942942396 PECOS PAC ID: 0345620431 Enrollment ID: I20220707000872 |
| Provider Name | Emerald Kan Huggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932803798 PECOS PAC ID: 6901266063 Enrollment ID: I20230720002428 |
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