CAROL ANN MCBRATNIE (NPI# 1184963639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184963639 |
| Entity Type | Individual |
| Full Name | CAROL ANN MCBRATNIE |
| Credential | NP |
| Practice Address |
5498 109th Ave Pullman MI 49450-9631 |
| Mailing Address |
1130 Larkmoor Blvd Berkley MI 48072-1906 |
| Practice Telephone | 2692366330 |
| Practice Fax Number | 2692365411 |
| Mailing Telephone | 2485465945 |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2014-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4704265251 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5498 109TH AVE |
| City | PULLMAN |
| State | MI |
| Zip Code | 49450-9631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710918883 | Renee K Hibma | Nurse Practitioner | 5498 109th Ave, Pullman, MI 49450 | 2006-07-06 |
| 1205349990 | Intercare Community Health Network | Psychologist | 5498 109th Ave, Pullman, MI 49450-9631 | 2017-11-16 |
| 1184030736 | Alejandra Kovac | Physician Assistant | 5498 109th Ave, Pullman, MI 49450-9631 | 2014-07-03 |
| 1225334063 | Intercare Community Health Network | Clinic/Center | 5498 109th Ave, Pullman, MI 49450-9631 | 2011-01-26 |
| 1457361677 | Intercare Community Health Network | Clinic/Center | 5498 109th Ave, Pullman, MI 49450 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871529040 | Dean Alcorn | Dental Hygienist | 5498 109th Avenue, Pullman, MI 49450 | 2006-06-22 |
| 1134156029 | Kenneth Hite | Physician Assistant | 5498 109th Avenue, Pullman, MI 49450 | 2006-06-27 |
| 1831316306 | William T Parks IIi | Dentist | 5498 109th Avenue, Pullman, MI 49450-9631 | 2007-04-19 |
| 1174922439 | Teresa Marin | Rehabilitation Practitioner | 825 56th St, Pullman, MI 49450-9738 | 2014-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265049902 | Erin L Rose | Specialist/Technologist | 510 Nw Larry St, Pullman, WA 99163-3584 | 2020-09-27 |
| 1164039079 | Jalyn Rutledge | Specialist/Technologist | Bohler Athletic Complex Cougar Way - Wsu, Pullman, WA 99164-0001 | 2020-09-24 |
| 1851902605 | Northwest Clinical Services | Family Medicine | 825 Se Bishop Blvd Ste 301c, Pullman, WA 99163-5517 | 2020-08-14 |
| 1154949733 | Washington State University | Clinical Medical Laboratory | Bustad Hall Room 155n, Pullman, WA 99164-0001 | 2020-07-09 |
| 1669097127 | Dawnmd LLC | Family Medicine | 540 E Main St Ste A, Pullman, WA 99163-2660 | 2020-06-10 |
| 1801418504 | Savannah Horning | Specialist/Technologist | Bohler Athletic Complex Room M4, Pullman, WA 99164-0001 | 2020-05-15 |
| 1003445255 | Jennifer Beattie | Specialist/Technologist | 1360 Cougar Way, Pullman, WA 99163 | 2020-04-08 |
| 1114555133 | Lilly Paige Walker | Physical Medicine & Rehabilitation | 1624 Ne Cougar Way, Perham 126, Pullman, WA 99163-9916 | 2020-03-27 |
| 1689200099 | Tyler David Sykes | Dentist | 650 Se Bishop Blvd Ste 200, Pullman, WA 99163-5966 | 2020-03-17 |
| 1922632967 | Carlie Jean Lubbesmeyer | Specialist/Technologist | 1815 Wilson Road, Pullman, WA 99163-9916 | 2020-02-28 |
| Find all providers in PULLMAN | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891768909 | Naomi Rheiner | Nurse Practitioner | Ne 1125 Washington St, Washington State University, Pullman, WA 99164-0001 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130619 | Mohammad Afzal Khan | Nurse Practitioner | 29147 Appleblossom Ln, Farmington Hills, MI 48331-2420 | 2020-10-08 |
| 1528679305 | Eriko Apriliando | Nurse Practitioner | 15300 Silver Pkwy Apt 208, Fenton, MI 48430-3479 | 2020-08-13 |
| 1245858307 | Katherine Perko Hollander | Nurse Practitioner | 2274 Earlmont Rd, Berkley, MI 48072-1877 | 2020-07-06 |
| 1437782067 | Jamie Lynn Kosalsky | Nurse Practitioner | 1385 Cadmus Dr, Troy, MI 48085-1218 | 2020-02-21 |
| 1326698309 | Maria Christina Mekas | Nurse Practitioner | 423 Tamarack Dr, Saline, MI 48176-9573 | 2019-09-12 |
| 1669021358 | Cheryl Fowler | Nurse Practitioner | 523 Fontenelle St Se, Grand Rapids, MI 49548-7316 | 2019-09-05 |
| 1205482387 | Sarah E Born | Nurse Practitioner | 517 Erie Street, Three Rivers, MI 49093-2029 | 2019-08-14 |
| 1023660321 | Cheri Van Wyngarden | Nurse Practitioner | 6250 Jupiter Ave Ne, Belmont, MI 49306-8711 | 2019-07-16 |
| 1194385500 | Adesuwa Iyoha | Nurse Practitioner | 30509 Halecreek St, Romulus, MI 48174-3224 | 2019-06-18 |
| 1740740190 | John Kenneth Dekock | Nurse Practitioner | 5327 48th Ave, Hudsonville, MI 49426-9412 | 2019-03-21 |
| Find all providers with the same taxonomy | ||||
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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.