RANDI J VOTAVA (NPI# 1144407321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144407321 |
Entity Type | Individual |
Full Name | RANDI J VOTAVA |
Credential | FNP-BC |
Practice Address |
1107 Stone St Suite 5 Port Huron MI 48060-3569 |
Practice Telephone | 8109859300 |
Practice Fax Number | 8109859393 |
Mailing Telephone | 8109859300 |
Mailing Fax Number | 8109859393 |
Enumeration Date | 2008-01-30 |
Last Update Date | 2012-11-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704237166 | MI | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1107 STONE ST SUITE 5 |
City | PORT HURON |
State | MI |
Zip Code | 48060-3569 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821087453 | Vernon Everett Dencklau | Surgery | 1107 Stone St, Suite 1, Port Huron, MI 48060-3569 | 2005-10-17 |
1407205719 | Norma Pakulski | Licensed Practical Nurse | 1107 Stone St, Suite 2, Port Huron, MI 48060-3569 | 2016-06-07 |
1548635121 | Ali Endocrinology PC | Internal Medicine | 1107 Stone St, Ste 3, Port Huron, MI 48060-3569 | 2015-12-07 |
1134599822 | Katherine Susan Kuhn | Acupuncturist | 1107 Stone St, Suite 2, Port Huron, MI 48060-3569 | 2015-10-07 |
1669701124 | Best Kids PC | Pediatrics | 1107 Stone St, Suite 5, Port Huron, MI 48060-3569 | 2009-12-12 |
1386877124 | Percy H, Mcdonald, M.d., P.C. | Specialist | 1107 Stone St, Suite 4, Port Huron, MI 48060-3569 | 2009-08-27 |
1336322528 | Blue Water Thoracic and Cardiovascular Surgery, Plc | Surgery | 1107 Stone St, Suite 1, Port Huron, MI 48060-3569 | 2007-12-11 |
1487780755 | Shamsa Arshad Ali | Internal Medicine | 1107 Stone St, Suite 3, Port Huron, MI 48060-3569 | 2007-02-23 |
1093756934 | Port Huron Clinic P.C. | Legal Medicine | 1107 Stone St, Ste #1, Port Huron, MI 48060-3569 | 2006-06-10 |
1861460750 | Percy Mcdonald | Otolaryngology | 1107 Stone St, Suite 4, Port Huron, MI 48060-3569 | 2006-03-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740897297 | Casey Edward Bicker | Behavior Technician | 3245 Keewahdin Rd; Fort Gratiot, Mi 48059, Port Huron, MI 48060 | 2020-09-29 |
1962032078 | Brianne Salchert | Peer Specialist | 1170 Michigan Rd., Port Huron, MI 48060 | 2020-01-17 |
1982123006 | Kenneth Shine Heuvelman | Counselor | 3522 Holland Park Ln, Port Huron, MI 48060 | 2017-09-11 |
1346767506 | Kelly Baker | Social Worker | 520 Superior St., Port Huron, MI 48060 | 2017-08-28 |
1326418609 | Jean Burleigh | Chore Provider | 614 Staton, Port Huron, MI 48060 | 2015-09-30 |
1205242161 | Lisa Gray | Counselor | 2885 W Rick Dr, Port Huron, MI 48060 | 2014-07-10 |
1861758880 | Aaron Overly | Surgery | 2609 Electric Ave Ste B&, Port Huron, MI 48060 | 2012-04-03 |
1942591508 | S Akram Ali | Surgery | 3270 Waldheim Dr, Port Huron, MI 48060 | 2011-04-29 |
1417258179 | Nicholas Alexander Tobianski | Physician Assistant | 3550 Pine Grove Avenue, Port Huron, MI 48060 | 2010-11-11 |
1598092769 | Blue Water Pharmacy LLC | Pharmacy | 1524 10th Street, Port Huron, MI 48060 | 2009-11-10 |
Find all providers in zip 48060 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083019012 | Gudalia Fajardo | Nurse Practitioner | 2603 Electric Ave Ste 1, Port Huron, MI 48060-6588 | 2014-11-04 |
1427666056 | Betty Falecki | Nurse Practitioner | 1225 10th St, Port Huron, MI 48060-5205 | 2020-07-20 |
1982228342 | Brittany Nichole Anderson | Nurse Practitioner | 1201 Stone St Ste 3, Port Huron, MI 48060-3563 | 2020-06-02 |
1508412909 | Danielle Marie Sabala | Nurse Practitioner | 2425 Military St, Port Huron, MI 48060-6692 | 2019-08-13 |
1346892502 | Jeffery Allen Ash | Nurse Practitioner | 1943 Holland Ave, Port Huron, MI 48060-1519 | 2019-07-09 |
1629549159 | Tamara Dawn Yoas | Nurse Practitioner | 1222 10th Ave, Port Huron, MI 48060-3406 | 2018-12-10 |
1063908259 | Laura Louise Brosius | Nurse Practitioner | 1217 Kearney St, Port Huron, MI 48060-3571 | 2018-07-10 |
1255859898 | Khalida M. Graham | Nurse Practitioner | 1221 Pine Grove Ave, Port Huron, MI 48060-3511 | 2017-09-04 |
1871014944 | Donald Lake | Nurse Practitioner | 1221 Pine Grove Ave, Mciaren Port Huron, Port Huron, MI 48060 | 2017-06-29 |
1992181945 | Carolee Anderson | Nurse Practitioner | 1011 Military St, Port Huron, MI 48060-5416 | 2015-07-31 |
Find all providers in PORT HURON |
City | PORT HURON |
Zip Code | 48060 |
Please comment or provide details below to improve the information on RANDI J VOTAVA.
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.