COMMUNITY ADVANCEMENT PROJECT (NPI# 1134565336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134565336 |
Entity Type | Organization |
Organization Name | COMMUNITY ADVANCEMENT PROJECT |
Other Organization Name | COMMUNITY ADVANCEMENT |
Practice Address |
4215 W Pasadena Ave Suite 2 Flint MI 48504-2342 |
Practice Telephone | 6163011020 |
Mailing Telephone | 6163011020 |
Enumeration Date | 2013-05-14 |
Last Update Date | 2015-05-04 |
Authorized Official Name | MRS. LISA M LUCAS (DIRECTOR) |
Authorized Official Telephone | 6163011020 |
Authorized Official Credential | APRN-BC, NP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251J00000X | Nursing Care | Agencies | ||
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4704237090 | MI | Physician Assistants & Advanced Practice Nursing Providers |
Other Name | Type Code |
---|---|
Community Advancement | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | COMMUNITY ADVANCEMENT PROJECT LLC | 2015 Hancock St Unit 110, San Diego, CA 92110-2020 |
Street Address |
4215 W PASADENA AVE SUITE 2 |
City | FLINT |
State | MI |
Zip Code | 48504-2342 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427135755 | Gus K Hopson | Counselor | 4215 W Pasadena Ave, Suite 3, Flint, MI 48504-2374 | 2006-11-01 |
1750761128 | A Against All Odds | Home Health | 4215 W Pasadena Ave, Suite5, Flint, MI 48504-2342 | 2015-06-01 |
1275839615 | Lisa M. Lucas | Nurse Practitioner | 4215 W Pasadena Ave, Suite 2, Flint, MI 48504-2342 | 2011-02-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750935326 | St. Luke N.e.w. Life Center, Inc. | Optometrist | 3115 Lawndale Ave., Flint, MI 48504 | 2019-07-31 |
1235797259 | Saarah Amuthan | Dentist | 2051 West Pierson Road, Dental Dreams, Units B-d, Flint, MI 48504 | 2019-06-04 |
1639653413 | Chad Warren Montague | Social Worker | 1420 West University Ave, Flint, MI 48504 | 2018-09-18 |
1235628744 | Houda Ghassani | Dentist | 2501 W Pierson Rd # Unitsb-d, Flint, MI 48504 | 2018-05-09 |
1982108551 | Dawn Michelle Conklin | Physical Therapist | 1069 N Ballenger Hwy, Flint, MI 48504 | 2018-03-20 |
1699295204 | Stephen Thomas Holt | Dentist | 2501 West Pierson Road, Units B-d, Flint, MI 48504 | 2017-06-23 |
1841601739 | Charles Davis | Pharmacist | 4333 W. Pierson Rd. G, Flint, MI 48504 | 2014-05-13 |
1609151109 | All American Pharmacy LLC | Pharmacy | 3104-3106 Flushing Rd, Flint, MI 48504 | 2011-10-15 |
1972814143 | Ballenger Pharmacy Center | Pharmacy | 1073 N Ballenger Hwy, Flint Twp, MI 48504 | 2010-06-23 |
1932357837 | Katherine Ann Kogelmann | Social Worker | 1420 W. University, Flint, MI 48504 | 2008-09-04 |
Find all providers in zip 48504 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326654724 | Connie Sue Fiser | Nurse Practitioner | 248 Cass Cir, Flint, TX 75762-6990 | 2020-09-21 |
1518341965 | Diane Kay Holmes | Nurse Practitioner | 2486 Nerredia St Ste E, Flint, MI 48532-4807 | 2015-07-15 |
1942600176 | Kimberly A Vanslyke-smith | Nurse Practitioner | 600 S Saginaw St, Flint, MI 48502-1506 | 2014-08-25 |
1619984978 | Christine Cecilia Cheneworth | Nurse Practitioner | 303 E Kearsley Street, University of Michigan- Flint Urban Health & Wellness, Flint, MI 48502-1950 | 2006-08-01 |
1952354631 | Francesca M Petrilli | Nurse Practitioner | 725 Mason St, Flint, MI 48503-2421 | 2006-05-17 |
1902803877 | Patrick Dale Hawkins | Nurse Practitioner | 2486 Nerredia St, Flint, MI 48532-4807 | 2005-07-06 |
1306372339 | Kappel Elite LLC | Nurse Practitioner | G4007 W Court St, Ste G2, Flint, MI 48532-3560 | 2017-05-11 |
1356893366 | Shauna Franice Cooks | Nurse Practitioner | 2700 Robert T Longway Blvd, Suite B, Flint, MI 48503-2190 | 2016-10-26 |
1750839312 | Ryan Wasielewski | Nurse Practitioner | 2700 Robert T Longway Blvd, #2, Flint, MI 48503-2190 | 2016-09-13 |
1043603558 | Karen Driskill | Nurse Practitioner | 5020 W Bristol Rd, Flint, MI 48507-2919 | 2015-03-08 |
Find all providers in FLINT |
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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.