MRS. DEBORAH LEE SQUIRE (NPI# 1023356748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023356748 |
| Entity Type | Individual |
| Full Name | MRS. DEBORAH LEE SQUIRE |
| Credential | NP |
| Practice Address |
4918 W Clark Rd Ste 104 Ypsilanti MI 48197-1142 |
| Mailing Address |
24 Frank Lloyd Wright Dr Po Box 0446 Lobby J Ann Arbor MI 48105-9484 |
| Practice Telephone | 7345289125 |
| Practice Fax Number | 7345289263 |
| Mailing Telephone | 7347476766 |
| Mailing Fax Number | 7342223100 |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2020-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 4704177641 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
4704177641 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306933817 | Deborah Squire | Orthopaedic Surgery | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2006-10-06 |
| Street Address |
4918 W CLARK RD STE 104 |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-1142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396805834 | Pooja Mittal Green | Obstetrics & Gynecology | 4918 W Clark Rd Ste 104, Ypsilanti, MI 48197-1142 | 2006-12-12 |
| 1295855070 | Kristie Lynn Keeton | Obstetrics & Gynecology | 4918 W Clark Rd Ste 104, Ypsilanti, MI 48197-1142 | 2007-03-29 |
| 1245359165 | Jennifer Anne Williams | Obstetrics & Gynecology | 4918 W Clark Rd Ste 104, Ypsilanti, MI 48197-1142 | 2007-03-29 |
| 1760539381 | Iha Health Services Corporation | Obstetrics & Gynecology | 4918 W Clark Rd Ste 104, Ypsilanti, MI 48197-1142 | 2007-01-04 |
| 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 | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962560185 | Sandra L Noll | Nurse Practitioner | 47 N Huron St, Ypsilanti, MI 48197-2607 | 2006-12-04 |
| 1982704557 | Nancy Sebby | Nurse Practitioner | 4936 W Clark Rd, Building D, Suite 100, Ypsilanti, MI 48197-0861 | 2006-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821615279 | Kelly Ellis | Nurse Practitioner | 585 S Union St, Sparta, MI 49345-1505 | 2020-07-01 |
| 1316587678 | Pregnancy Helpline | Nurse Practitioner | 7743 Grand River Avenue, Suite 101, Brighton, MI 48114-9349 | 2020-01-14 |
| 1972160745 | Jennifer Deibert Keck | Nurse Practitioner | 7345 Jewelbrooke Dr Se, Grand Rapids, MI 49548-7323 | 2019-05-28 |
| 1053874248 | Suzanne Kathleen Dubuque | Nurse Practitioner | 7743 Grand River Rd Ste 101, Brighton, MI 48114-9349 | 2019-04-13 |
| 1316419625 | Chira Latrice Caldwell | Nurse Practitioner | 26080 Continental Cir, Taylor, MI 48180-6901 | 2018-12-27 |
| 1245741651 | Michigan Born and Raised LLC | Nurse Practitioner | 2932 Chicago Dr Sw, Grandville, MI 49418-1176 | 2017-10-12 |
| 1700322708 | Emily Strang | Nurse Practitioner | 909 W Maple Rd Ste 110, Clawson, MI 48017-1000 | 2017-01-13 |
| 1629446315 | Women's Health Associates PC | Nurse Practitioner | 25150 Ford Rd Ste 200, Dearborn Heights, MI 48127-3163 | 2015-09-11 |
| 1003297664 | Kimberly Porter | Nurse Practitioner | 1005 W Green St Ste 301, Hastings, MI 49058-1729 | 2015-06-09 |
| 1619390309 | Bethany Bondy | Nurse Practitioner | 1651 Kingsway Ct Ste A, Trenton, MI 48183-1959 | 2014-01-30 |
| 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.