MS. KRISTI VANDER HYDE (NPI# 1225030497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225030497 |
Entity Type | Individual |
Full Name | MS. KRISTI VANDER HYDE |
Credential | NP |
Practice Address |
7300 Dexter-ann Arbor Rd Dexter MI 48130-8598 |
Mailing Address |
3621 S State St 700 Kms Place Ann Arbor MI 48108 |
Practice Telephone | 7344262796 |
Mailing Telephone | 7349362047 |
Enumeration Date | 2005-06-01 |
Last Update Date | 2015-12-31 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 4704157442 | MI | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
4704157442 | MI | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
4704157442 | MI | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 4851610 | 05 | |
MI | BCBS OF MICHIGAN | 0860085 | 01 |
MI | 104702549 | 05 |
Street Address |
7300 DEXTER-ANN ARBOR RD |
City | DEXTER |
State | MI |
Zip Code | 48130-8598 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740663525 | Aleksandr Belakovskiy | Family Medicine | 7300 Dexter-ann Arbor Rd, Dexter, MI 48130-8598 | 2015-06-30 |
1194142679 | Allison Marie Darland | Dermatology | 7300 Dexter-ann Arbor Rd, Suite 110, Dexter, MI 48130-8598 | 2014-03-24 |
1346536406 | Allison Nicole Ursu | Family Medicine | 7300 Dexter-ann Arbor Rd, Dexter, MI 48130-8598 | 2011-06-27 |
1750605408 | Manasi Ramakrishnan | Family Medicine | 7300 Dexter-ann Arbor Rd, Dexter, MI 48130-8598 | 2010-03-24 |
1346321064 | Stephen M Wampler | Family Medicine | 7300 Dexter-ann Arbor Rd, Dexter, MI 48130-8598 | 2006-10-18 |
1952482044 | Joyce E Kaferle | Family Medicine | 7300 Dexter-ann Arbor Rd, Dexter, MI 48130-8598 | 2006-10-17 |
1326129503 | Kelly L Mcclean | Dermatology | 7300 Dexter-ann Arbor Rd, Suite 110, Dexter, MI 48130-8598 | 2006-10-17 |
1306935267 | Philip Zazove | Family Medicine | 7300 Dexter-ann Arbor Rd, Dexter, MI 48130-8598 | 2006-10-11 |
1528157476 | Michelle Lea Rabideau | Family Medicine | 7300 Dexter-ann Arbor Rd, Dexter, MI 48130-8598 | 2006-10-11 |
1679661672 | Anne L Kittendorf | Family Medicine | 7300 Dexter-ann Arbor Rd, Dexter, MI 48130-8598 | 2006-10-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013497585 | Julie Anne Bumpus X | Nurse Practitioner | 4848 Gregory, Dexter, MI 48130 | 2018-08-15 |
1255726592 | Alliance for Hope and Healing | Psychologist | 8005 Main St., Dexter, MI 48130 | 2015-04-03 |
1588979926 | Beata Malgorzata Jagoda-ohman | Physical Therapist | 7057 Dexter-ann Arbor Rd, Dexter, MI 48130 | 2010-08-10 |
1639317514 | Thrive Chiropractic Dexter P.C. | Preferred Provider Organization | 3219 Broad St, Suite 106, Dexter, MI 48130 | 2009-01-30 |
1083888622 | Alan Stephen Boyce | Chiropractor | 3151 Baker Rd, Dexter, MI 48130 | 2008-04-15 |
1720200785 | Brenda Denise Eisele | Speech-Language Pathologist | 3630 Noble Drive, Dexter, MI 48130 | 2007-05-02 |
1104041649 | Robert Joseph Turck | Dentist | 3060 Baker Rd, Dexter, MI 48130 | 2007-04-17 |
1073647343 | Amy Alexandra Whitney | Pharmacist | 7080 Dexter- Ann Arbor Rd, Dexter, MI 48130 | 2007-03-16 |
1457481442 | John Douglas Higgins | Audiologist | 7900 W Huron River Dr, Dexter, MI 48130 | 2007-03-07 |
1235264425 | Boyce Dc Pllc | Chiropractor | 3151 Baker Road, Dexter, MI 48130 | 2007-02-21 |
Find all providers in zip 48130 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
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1487269536 | Christiane Ines Atowo | Nurse Practitioner | 25420 5 Mile Rd, Redford, MI 48239-3837 | 2020-09-14 |
1760095137 | Gina Louise Bennett | Nurse Practitioner | 4871 Harwood Rd, Ionia, MI 48846-9422 | 2020-08-26 |
1356953756 | John Westley Mailey Jr. | Nurse Practitioner | 27645 Albert St, Novi, MI 48374-1012 | 2020-08-18 |
1356951305 | Michelle Lynn Andriacchi | Nurse Practitioner | 45690 Kenmore St, Shelby Township, MI 48317-4656 | 2020-08-05 |
1124646476 | Chand Sheoran | Nurse Practitioner | 3040 Albany Ct, Troy, MI 48083-2595 | 2020-07-13 |
1104449214 | Lynn Marie Alexanders-klima | Nurse Practitioner | 6697 Summerdale Ct E, Ypsilanti, MI 48197-6140 | 2020-05-22 |
1326660580 | Kristin A Furwa | Nurse Practitioner | 600 Health Park Blvd Ste H, Grand Blanc, MI 48439-2558 | 2020-05-11 |
1700412582 | Ashley Ruth Zimmerman | Nurse Practitioner | 6223 Brant Ln, Ypsilanti, MI 48197-8742 | 2020-03-12 |
1992339139 | Afusat Ahmed | Nurse Practitioner | 5231 Madison Ave Apt A5, Okemos, MI 48864-1172 | 2020-02-26 |
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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.