MIKAH JAVAY FULLER (NPI# 1245732106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245732106 |
Entity Type | Individual |
Full Name | MIKAH JAVAY FULLER |
Practice Address |
2284 S Ballenger Hwy Flint MI 48503-3446 |
Practice Telephone | 8102217871 |
Mailing Telephone | 8102217871 |
Enumeration Date | 2018-03-06 |
Last Update Date | 2018-03-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 247000000X | Technician, Health Information | Technologists, Technicians & Other Technical Service Providers |
Street Address |
2284 S BALLENGER HWY |
City | FLINT |
State | MI |
Zip Code | 48503-3446 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992774194 | Janice Kay Shimoda | General Practice | 2284 S Ballenger Hwy, Suite H, Flint, MI 48503-4653 | 2006-03-17 |
1558993139 | Hailee Strong | Behavior Technician | 2284 S Ballenger Hwy, Flint, MI 48503-3446 | 2020-02-11 |
1083258784 | Larissa Cottrell | Behavior Technician | 2284 S Ballenger Hwy, Flint, MI 48503-3446 | 2019-11-05 |
1649813775 | Omar Mohamed-f Elnour | Technician, Other | 2284 S Ballenger Hwy, Flint, MI 48503-3446 | 2019-10-22 |
1386287670 | Najla Collins | Behavior Technician | 2284 S Ballenger Hwy, Flint, MI 48503-3446 | 2019-10-20 |
1417599705 | Saundra Marie Harris | Behavior Technician | 2284 S Ballenger Hwy, Flint, MI 48503-3446 | 2019-10-08 |
1558913624 | Elonda Clemons | Technician, Health Information | 2284 S Ballenger Hwy, Flint, MI 48503-3446 | 2019-07-09 |
1720640386 | Nadia M Johnson | Behavior Technician | 2284 S Ballenger Hwy, Flint, MI 48503-3446 | 2019-07-03 |
1013579879 | Chester Watson IIi | Technician, Other | 2284 S Ballenger Hwy, Flint, MI 48503-3446 | 2019-07-02 |
1972162287 | Zakory Mitchel Dippold | Technician | 2284 S Ballenger Hwy, Flint, MI 48503-3446 | 2019-06-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457971640 | Flint Odyssey House Inc. | Community/Behavioral Health | 1219 Martin Luther King Avenue, Flint, MI 48503 | 2020-04-17 |
1891265476 | Mary Margaret Woodruff | Health Educator | 411 E. Third St Suite 2, Flint, MI 48503 | 2018-11-27 |
1669942223 | Donna Jean Phelps | Behavior Technician | 2284 S Ballenger Highway, Flint, MI 48503 | 2018-11-27 |
1588150601 | Dayonna Scott | Social Worker | Hope Network, 2830 Corunna Rd, Flint, MI 48503 | 2018-07-02 |
1801388020 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2284 S Ballenger Hwy Ste F, Flint, MI 48503 | 2018-06-04 |
1134610504 | Swathi Gorle | Student in an Organized Health Care Education/Training Program | Hurley Medical Center, 1 Hurley Plaza, Flint, MI 48503 | 2018-05-22 |
1881128049 | Kara Garr | Registered Nurse | 805 Tuuri Pl, Flint, MI 48503 | 2017-04-14 |
1518405638 | Thomasinia Terrell | Peer Specialist | 422 W Fourth Ave, Flint, MI 48503 | 2017-02-09 |
1790231041 | Roslyn Boyce | Technician, Other | 2213 E. Court Street, Flint, MI 48503 | 2016-08-28 |
1689120818 | Yasmine Elhefnawy | Student in an Organized Health Care Education/Training Program | One Hurley Plaza 3d West, Flint, MI 48503 | 2016-08-28 |
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Taxonomy Code | 247000000X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Technician, Health Information |
Preferred term for an Accredited Record Technician who is an individual with an associate’s degree from an accredited college or independent study program who is skilled in analyzing health information and in examination of medical records for accuracy, reporting of patient data for reimbursement, and creation of disease registries for researchers. |
Notes: Source: American Health Information Management Association, Chicago, IL, 1996. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629421607 | Latoyia Jones | Technician, Health Information | 420 River Bank Dr, Flint, MI 48503-5632 | 2016-07-14 |
1093340507 | Courtney Rae Pulvirenti | Technician, Health Information | 2284 S Ballenger Hwy Ste G, Flint, MI 48503-3446 | 2020-03-04 |
1922630326 | Angelina Abufarha | Technician, Health Information | 2284 S Ballenger Hwy Ste G, Flint, MI 48503-3446 | 2020-02-04 |
1558913624 | Elonda Clemons | Technician, Health Information | 2284 S Ballenger Hwy, Flint, MI 48503-3446 | 2019-07-09 |
1831756378 | Eyndia Shanell Day-cox | Technician, Health Information | 2284 S Ballenger Hwy Ste G, Flint, MI 48503-3446 | 2019-05-21 |
1770072191 | Michelle D Fox | Technician, Health Information | 2284 S Ballenger Hwy Ste G, Flint, MI 48503-3446 | 2018-05-02 |
1881192821 | Shelley Kay Mitchell | Technician, Health Information | 2284 S Ballenger Hwy Ste G, Flint, MI 48503-3446 | 2018-01-24 |
1982012530 | Danielle Miller | Technician, Health Information | 2700 Robert T Longway Blvd, Suite C, Flint, MI 48503-2190 | 2014-07-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114411857 | Diana Coyotl Carlton | Technician, Health Information | 8893 Stonepoint Ct, Jenison, MI 49428-8643 | 2018-06-16 |
1477042455 | Cheryl Prior | Technician, Health Information | 335 S 8 Mile Rd, Midland, MI 48640-9071 | 2018-05-06 |
1427576032 | Gregory Bowman | Technician, Health Information | 3231 S. Gulley Rd Suite E, Dearborn, MI 48124 | 2017-09-04 |
1821530049 | Joshua Schriver | Technician, Health Information | 4600 Garfield Rd Ste 800, Auburn, MI 48611-9368 | 2016-11-07 |
1225580012 | Debra L Gallop | Technician, Health Information | 11163 Hammerstone Dr, South Lyon, MI 48178-9527 | 2016-10-27 |
1710437538 | Darchelle Stewart | Technician, Health Information | 8281 Bramell, Redford, MI 48239-1108 | 2016-10-04 |
1750839676 | Jaslyn Mitchell | Technician, Health Information | 17452 Inkster Rd, Redford, MI 48240-2348 | 2016-09-20 |
1427506047 | Khalila King | Technician, Health Information | 1823 Pointe Crossing St Apt 302, Ann Arbor, MI 48105-2180 | 2016-09-12 |
1932654308 | Billy Johnson | Technician, Health Information | 7490 Winthrop St, Detroit, MI 48228-3668 | 2016-08-16 |
1265986251 | Domonique Stevenson | Technician, Health Information | 1372 Monroe St, Ypsilanti, MI 48197-5180 | 2016-08-08 |
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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.