DEIDRA MOSCISKI (NPI# 1174952618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174952618 |
| Entity Type | Individual |
| Full Name | DEIDRA MOSCISKI |
| Practice Address |
1010 N Madison Ave Bay City MI 48708-5926 |
| Practice Telephone | 9898952200 |
| Mailing Telephone | 9898952200 |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2013-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 4703106756 | MI | Nursing Service Providers |
| Street Address |
1010 N MADISON AVE |
| City | BAY CITY |
| State | MI |
| Zip Code | 48708-5926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356516686 | Rebecca Leonard | Social Worker | 1010 N Madison Ave, Bay City, MI 48708-5926 | 2008-04-28 |
| 1013533447 | Christyna Lyn Hare | Nurse's Aide | 1010 N Madison Ave, Bay City, MI 48708-5926 | 2020-06-22 |
| 1598380198 | Donna Roznowski | Nurse's Aide | 1010 N Madison Ave, Bay City, MI 48708-5926 | 2020-06-10 |
| 1013543370 | Christine Jo Zwingman | Registered Nurse | 1010 N Madison Ave, Bay City, MI 48708-5926 | 2020-03-19 |
| 1265094544 | Ashley Marie Badour | Registered Nurse | 1010 N Madison Ave, Bay City, MI 48708-5926 | 2019-07-08 |
| 1609351782 | Jennah Marie Mahlon | Social Worker | 1010 N Madison Ave, Bay City, MI 48708-5926 | 2018-09-25 |
| 1922507094 | Nichole Lyne Mclachlan | Social Worker | 1010 N Madison Ave, Bay City, MI 48708-5926 | 2018-02-05 |
| 1437683604 | Bradley Parker | Social Worker | 1010 N Madison Ave, Bay City, MI 48708-5926 | 2017-04-14 |
| 1902358054 | Lauren Kimberly Klett | Technician, Other | 1010 N Madison Ave, Bay City, MI 48708-5926 | 2016-10-25 |
| 1992253777 | Andrea Rayl | Social Worker | 1010 N Madison Ave, Bay City, MI 48708-5926 | 2016-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497370399 | Francine Marie Dixon | Pharmacist | 1800 Columbus Ave Ste P, Bay City, MI 48708 | 2020-06-16 |
| 1417578261 | Kassie L Pagliughi | Counselor | 1100 N. Grant Street, Bay City, MI 48708 | 2020-05-04 |
| 1346711694 | Connie Lynn Mossner | Physical Therapy Assistant | 2112 16 Th Street, Ste 7, Bay City, MI 48708 | 2018-12-16 |
| 1275003766 | Great Lakes Bay Health Centers | Clinic/Center | 1821 Mckinley St, Bay City, MI 48708 | 2018-11-28 |
| 1891204970 | Ronald Lavern Polhill Jr. | Registered Nurse | 701 South Lincoln St., Bay City, MI 48708 | 2017-09-21 |
| 1447610001 | Jeffrey M Hunt | Nurse Practitioner | 714 S. Trumbull St., Bay City, MI 48708 | 2016-02-25 |
| 1457762437 | Asim Malik | Emergency Medicine | 1900 Columbus Ave # B203, Bay City, MI 48708 | 2014-05-13 |
| 1538584768 | Sarah R. Vanparis | Registered Nurse | 1010 N. Madison, Bay City, MI 48708 | 2014-02-25 |
| 1033549316 | Melissa Rood | Case Manager/Care Coordinator | 1001 Mulholland, Bay City, MI 48708 | 2013-11-22 |
| 1528498953 | Shannon Rae Ogg | Social Worker | 2110 16th St Ste 7, Bay City, MI 48708 | 2013-11-21 |
| Find all providers in zip 48708 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417578162 | Justine Jean Zatkovic | Licensed Practical Nurse | 6868 Westside Saginaw Rd, Bay City, MI 48706-9325 | 2020-05-05 |
| 1962031641 | Tammy Rindahl | Licensed Practical Nurse | W6415 Main St, Bay City, WI 54723 | 2020-04-05 |
| 1245797067 | Cammie Elizabeth Morel | Licensed Practical Nurse | 1202 Bradfield St, Bay City, MI 48706-4005 | 2019-02-28 |
| 1720580095 | Traci Lynn Rezmer | Licensed Practical Nurse | 1100 Elm St, Bay City, MI 48706-4007 | 2018-03-02 |
| 1992212971 | Jacqueline Braley | Licensed Practical Nurse | 312 Nebobish Ave, Bay City, MI 48708-5519 | 2017-12-29 |
| 1124534789 | Debra Martinez | Licensed Practical Nurse | 151 Wagner Rd, Bay City, MI 48708-9144 | 2017-12-19 |
| 1336508142 | Brenda Ferguson | Licensed Practical Nurse | 3320 Lauria Rd, Bay City, MI 48706-8101 | 2016-02-22 |
| 1043681661 | Barbara Lynn Mcauley | Licensed Practical Nurse | 439 River Rd, Bay City, MI 48706-1449 | 2015-10-08 |
| 1255736807 | Shannon Webster | Licensed Practical Nurse | 911 N Farragut St, Bay City, MI 48708-6039 | 2014-10-24 |
| 1366843179 | Lisa Hartfelder | Licensed Practical Nurse | 305 S Lincoln St Apt 2, Bay City, MI 48708-7455 | 2014-09-11 |
| Find all providers in BAY CITY | ||||
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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.