MRS. BLYTHE POLLACK (NPI# 1124449459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124449459 |
| Entity Type | Individual |
| Full Name | MRS. BLYTHE POLLACK |
| Credential | CPNP-AC |
| Practice Address |
1500 E Medical Center Dr 10th Floor C.s. Mott Children's Hospital Ann Arbor MI 48109-4286 |
| Mailing Address |
3621 South State Street 700 Kms Place Ann Arbor MI 48108 |
| Practice Telephone | 7347635302 |
| Mailing Telephone | 7349362047 |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2014-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0222X |
Nurse Practitioner Specialization: Pediatrics, Critical Care |
4704266977 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1500 E MEDICAL CENTER DR 10TH FLOOR C.S. MOTT CHILDREN'S HOSPITAL |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48109-4286 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 48109 | ||||
| Taxonomy Code | 363LP0222X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851760870 | Rebecca Lynn Tompkins | Nurse Practitioner | 1500 E Medical Center Dr, 11th Floor C.s. Mott Children's Hospital, Ann Arbor, MI 48109-4204 | 2015-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073935383 | Courtney Elyse Fezzey | Nurse Practitioner | 3200 E Lafayette St, Detroit, MI 48207-3812 | 2014-01-07 |
| 1053650291 | Michelle Mcnaughton | Nurse Practitioner | 5301 Beaubien Street, Detroit, MI 48201 | 2013-02-07 |
| 1801407119 | Samantha Mulkiten | Nurse Practitioner | 3901 Beaubien St, Detroit, MI 48201-2119 | 2020-08-11 |
| 1104301910 | Kacee Anne Harris-jones | Nurse Practitioner | 3901 Beaubien St, Detroit, MI 48201-2119 | 2018-09-27 |
| 1144731621 | Erica Danielle Curtis | Nurse Practitioner | 3901 Beaubien St, Detroit, MI 48201-2119 | 2017-10-23 |
| 1932629979 | Tiffany Nicole Cassidy | Nurse Practitioner | 3037 Silverwood Dr, Saginaw, MI 48603-2171 | 2017-06-21 |
| 1922492750 | Megan Worley | Nurse Practitioner | 3901 Beaubien St, 2nd Fl Carls Bldg, Detroit, MI 48201-2119 | 2015-03-18 |
| 1154664753 | Kenneth James Early | Nurse Practitioner | 3901 Beaubien St, Detroit, MI 48201-2119 | 2013-04-02 |
| 1477875045 | Cortney Lynn Mazur | Nurse Practitioner | 3901 Beaubien St, Detroit, MI 48201-2119 | 2010-02-23 |
| 1306168323 | Lauren Michele Kelm | Nurse Practitioner | 3901 Beaubien St, Detroit, MI 48201-2119 | 2010-02-17 |
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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.