MS. ANGELA MICHELLE STATHOPOULOS (NPI# 1306096193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306096193 |
| Entity Type | Individual |
| Full Name | MS. ANGELA MICHELLE STATHOPOULOS |
| Other Name | MS. ANGELA MICHELLE STIMAC |
| Credential | C.N.P. |
| Practice Address |
3475 Belle Chase Way Lansing MI 48911 |
| Mailing Address |
3475 Bell Chase Way Lansing MI 48911 |
| Practice Telephone | 5178823732 |
| Practice Fax Number | 5178823633 |
| Mailing Telephone | 5178823732 |
| Mailing Fax Number | 5178823633 |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2014-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 4704235236 | MI | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
4704235236 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235689886 | Angela Stathopoulos | Dentist | 3800 N Lake Shore Dr, 1e, Chicago, IL 60613-3301 | 2016-10-06 |
| 1801497367 | Angela Stathopoulos | Pharmacist | 5110 N Oak Trfy, Kansas City, MO 64118-4621 | 2020-11-02 |
| Street Address |
3475 BELLE CHASE WAY |
| City | LANSING |
| State | MI |
| Zip Code | 48911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063478642 | Maureen Moloney | Social Worker | 3475 Belle Chase Way, Lansing, MI 48911 | 2006-04-24 |
| 1477106763 | Jeffrey Fleming | Social Worker | 3475 Belle Chase Way, Lansing, MI 48911-4252 | 2019-07-17 |
| 1427610690 | Julianne Lanae Bender | Nurse Practitioner | 3475 Belle Chase Way, Lansing, MI 48911-4252 | 2019-07-08 |
| 1346738135 | Oladayo Simeon Farodoye | Nurse Practitioner | 3475 Belle Chase Way, Lansing, MI 48911-4252 | 2018-04-26 |
| 1891032439 | Ryan C Upson | Nurse Practitioner | 3475 Belle Chase Way, Lansing, MI 48911-4252 | 2013-01-15 |
| 1912261678 | James Loree Lmsw LLC | Social Worker | 3475 Belle Chase Way, Lansing, MI 48911 | 2012-06-27 |
| 1558647917 | Lanita Lynn Slabaugh | Social Worker | 3475 Belle Chase Way, Lansing, MI 48911 | 2011-10-31 |
| 1386954907 | Lansing Institute of Behavioral Medicine Pllc | Psychiatry & Neurology | 3475 Belle Chase Way, Lansing, MI 48911-4252 | 2010-10-16 |
| 1396902961 | Marilyn Ruth-coombs Mclane | Social Worker | 3475 Belle Chase Way, Lansing, MI 48911 | 2008-05-20 |
| 1083807077 | Shereen Marie Underwood | Psychiatry & Neurology | 3475 Belle Chase Way, Lansing, MI 48911 | 2007-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154943603 | Promissa Personalized Care Services LLC | Assisted Living Facility | 200 E Edgewood Blvd, Lansing, MI 48911 | 2020-05-07 |
| 1457911877 | Zachary Todd Goldstein | Pediatrics | Cedar Pediatrics 5303 S. Cedar St, Suite 205, Lansing, MI 48911 | 2019-06-18 |
| 1447713946 | Fadi Nuseibeh | Pharmacist | 3955 Patient Care Drive, Pharmacy, Lansing, MI 48911 | 2019-04-11 |
| 1740704543 | Kyle Lardie | Dental Hygienist | Care Free Medical and Dental 5135 S Pennsylvania Ave, Lansing, MI 48911 | 2017-08-02 |
| 1124549845 | Joash Michael Charles | Behavior Technician | 3720 Richmond Street, Lansing, MI 48911 | 2017-07-03 |
| 1205212164 | Benjamin Curtis Neal | Dentist | 5601 S Cedar St., Lansing, MI 48911 | 2015-08-03 |
| 1376927608 | Heather Lamb | Home Health | 2919 Risdale St, Lansing, MI 48911 | 2015-07-16 |
| 1669861712 | Lucas James Evan Joseph Bila | Licensed Practical Nurse | 2204 S. Wadsworth Dr, Lansing, MI 48911 | 2015-01-13 |
| 1649695271 | Aaron James Hart | Occupational Therapist | 3960 Patient Care Dr Ste 117, Lansing, MI 48911 | 2014-02-18 |
| 1831465871 | Los Equipment Corporation | Dentist | 6810 S. Cedar St, Suite 5, Lansing, MI 48911 | 2012-03-23 |
| Find all providers in zip 48911 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407867187 | Claudia Rae Scott | Nurse Practitioner | 217 S Grand Ave, C/o Mhm Services, Lansing, MI 48933-1828 | 2006-08-10 |
| 1427610690 | Julianne Lanae Bender | Nurse Practitioner | 3475 Belle Chase Way, Lansing, MI 48911-4252 | 2019-07-08 |
| 1346738135 | Oladayo Simeon Farodoye | Nurse Practitioner | 3475 Belle Chase Way, Lansing, MI 48911-4252 | 2018-04-26 |
| 1891032439 | Ryan C Upson | Nurse Practitioner | 3475 Belle Chase Way, Lansing, MI 48911-4252 | 2013-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692494 | Memphis Chardell Sandoval | Nurse Practitioner | 131 S. Seaway Dr., Muskegon, MI 49441 | 2020-09-01 |
| 1588282784 | Mary Tackbary | Nurse Practitioner | 3932 W Briar Hill Dr, Maple City, MI 49664-9521 | 2020-07-14 |
| 1962032227 | Westlake Consultation Center | Nurse Practitioner | 4870 W Clark Rd Ste 100, Ypsilanti, MI 48197-1104 | 2020-01-24 |
| 1689211823 | Wanda Edwards | Nurse Practitioner | 29000 Inkster Rd Ste 115, Southfield, MI 48034-1097 | 2019-12-06 |
| 1508416355 | Stephanie Lauren Marl | Nurse Practitioner | 29800 Adams Dr, Gibraltar, MI 48173 | 2019-09-13 |
| 1457905614 | Natalie Poole | Nurse Practitioner | 23077 Greenfield Rd Ste 260, Southfield, MI 48075-3745 | 2019-07-26 |
| 1629535117 | Valerie Baunoch | Nurse Practitioner | 2057 E West Maple Rd, Commerce Twp, MI 48390 | 2019-02-21 |
| 1790293488 | Infinity Hope Center LLC | Nurse Practitioner | 260 Vinewood St Ste 100a8919, Detroit, MI 48216-1667 | 2018-01-16 |
| 1033659644 | Anne Zamler | Nurse Practitioner | 14230 W Mcnichols Rd, Detroit, MI 48235-3912 | 2017-03-01 |
| 1396289120 | Next Level Up Health & Wellness Inc. | Nurse Practitioner | 28423 Parkwood St, Inkster, MI 48141-1669 | 2016-12-13 |
| 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.