ALISA MARIE WALTERICH


Address: 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000
Phone: 7349364000

ALISA MARIE WALTERICH (NPI# 1114494200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114494200
Entity Type Individual
Full Name ALISA MARIE WALTERICH
Credential NP
Practice Address 1500 E Medical Center Dr
Ann Arbor
MI 48109-5000
Mailing Address 3621 S State St
Ann Arbor
MI 48108-1633
Practice Telephone 7349364000
Mailing Telephone 7346475299
Enumeration Date 2018-10-27
Last Update Date 2020-03-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 4704278777 MI Physician Assistants & Advanced Practice Nursing Providers
N 363LP0222X Nurse Practitioner
Specialization: Pediatrics, Critical Care
4704278777 MI Physician Assistants & Advanced Practice Nursing Providers
N 363LP0222X Nurse Practitioner
Specialization: Pediatrics, Critical Care
95010439 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1500 E MEDICAL CENTER DR
City ANN ARBOR
State MI
Zip Code 48109-5000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669475836 Tami L. Remington Pharmacist 1500 E Medical Center Dr, Ann Arbor, MI 48109-0999 2005-05-23
1578164810 Jessica Leigh Bailey Nurse Practitioner 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 2020-11-03
1518565910 Yoshiaki Ota Student in an Organized Health Care Education/Training Program 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 2020-10-16
1366058356 Paulo Zupelari Goncalves Dentist 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 2020-09-16
1306459466 Jesse P Spalding Nurse Practitioner 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 2020-08-28
1992318919 Batoul Berri Audiologist 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 2020-08-28
1063024891 Nathan Allen Johnson Nurse Practitioner 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 2020-08-22
1780296699 Yoav Hammer Internal Medicine 1500 E Medical Center Dr, 2nd Floor, Cardiovascular Center, Ann Arbor, MI 48109-5853 2020-08-21
1891306262 Sarah Garnai Student in an Organized Health Care Education/Training Program 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 2020-08-11
1386254936 Ryan James Sutherlan Pharmacist 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 2020-08-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558987024 Albert Byun Student in an Organized Health Care Education/Training Program 1500 E.medical Center Dr., 1h247, Ann Arbor, MI 48109 2020-06-22
1851914931 Nadine Ibrahim Student in an Organized Health Care Education/Training Program 1500 E. Medical Center Drive, Spc 5312, Taubman Center, 1st Floor, Room 1903, Ann Arbor, MI 48109 2020-05-22
1568083350 Tucker Zimmer Student in an Organized Health Care Education/Training Program 1500 E Medical Center Dr, Uh South F-6245, Ann Arbor, MI 48109 2020-05-03
1144841099 Jessica Moore Meves Student in an Organized Health Care Education/Training Program 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 2020-05-01
1710522297 Xiaoyuan Hu Specialist/Technologist Obl 2150, 1402 Washington Hts, Ann Arbor, MI 48109 2019-11-08
1376192401 Regina Kay Freeman Clinical Nurse Specialist 4726 Cardiovascular Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109 2019-09-11
1477114155 William Philip Saunders IIi Student in an Organized Health Care Education/Training Program 300 N Ingalls Building, Rm Ni4co6, Ann Arbor, MI 48109 2019-06-24
1093290447 Teresa H Lyden Speech-Language Pathologist 1500 E. Medical Center Dr., Spc 5312, 1904 Tc, Otolaryngology-head and Neck Surgery, Ann Arbor, MI 48109 2018-10-02
1649755091 Anna Grace Hardenbergh Speech-Language Pathologist 1500 E. Medical Center Drive Tc 1904, Otolaryngology Head and Neck Surgery, Ann Arbor, MI 48109 2018-10-02
1548754609 Amy Wu Pediatrics 1500 East Medical Center Drive., Medical Professional Bldg. D-3238, Ann Arbor, MI 48109 2018-06-21
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821624685 Francisco Bielinki Jr. Nurse Practitioner 2355 Devonshire Rd, Ann Arbor, MI 48104-2703 2020-03-12
1609335363 Epmg Northern Michigan Pllc Nurse Practitioner 5301 E Huron River Dr Er, Ann Arbor, MI 48106 2019-03-13
1649771668 Julie Elizabeth Cain Nurse Practitioner 1418 Morton Ave, Ann Arbor, MI 48104-4437 2018-02-25
1689190167 Sonam Krichbaum Nurse Practitioner 302 E Liberty St Ste 201, Ann Arbor, MI 48104-2206 2017-08-16
1013438530 Keely Marie Blosh Nurse Practitioner 1500 E Medical Center Dr # 4321, 3rd Floor Cardiovascular Center Recp C, Ann Arbor, MI 48109-5864 2017-07-06
1821538026 Natalya Stokely-hamdan Nurse Practitioner 3410 Ferry St, Ann Arbor, MI 48103-1905 2017-03-07
1295113199 Ji-young Byun Nurse Practitioner 2251 Gemstone Ct, Ann Arbor, MI 48103-8970 2015-05-11
1528303740 Teresa Kathleen Reimer Nurse Practitioner 2301 S Huron Pkwy Ste 2b, Ann Arbor, MI 48104-5133 2012-11-28
1053662981 Andria Scappaticci Hazergian Nurse Practitioner 1500 E Medical Center Dr Bldg 1000312, Ann Arbor, MI 48109-5000 2012-10-02
1114171238 Donna Lee Auer Nurse Practitioner 325 E Eisenhower Plwy, Suite 100, Ann Arbor, MI 48108-5744 2008-11-17
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Competitor

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City ANN ARBOR
Zip Code 48109

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Dataset Information

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.

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