Dezirae R. Cordero, CNA,

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

CNA1000016799 Issued in AZ

Practice address

7500 N Dreamy Draw Dr
Phoenix, AZ 85020-4660

Phone

(602) 325-1606

Fax

(602) 906-8216

NPI assigned

Mar 12, 2012

Last updated

Mar 12, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331510400000",
    "number": "1659646511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615 W CAMELBACK RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850311017",
            "telephone_number": "623-640-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 N DREAMY DRAW DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204660",
            "telephone_number": "602-325-1606",
            "fax_number": "602-906-8216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDERO",
        "first_name": "DEZIRAE",
        "middle_name": "R.",
        "credential": "CNA,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-12",
        "last_updated": "2012-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AZ",
            "license": "CNA1000016799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Francis Corcoran, DPM
• James P Corcoran IV, DO
• Joshua James Corcoran, RN
• Danielle Corderman, BCBA, M.S.
• Analiza Yu Cordero Mapili
• Kelly Nett Cordero, PHD, CCC SLP
• Kenneth L. Cordero, RN
• Cordia Services LLC (Cordial Adult Care Home)
• Andrea Cordoba, LPC
• Hilda Cordoba, MA LPC

• Student in an Organized Health Care Education/Training Program in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Student in an Organized Health Care Education/Training Program in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.