MS. JOAN MARY CLOUTIER (NPI# 1235772385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235772385 |
| Entity Type | Individual |
| Full Name | MS. JOAN MARY CLOUTIER |
| Credential | RN |
| Practice Address |
3205 Supply Rd Traverse City MI 49696-9486 |
| Mailing Address |
1501 Cass St Traverse City MI 49684-4157 |
| Practice Telephone | 2316490099 |
| Practice Fax Number | 2319351496 |
| Mailing Telephone | 2316490099 |
| Mailing Fax Number | 2319351496 |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2019-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
4704192100 | MI | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1501 Cass St, Traverse City, MI 496844157 | 2361649009 | 2319351496 |
| Street Address |
3205 SUPPLY RD |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49696-9486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336511393 | Jessica Rose Loose | Occupational Therapist | 3205 Supply Rd, Traverse City, MI 49696-9486 | 2015-10-29 |
| 1295249415 | Kyra Monique Shively | Registered Nurse | 3205 Supply Rd, Traverse City, MI 49696-9486 | 2017-11-27 |
| 1710407069 | Alison Johns | Registered Nurse | 3205 Supply Rd, Traverse City, MI 49696-9486 | 2017-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669965901 | Audrey Jo Cornell | Behavior Technician | 3163 Douglas Drive, Suite 110, Traverse City, MI 49696 | 2018-06-12 |
| 1972026680 | Stacey Lesnick Beyer | Occupational Therapist | 1810 Chartwell Dr., Traverse City, MI 49696 | 2017-07-25 |
| 1821527359 | James Harper | Day Training, Developmentally Disabled Services | 1364 Alexander Dr., Traverse City, MI 49696 | 2017-06-08 |
| 1407383490 | Cassandra Mccarty | Behavior Technician | 1363 Douglas Drvie, Suite 104, Traverse City, MI 49696 | 2017-05-22 |
| 1346776317 | Kaitlynd Hamstra | Behavior Technician | 304 Christina Lane, Traverse City, MI 49696 | 2017-05-11 |
| 1831526748 | Helena Kay Evans | Home Health Aide | 176 Island View Dr., Traverse, MI 49696 | 2013-10-09 |
| 1932543295 | Quality Elder Care L.L.C. | In Home Supportive Care | 2141 Blackforest Ln, Traverse, MI 49696 | 2013-04-17 |
| 1134462195 | Tc Chiropractic PC | Chiropractor | 1000 3 Mile Road, Traverse City, MI 49696 | 2013-03-28 |
| 1134663594 | Keith Finley | Behavioral Analyst | 1363 Douglas Dr, Traverse City, MI 49696 | 2016-12-05 |
| 1295755122 | Northwest Senior Resources Incorporated | Case Management | 1609 Park Dr, Traverse City, MI 49696-5946 | 2006-07-21 |
| Find all providers in zip 49696 | ||||
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306376967 | Leah Ann Tatasciore | Registered Nurse | 1501 Cass St Ste C, Traverse City, MI 49684-4157 | 2017-06-15 |
| 1730153149 | Donna Laureen Rinker | Registered Nurse | 1719 S Garfield Ave, Traverse City, MI 49686-4337 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033831 | Shelly Cromerkennedy | Registered Nurse | 14583 Archdale St, Detroit, MI 48227-1441 | 2020-11-02 |
| 1487265559 | Rita N Shah | Registered Nurse | 30957 Franklin Woods Ct, Franklin, MI 48025-1512 | 2020-08-12 |
| 1558972737 | Tia Seale | Registered Nurse | 19001 E 8 Mile Rd Ste 102, Eastpointe, MI 48021-3247 | 2020-08-12 |
| 1568080869 | Aubrey Michelle Dewey | Registered Nurse | 49394 Nicholette, Utica, MI 48317-2282 | 2020-07-13 |
| 1659992311 | Michelle Anne Orrell | Registered Nurse | 8431 Winona Dr, Jenison, MI 49428-9540 | 2020-05-04 |
| 1871146084 | Amber Lee Smith | Registered Nurse | 441 County Road Ml, Negaunee, MI 49866-9084 | 2019-07-17 |
| 1275193450 | Tricia Kay Rosa | Registered Nurse | 6767 Knollview Dr, Hudsonville, MI 49426-9388 | 2019-06-19 |
| 1679047278 | Margiejo D Packham | Registered Nurse | 109 W Memorial Dr, Hancock, MI 49931 | 2019-01-16 |
| 1730654732 | Christine Gabriel | Registered Nurse | 3871 Cheryl Dr, Commerce Township, MI 48382-1723 | 2018-10-05 |
| 1730685132 | Daniel Kueppers | Registered Nurse | 3505 Denton Rd, Canton, MI 48188-2107 | 2018-04-04 |
| Find all providers with the same taxonomy | ||||
| City | TRAVERSE CITY |
| Zip Code | 49696 |
Please comment or provide details below to improve the information on MS. JOAN MARY CLOUTIER.
| 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.