MS. DONNA MARIE HANTULA (NPI# 1124467626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124467626 |
Entity Type | Individual |
Full Name | MS. DONNA MARIE HANTULA |
Credential | RN |
Practice Address |
2301 E Michigan Ave Jackson MI 49202-3700 |
Practice Telephone | 5177833434 |
Practice Fax Number | 5177826446 |
Mailing Telephone | 5177454812 |
Enumeration Date | 2013-06-18 |
Last Update Date | 2013-06-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
4704233408 | MI | Nursing Service Providers |
Street Address |
2301 E MICHIGAN AVE |
City | JACKSON |
State | MI |
Zip Code | 49202-3700 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578564852 | Great Lakes Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 2301 E Michigan Ave, Jackson, MI 49202-3700 | 2005-08-09 |
1740889666 | Rhonda Lynn Smith | Case Manager/Care Coordinator | 2301 E Michigan Ave, Jackson, MI 49202-3700 | 2020-10-21 |
1215400577 | Thrive Therapy, LLC | Social Worker | 2301 E Michigan Ave, Jackson, MI 49202-3700 | 2019-01-09 |
1033687009 | Humberto Ramos Jr. | Case Manager/Care Coordinator | 2301 E Michigan Ave, Jackson, MI 49202-3700 | 2018-11-08 |
1982144218 | Faith Elizabeth Roy | Case Manager/Care Coordinator | 2301 E Michigan Ave, Suite 219, Jackson, MI 49202-3700 | 2017-03-06 |
1811441769 | Bethel Homes LLC | Home Health | 2301 E Michigan Ave, 201, Jackson, MI 49202-3700 | 2016-08-09 |
1639521453 | Sarah Lynn Bartzen | Social Worker | 2301 E Michigan Ave, Suite 214, Jackson, MI 49202-3700 | 2016-07-05 |
1396184131 | Michael Kenneth Thompson | Psychologist | 2301 E Michigan Ave, Jackson, MI 49202-3700 | 2013-06-14 |
1154661023 | Training and Treatment Innovations Inc | Community/Behavioral Health | 2301 E Michigan Ave, Suite 219, Jackson, MI 49202-3700 | 2013-02-28 |
1285752733 | Ruth Bel Genyk | Social Worker | 2301 E Michigan Ave, Suite105, Jackson, MI 49202-3700 | 2007-03-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821590316 | Leslie Dominique Barroso | Social Worker | 834 Kennedy St, Jackson, MI 49202 | 2018-03-01 |
1073011136 | Nicole Szarek | Social Worker | 1200 N. West Ave, Jackson, MI 49202 | 2018-01-24 |
1598299430 | Cedric Griffin | Behavior Technician | 950 W. Monroe St, Jackson, MI 49202 | 2017-04-18 |
1285081612 | Patricia Decker | Psychologist | 950 West Monroe, Suite 500, Jackson, MI 49202 | 2016-05-16 |
1619344314 | Erica Ries | Social Worker | 1200 N West Ave Ste 800, Jackson, MI 49202 | 2015-08-28 |
1184007189 | Sarah Johnson | Behavioral Analyst | 818 Winifred St, Jackson, MI 49202 | 2015-07-08 |
1871971697 | Scott A Watterson Dds, Pllc | Dentist | 1030 Laurence Ave, Suite 3, Jackson, MI 49202 | 2015-05-13 |
1043608680 | Brenda Beverly | Counselor | 1190 West, 1190 West Suite 812, Jackson, MI 49202 | 2015-01-06 |
1295091593 | Natalie Ann Kember | Social Worker | 1206 Clinton, Jackson, MI 49202 | 2012-04-11 |
1912218728 | Tina Marie Pierce | Respite Care | 225 N Wisner St, Jakson, MI 49202 | 2010-06-25 |
Find all providers in zip 49202 |
Taxonomy Code | 163WP0809X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health, Adult |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003996265 | Brenda E Day | Registered Nurse | 1500 Woodrow Wilson Blvd East, Va Medical Center, Jackson, MS 39216 | 2006-10-16 |
1912007832 | Jeanne H Palmer | Registered Nurse | 1500 E. Woodrow Wilson Dr, Jackson, MS 39216-5116 | 2006-09-22 |
1235239179 | Nita Aurora Magee | Registered Nurse | 1500 E Woodrow Wilson Ave # 116-a3, Jackson, MS 39216-5116 | 2006-09-22 |
1265546774 | Vinnie Curry Beckley | Registered Nurse | 1500 East Woodrow Wilson Drive (116a3), Jackson, MS 39216-5199 | 2006-08-19 |
1023098167 | Brian G Brown | Registered Nurse | 384d Carriage House Drive, Jackson, TN 38305-2268 | 2006-01-17 |
1346750247 | Selena Ann Hannibal | Registered Nurse | 2301 E Michigan Ave Ste 101, Jackson, MI 49202-3765 | 2017-10-05 |
1710200795 | Eugene E Chapel | Registered Nurse | 1200 N West Ave, Suite 300, Jackson, MI 49202-2179 | 2010-03-05 |
1568612778 | Susan Russell Haralson | Registered Nurse | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2008-09-24 |
1588693634 | Katherine M Raines | Registered Nurse | 2500 North State Street, Department of Psychiatry and Human Behavior, Jackson, MS 39216-4505 | 2006-07-01 |
1083653257 | Debra E Bell | Registered Nurse | 248 E Capitol St, 840 Trust Mark Bldg, Jackson, MS 39201-2503 | 2006-06-05 |
Find all providers in JACKSON |
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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.