JAYLIN MARTEL HARRIS (NPI# 1154980779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154980779 |
Entity Type | Individual |
Full Name | JAYLIN MARTEL HARRIS |
Practice Address |
79 W Alexandrine St Detroit MI 48201-2015 |
Practice Telephone | 3138315535 |
Practice Fax Number | 3138312608 |
Mailing Telephone | 3138315535 |
Mailing Fax Number | 3138312608 |
Enumeration Date | 2019-06-07 |
Last Update Date | 2019-06-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
Street Address |
79 W ALEXANDRINE ST |
City | DETROIT |
State | MI |
Zip Code | 48201-2015 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801846985 | James Patrick Stenger | Dentist | 79 W Alexandrine St, 3rd Floor, Detroit, MI 48201-2015 | 2006-05-11 |
1518572809 | Holly Paige Lawson | Social Worker | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2020-09-13 |
1013522416 | Sadie Berthiaume | Case Manager/Care Coordinator | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2020-09-11 |
1720604028 | Tasneem Mahmoud Abdelhamid | Community Health Worker | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2020-06-23 |
1295358943 | Jordan Michelle Nosis | Student in an Organized Health Care Education/Training Program | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2020-05-28 |
1861032070 | Joyce Witherspoon | Case Manager/Care Coordinator | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2020-01-15 |
1770123176 | Tyanna Elizabeth Jamison | Peer Specialist | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2020-01-14 |
1518507565 | Tia Mitchell | Social Worker | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2020-01-07 |
1154960342 | Kristin Marie Kunes | Social Worker | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2020-01-05 |
1629615836 | Stephanie Warren | Dental Hygienist | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2019-12-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
Find all providers in zip 48201 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992355135 | James Calloway | Peer Specialist | 1211 E Mcnichols, Detroit, MI 48203 | 2019-09-19 |
1790331536 | Bridgett Darcell Scott | Peer Specialist | 1121 E 6 Mile Rd, Detroit, MI 48203-2857 | 2019-08-16 |
1932669827 | Donald Brown | Peer Specialist | 18582 Goddard St, Detroit, MI 48234-1319 | 2019-03-25 |
1710463880 | Felicia Greene | Peer Specialist | 3542 Fairview St, Detroit, MI 48214-3539 | 2018-07-12 |
1033603998 | Tonya Patrice Miller-cherry | Peer Specialist | 1423 Field St # 5, Detroit, MI 48214-2321 | 2018-06-14 |
1831612662 | Heidi L Brinkley | Peer Specialist | 5575 Conner St Ste 204b, Detroit, MI 48213-6401 | 2017-07-24 |
1588067383 | Katrina Baldwin | Peer Specialist | 11668 Montrose St, Detroit, MI 48227-1758 | 2014-10-07 |
1700498771 | Darryl Angelo Walker | Peer Specialist | 1145 W Grand Blvd, Detroit, MI 48208-2336 | 2020-08-20 |
1487266441 | Jeremiah Spears Jr. | Peer Specialist | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2020-08-20 |
1740892603 | Sheena Talanya Dalton | Peer Specialist | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2020-08-20 |
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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.