JOANNA EDDY (NPI# 1063931863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063931863 |
| Entity Type | Individual |
| Full Name | JOANNA EDDY |
| Other Name | JOANNA KLEINER |
| Credential | RN, BSN, MSN, FNP-C |
| Practice Address |
329 Columbia St Algonac MI 48001 |
| Mailing Address |
50316 Corey Ave Chesterfield MI 48051-3795 |
| Practice Telephone | 8106713190 |
| Practice Fax Number | 8106713263 |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2018-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 4704281614 | MI | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704281614 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821347931 | Joanna Bosik Eddy | Lactation Consultant, Non-RN | 3931 Lincolnshire Street, Annandale, VA 22003 | 2012-09-05 |
| Street Address |
329 COLUMBIA ST |
| City | ALGONAC |
| State | MI |
| Zip Code | 48001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063607745 | Ahmad Taha Abulaban | Physical Therapist | 329 Columbia St, Algonac, MI 48001-1543 | 2007-09-06 |
| 1457726770 | Thomas Kizy Md Pllc | Family Medicine | 329 Columbia St, Algonac, MI 48001 | 2015-12-11 |
| 1457637506 | Thomas Kizy | Family Medicine | 329 Columbia St, Algonac, MI 48001 | 2011-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841962 | Joy Emery | Pharmacist | 1770 N Alger Road, Alma, MI 48001 | 2020-11-02 |
| 1932320454 | Mikelyn Burnell | Registered Nurse | 555 St Clair River Dr, Algonac, MA 48001 | 2007-05-01 |
| 1659411189 | Lora Lazovski | Dentist | 7213 Dyke Rd, Algonac, MI 48001 | 2007-02-07 |
| 1104912781 | Monica J Watson | Adult Companion | 555 St Clair River Drive, Algonac, MI 48001 | 2006-10-04 |
| 1992802409 | Leonard David Kasperowicz Sr. | Family Medicine | 6603 Dyke Road, Clay, MI 48001 | 2006-09-19 |
| 1235249244 | William James Brady Jr. | Chiropractor | 406 Pointe Tremble, Algonac, MI 48001 | 2006-08-30 |
| 1952322703 | Tae Hong Chung | Family Medicine | 2700 Pointe Tremble Road, Box 406, Algonac, MI 48001 | 2006-07-21 |
| 1134570344 | Stephanie Allison Boyle | Dentist | 2816 Pointe Tremble Rd, Algonac, MI 48001 | 2016-06-29 |
| 1558530477 | St Johns Marsh Dental PC | Dentist | 7213 Dyke Rd, Algonac, MI 48001 | 2008-02-25 |
| 1134269673 | Nicholas Grudich | Dentist | 7213 Dyke Rd, Algonac, MI 48001 | 2007-02-07 |
| Find all providers in zip 48001 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326551557 | Julia Kate Boury | Nurse Practitioner | 9821 Saint John Dr, Algonac, MI 48001-4236 | 2017-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972339 | Zeinab Berjaoui | Nurse Practitioner | 11496 Newbern Dr, Warren, MI 48093-2613 | 2020-11-08 |
| 1134720899 | Whitney Ashton Mervau | Nurse Practitioner | 3836 Haven Hill Ln, Williamsburg, MI 49690-9536 | 2020-11-07 |
| 1063013837 | Amy Lynn Wadsworth | Nurse Practitioner | 9259 Chambord Dr, Ypsilanti, MI 48197-9281 | 2020-11-06 |
| 1821699844 | Michelle Daldine | Nurse Practitioner | 38481 Gail St, Clinton Township, MI 48036-1823 | 2020-11-05 |
| 1710588876 | Coty Cole | Nurse Practitioner | 2065 South Center Rd, Ste A, Burton, MI 48519 | 2020-11-05 |
| 1205437175 | Michelle Jo Whitesel | Nurse Practitioner | 5861 Shadow Pines Ct, Howell, MI 48843-7130 | 2020-11-05 |
| 1326649617 | Melinda Lee Hawley | Nurse Practitioner | 4019 Stark Dr, West Branch, MI 48661-9633 | 2020-11-04 |
| 1720689193 | Mohammed Louthfur Rahman | Nurse Practitioner | Hoover Internal Medicine Pllc, 2930 Holbrook St, Hamtramck, MI 48212 | 2020-11-03 |
| 1619578234 | Devon Kruger | Nurse Practitioner | 4612 W David Hwy, Saranac, MI 48881-9740 | 2020-11-02 |
| 1760083208 | Ramonna Van Alstine | Nurse Practitioner | 13932 Fox Ridge Ln, Allenton, MI 48002-4525 | 2020-11-02 |
| 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.