SUSAN CAMPITELLE (NPI# 1013261734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013261734 |
| Entity Type | Individual |
| Full Name | SUSAN CAMPITELLE |
| Credential | ANP-BC |
| Practice Address |
5301 E Huron River Dr Ypsilanti MI 48197-1051 |
| Mailing Address |
24 Frank Lloyd Wright Dr Po Box 0446 - Lobby J Ann Arbor MI 48105-9484 |
| Practice Telephone | 7347128676 |
| Practice Fax Number | 7347123855 |
| Mailing Telephone | 7347476766 |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2016-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0600X |
Registered Nurse Specialization: Gerontology |
4704270638 | MI | Nursing Service Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
4704270638 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5301 E HURON RIVER DR |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-1051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073515268 | Imad Ayyar | Internal Medicine | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2005-06-01 |
| 1134729114 | St Joseph Mercy Hospital | General Acute Care Hospital | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2020-10-28 |
| 1730711524 | Stephanie Gibson | Physician Assistant | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2020-02-10 |
| 1447801758 | Rachel Kyley Mccready | Physician Assistant | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2019-09-27 |
| 1679125579 | Ariana Bennett | Nurse Anesthetist, Certified Registered | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2019-07-10 |
| 1831758671 | Emily Trombley | Physical Therapist | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2019-06-06 |
| 1871052225 | St Joseph Mercy Hospital | Clinic/Center | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2019-03-15 |
| 1437622099 | Lauren Noelle Easterbrook | Registered Nurse | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2019-01-07 |
| 1023584356 | Mary Lee Beauregard | Speech-Language Pathologist | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2018-10-13 |
| 1669947933 | Kay Otto | Speech-Language Pathologist | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2018-10-12 |
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| 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 | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800768 | Yuri L Guzman | Nurse Practitioner | 795 N Ford Blvd, Ypsilanti, MI 48198-4116 | 2020-10-30 |
| 1073123501 | Genevieve Elizabeth Sweeney | Nurse Practitioner | 4870 W Clark Rd Ste 100, Ypsilanti, MI 48197-1104 | 2020-08-10 |
| 1275196651 | Melissa Miller | Nurse Practitioner | 5361 Mcauley Dr, Ypsilanti, MI 48197-1011 | 2019-04-21 |
| 1366971558 | Lazarus Okammor | Nurse Practitioner | 2940 Ellsworth Rd, Ypsilanti, MI 48197-7406 | 2017-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144830803 | Robert Eugene Scribner IIi | Nurse Practitioner | 13913 Toepfer Rd, Warren, MI 48089-5842 | 2020-08-06 |
| 1124644661 | Denika Leflora Dalton | Nurse Practitioner | 5260 Fairway Trl, Grand Blanc, MI 48439-9445 | 2020-06-21 |
| 1780206995 | Jennifer Kay Marino | Nurse Practitioner | 20407 Mauer St, Saint Clair Shores, MI 48080-3789 | 2020-05-11 |
| 1720621709 | Kelsey Nicole Kloosterman | Nurse Practitioner | Susan P. Wheatlake Regional Cancer Center, 4499 220th Ave, Reed City, MI 49677 | 2019-10-23 |
| 1558911842 | Jomy Jose | Nurse Practitioner | 25719 Salem St, Roseville, MI 48066 | 2019-09-18 |
| 1306318498 | Ashley Marie Jacobson | Nurse Practitioner | 4100 Lake Dr Se Ste D, Grand Rapids, MI 49546-8292 | 2018-12-30 |
| 1568931673 | Jennifer Lavigne | Nurse Practitioner | 145 Michigan St Ne Ste 3300, Grand Rapids, MI 49503-2562 | 2018-11-19 |
| 1134694292 | Sheryl Ann Newton | Nurse Practitioner | 810 W South St, Kalamazoo, MI 49007-4601 | 2018-10-04 |
| 1386123180 | Alison M Sesock | Nurse Practitioner | 5202 Miller Rd Ste B, Flint, MI 48507-1040 | 2018-08-13 |
| 1851886220 | Laura Maclam | Nurse Practitioner | 524 Marywood Dr Ne, Grand Rapids, MI 49505-4149 | 2018-06-27 |
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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.