ELLEN MARIE HERRING (NPI# 1316040645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316040645 |
| Entity Type | Individual |
| Full Name | ELLEN MARIE HERRING |
| Credential | FNP |
| Practice Address |
8225 Lake St Bear Lake MI 49614 |
| Mailing Address |
6227 Frankfort Hwy Benzonia MI 49616-9654 |
| Practice Telephone | 2318643314 |
| Practice Fax Number | 2318643325 |
| Mailing Telephone | 2318829661 |
| Mailing Fax Number | 2318829616 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704105457 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8225 LAKE ST |
| City | BEAR LAKE |
| State | MI |
| Zip Code | 49614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932199965 | Glenn Charles Griffiths | Family Medicine | 8225 Lake St, Bear Lake, MI 49614-9612 | 2005-10-21 |
| 1801363494 | Maryann Marie Smith | Physician Assistant | 8225 Lake St, Bear Lake, MI 49614 | 2018-11-01 |
| 1427156512 | Jacqueline J Norton | Physician Assistant | 8225 Lake St, Bear Lake, MI 49614 | 2006-09-20 |
| 1902851777 | Crystal Lake Clinic, P.C. | Family Medicine | 8225 Lake St, Bear Lake, MI 49614-9688 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902903396 | Karen R Schneider | Registered Nurse | 7861 Main St., Bear Lake, MI 49614 | 2006-09-20 |
| 1144212812 | Richmond Drug Inc | Pharmacy | 7717 Lake St, Bear Lake, MI 49614 | 2005-08-18 |
| 1780758391 | Norman Dale Olson | Family Medicine | 12521 Russell St, Bear Lake, MI 49614-0098 | 2006-11-17 |
| 1891887816 | Bearlake United Methodist Church | Voluntary or Charitable | 7861 Main St., Bearlake, MI 49614-0157 | 2006-09-28 |
| 1265588685 | Craig Phillip Harless | Dentist | 7659 Lake St, Bear Lake, MI 49614-9238 | 2007-01-26 |
| 1124480108 | Northwest Michigan Health Services, Inc. | Clinic/Center | 6433 8 Mile Rd, Bear Lake, MI 49614-9797 | 2016-03-28 |
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972339 | Zeinab Berjaoui | Nurse Practitioner | 11496 Newbern Dr, Warren, MI 48093-2613 | 2020-11-08 |
| 1134720899 | Whitney Ashton Mervau | Nurse Practitioner | 3836 Haven Hill Ln, Williamsburg, MI 49690-9536 | 2020-11-07 |
| 1063013837 | Amy Lynn Wadsworth | Nurse Practitioner | 9259 Chambord Dr, Ypsilanti, MI 48197-9281 | 2020-11-06 |
| 1821699844 | Michelle Daldine | Nurse Practitioner | 38481 Gail St, Clinton Township, MI 48036-1823 | 2020-11-05 |
| 1710588876 | Coty Cole | Nurse Practitioner | 2065 South Center Rd, Ste A, Burton, MI 48519 | 2020-11-05 |
| 1205437175 | Michelle Jo Whitesel | Nurse Practitioner | 5861 Shadow Pines Ct, Howell, MI 48843-7130 | 2020-11-05 |
| 1326649617 | Melinda Lee Hawley | Nurse Practitioner | 4019 Stark Dr, West Branch, MI 48661-9633 | 2020-11-04 |
| 1720689193 | Mohammed Louthfur Rahman | Nurse Practitioner | Hoover Internal Medicine Pllc, 2930 Holbrook St, Hamtramck, MI 48212 | 2020-11-03 |
| 1619578234 | Devon Kruger | Nurse Practitioner | 4612 W David Hwy, Saranac, MI 48881-9740 | 2020-11-02 |
| 1760083208 | Ramonna Van Alstine | Nurse Practitioner | 13932 Fox Ridge Ln, Allenton, MI 48002-4525 | 2020-11-02 |
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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.