ANDREA MICHELLE MARSHALL-DIVER (NPI# 1184265639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184265639 |
| Entity Type | Individual |
| Full Name | ANDREA MICHELLE MARSHALL-DIVER |
| Practice Address |
2925 Russell St Detroit MI 48207 |
| Practice Telephone | 3133965300 |
| Mailing Telephone | 3133965300 |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2019-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
4704255578 | MI | Nursing Service Providers |
| Street Address |
2925 RUSSELL ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750393690 | John William Head Jr. | Psychiatry & Neurology | 2925 Russell St, Detroit, MI 48207-4825 | 2006-08-12 |
| 1417566761 | Pamela Jastrabek | Case Manager/Care Coordinator | 2925 Russell St, Detroit, MI 48207-4825 | 2020-07-23 |
| 1508483934 | Saturn Science - Integrated Behavioral Health School and Services | Case Management | 2925 Russell St, Detroit, MI 48207-4825 | 2020-07-01 |
| 1497384572 | Emily Deters | Registered Nurse | 2925 Russell St, Detroit, MI 48207-4825 | 2020-04-02 |
| 1437799764 | Randi Marie Jackson | Case Manager/Care Coordinator | 2925 Russell St, Detroit, MI 48207-4825 | 2020-01-15 |
| 1265072417 | Gaelle Lengue | Social Worker | 2925 Russell St, Detroit, MI 48207-4825 | 2020-01-15 |
| 1295372555 | Nausheen None Habib | Registered Nurse | 2925 Russell St, Detroit, MI 48207-4825 | 2019-12-05 |
| 1861039679 | Britney Nicole Pope | Social Worker | 2925 Russell St, Detroit, MI 48207-4825 | 2019-12-01 |
| 1740826577 | Sarah Ann Seifert | Social Worker | 2925 Russell St, Detroit, MI 48207-4825 | 2019-11-27 |
| 1497391361 | Livonia Shropshire | Social Worker | 2925 Russell St, Detroit, MI 48207-4825 | 2019-11-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245848506 | Anton R Gonzales | Physical Therapy Assistant | 2295 Chene, Detroit, Mi 48207, Detroit, MI 48207 | 2020-07-22 |
| 1033733928 | Taleshia Moss | Occupational Therapist | 2295 Chene, Detroit, MI 48207 | 2020-06-05 |
| 1942858550 | Ronald Royce Cochran | Counselor | 2925 Russell St, Detroit, Detroit, MI 48207 | 2019-08-27 |
| 1649831439 | Charday Penick | Social Worker | Team Wellness, 2925 Russell St, Detroit, MI 48207 | 2019-06-24 |
| 1568023349 | Alphia Ramona Burgess | Social Worker | Team Wellness Center, 2925 Russell Street, Detroit, MI 48207 | 2019-06-24 |
| 1447741608 | Sherice Ward | Social Worker | 100 River Place Drive, Ste 250, Detroit, MI 48207 | 2018-05-23 |
| 1427549955 | Mission Point of Detroit, LLC | Skilled Nursing Facility | 2102 Orleans, Detroit, MI 48207 | 2018-05-21 |
| 1043723737 | Olivia Carter | Case Management | 2712 Gratiot, Detroit, MI 48207 | 2017-11-16 |
| 1558885590 | Kalimah Johnson | Social Worker | 701 Mcdougall, Detroit, MI 48207 | 2017-08-01 |
| 1922534692 | Angela Young | Social Worker | 100 River Place 520, Detroit, MI 48207 | 2017-05-02 |
| Find all providers in zip 48207 | ||||
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033831 | Shelly Cromerkennedy | Registered Nurse | 14583 Archdale St, Detroit, MI 48227-1441 | 2020-11-02 |
| 1235674870 | Debora Ruckes Curtis | Registered Nurse | 18932 Pennington Dr, Detroit, MI 48221-2168 | 2017-01-05 |
| 1689725020 | Parthenia Henry | Registered Nurse | 3681 Preston St, Detroit, MI 48207-2447 | 2007-01-14 |
| 1730296070 | Donna Nealous Brown | Registered Nurse | 603 E Philadelphia St, Detroit, MI 48202-2224 | 2006-08-24 |
| 1588285084 | Jerome E Colon | Registered Nurse | 4646 John R St, Detroit, MI 48201-1916 | 2020-05-06 |
| 1760011472 | Audrey Elizabeth Hua | Registered Nurse | 5557 Cass Ave, Detroit, MI 48202-3615 | 2020-04-04 |
| 1104486877 | Lauren Alexis Kalliantasis | Registered Nurse | 22101 Moross Rd, Detroit, MI 48236-2148 | 2019-06-16 |
| 1336640903 | Tanika Arnold | Registered Nurse | 19940 Conant St, Detroit, MI 48234-1494 | 2018-02-28 |
| 1588905830 | Gwen Lee | Registered Nurse | 611 Martin Luther King Jr Blvd, Detroit, MI 48201-2273 | 2013-03-12 |
| 1659665370 | Elizabeth Abraham Koyithot | Registered Nurse | 1 Ford Pl, Henry Ford Hospital, Detroit, MI 48202-3450 | 2011-05-31 |
| Find all providers in DETROIT | ||||
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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.