SHONTASIA FORTNER (NPI# 1003377276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003377276 |
| Entity Type | Individual |
| Full Name | SHONTASIA FORTNER |
| Practice Address |
1175 Wesley Ave Muskegon MI 49442-2100 |
| Practice Telephone | 2312202344 |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2019-03-28 |
| 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 |
| Street Address |
1175 WESLEY AVE |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49442-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245749522 | Cinthia Ann Devries | Behavior Technician | 1175 Wesley Ave, Muskegon, MI 49442-2100 | 2017-09-29 |
| 1588298590 | Dellan Walker | Behavior Technician | 1175 Wesley Ave, Muskegon, MI 49442-2100 | 2020-02-28 |
| 1285271981 | Danyale Garrett | Behavior Technician | 1175 Wesley Ave, Muskegon, MI 49442-2100 | 2019-12-02 |
| 1235770082 | Ashley L Boros | Behavior Technician | 1175 Wesley Ave, Muskegon, MI 49442-2100 | 2019-10-02 |
| 1497300685 | Erin Kathleen Jandt | Behavior Technician | 1175 Wesley Ave, Muskegon, MI 49442-2100 | 2019-08-05 |
| 1376004598 | Brooke Marie Bilek | Behavior Technician | 1175 Wesley Ave, Muskegon, MI 49442-2100 | 2019-03-29 |
| 1477017424 | Patrick Asdell | Behavior Technician | 1175 Wesley Ave, Muskegon, MI 49442-2100 | 2019-01-24 |
| 1801360300 | Joseph Carey | Behavior Technician | 1175 Wesley Ave, Muskegon, MI 49442-2100 | 2019-01-17 |
| 1093288060 | Kelsey Ensing | Behavior Technician | 1175 Wesley Ave, Muskegon, MI 49442-2100 | 2019-01-02 |
| 1598233223 | Jessica Kay Balagna | Behavior Technician | 1175 Wesley Ave, Muskegon, MI 49442-2100 | 2018-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205472321 | Beacon of Light Counseling LLC | Social Worker | 1515 E Laketon Ave, Muskegon, MI 49442 | 2019-11-24 |
| 1528524410 | Tyler Companion | Social Worker | 710 Mclaughlin, Muskegon, MI 49442 | 2019-02-15 |
| 1427549658 | Amber Renee Davidson | Behavioral Analyst | 1175 Wesley Street, Muskegon, MI 49442 | 2018-05-23 |
| 1528559085 | Katherine Dale Kirby | Obstetrics & Gynecology | Mercy Health Hackley, 1700 Clinton St., Muskegon, MI 49442 | 2018-05-21 |
| 1023524303 | Aaron James Dortch | Social Worker | 571 E Appleave, Muskegon, MI 49442 | 2017-12-21 |
| 1043737554 | Jessica Nicole Moskalewski | Social Worker | 125 E. Catherine, Muskegon, MI 49442 | 2017-08-25 |
| 1427587831 | Cristina J Walcott | Social Worker | 1611 Oak Avenue, Muskegon, MI 49442 | 2017-06-08 |
| 1104352244 | Jessica Lee Bailey-yabani | Counselor | 35 S Sheridan Dr, Muskegon, MI 49442 | 2017-05-11 |
| 1538514518 | Andrew G Gregson | Internal Medicine | 1675 Leahy Street Suite 201a, Muskegon, MI 49442 | 2016-04-27 |
| 1487038287 | Mark Charles Kaufman | Social Worker | 1611 Oak Ave., Muskegon, MI 49442 | 2015-07-13 |
| Find all providers in zip 49442 | ||||
| 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 |
|---|---|---|---|---|
| 1992158448 | Sarah Essenberg | Technician, Other | 2340 Windy Ridge Dr, Muskegon, MI 49442-1474 | 2016-07-20 |
| 1427443001 | Sandra Taylor | Technician, Other | 3609 Ross Rd, Muskegon, MI 49445-9332 | 2015-04-01 |
| 1326533084 | Lela Renae Mckinney | Technician, Other | 1175 Wesley Ave, Muskegon, MI 49442-2100 | 2018-06-26 |
| 1366952129 | Christina Suzanne Obzut | Technician, Other | 1175 Wesley Ave, Muskegon, MI 49442-2100 | 2017-10-06 |
| 1699284968 | Karen Yvonne Kendra | Technician, Other | 1175 Wesley Ave, Muskegon, MI 49442-2100 | 2017-09-29 |
| 1417466715 | Miranda Jean Cole | Technician, Other | 1175 Wesley Ave, Muskegon, MI 49442-2100 | 2017-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093321200 | Jamie Price-tober | Technician, Other | 4777 Spitler Dr, Bay City, MI 48706-9498 | 2020-09-22 |
| 1043824535 | Audrey E Carlson | Technician, Other | 5 Skyhaven Ct, Saginaw, MI 48604-1820 | 2020-09-02 |
| 1417569666 | Nicole Gainforth | Technician, Other | 610 Hickory Ct, Sebewaing, MI 48759-1413 | 2020-08-19 |
| 1205447364 | Bryan David Wilkinson | Technician, Other | 153 E Auburn Trl, Brighton, MI 48114-5011 | 2020-08-12 |
| 1104442656 | Meredith Sparks | Technician, Other | 1053 Kirk Dr Se, Grand Rapids, MI 49546-3740 | 2020-06-21 |
| 1487276366 | Sarah Zimmerman | Technician, Other | 2341 Valleywood Dr Se Apt L12, Grand Rapids, MI 49546-7707 | 2020-05-13 |
| 1649890096 | Justice Kristina-marie Bass | Technician, Other | 401 E Willard Ave Apt 4, Lansing, MI 48910-3078 | 2020-04-24 |
| 1609400522 | Vickie Gaines | Technician, Other | 28096 Palomino Dr, Warren, MI 48093-4232 | 2020-02-29 |
| 1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
| 1376182766 | Katie Marie Morton | Technician, Other | 3210 Elnor Dr, Gladwin, MI 48624-8366 | 2020-01-02 |
| Find all providers with the same taxonomy | ||||
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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.