BREANNA N GORE (NPI# 1003350570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003350570 |
| Entity Type | Individual |
| Full Name | BREANNA N GORE |
| Practice Address |
2080 Whittaker Rd # 164 Ypsilanti MI 48197-8238 |
| Practice Telephone | 7347960259 |
| Mailing Telephone | 7347960259 |
| Enumeration Date | 2016-12-18 |
| Last Update Date | 2016-12-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740753383 | Breanna Marie Gore | Physician Assistant | 1327 Robeson St, Fayetteville, NC 28305-5531 | 2019-01-07 |
| Street Address |
2080 WHITTAKER RD # 164 |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-8238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
| Find all providers in zip 48197 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164930053 | Cornelius James Shields | Technician, Other | 1207 Stamford Rd, Ypsilanti, MI 48198-3240 | 2018-01-13 |
| 1255875688 | Sha'quice Mullany | Technician, Other | 715 N Congress St, Suite 100, Ypsilanti, MI 48197-4743 | 2016-12-04 |
| 1851834402 | Queayna Battle | Technician, Other | 434 Burton Ct, Ypsilanti, MI 48197-5344 | 2016-11-30 |
| 1689117822 | Lakeya Gray | Technician, Other | 1000 N Huron River Dr Apt 122, Ypsilanti, MI 48197-2373 | 2016-11-20 |
| 1962953604 | Ivy Mcwilliams | Technician, Other | 1292 Leforge Rd Apt D3, Ypsilanti, MI 48198-3550 | 2016-10-18 |
| 1073060158 | Tianna Mobley | Technician, Other | 1341 Woodglen Ave, Ypsilanti, MI 48198-6221 | 2016-09-06 |
| 1699221093 | Oriana Haynes | Technician, Other | 209 W Ainsworth St, Ypsilanti, MI 48197-5340 | 2016-08-26 |
| 1609322189 | James Purifoy | Technician, Other | 825 Green Rd, Ypsilanti, MI 48198-2702 | 2016-08-25 |
| 1386199941 | Brianna Meyer | Technician, Other | 4420 Swiss Stone Ln E, Apt C, Ypsilanti, MI 48197-4914 | 2016-08-23 |
| 1801340229 | Tamara Moore | Technician, Other | 1096 Stamford Rd, Ypsilanti, MI 48198-3248 | 2016-08-15 |
| Find all providers in YPSILANTI | ||||
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| 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.