JILL MICHALAK (NPI# 1316349665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316349665 |
| Entity Type | Individual |
| Full Name | JILL MICHALAK |
| Practice Address |
5871 Monclova Rd Maumee OH 43537-1839 |
| Practice Telephone | 4198978376 |
| Practice Fax Number | 4198878789 |
| Mailing Telephone | 1989783764 |
| Mailing Fax Number | 4198878789 |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2019-04-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WW0000X |
Registered Nurse Specialization: Wound Care |
RN249642 | OH | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | APRN.CNP.15618 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
COA.15618-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0118302 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912037839 | Jill Rae Michalak | Audiologist | 6555 Willow Springs Rd, Suite 11, La Grange Highlands, IL 60525-4591 | 2007-03-07 |
| Street Address |
5871 MONCLOVA RD |
| City | MAUMEE |
| State | OH |
| Zip Code | 43537-1839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013991702 | Darrell Kennedy Evans Jr. | Surgery | 5871 Monclova Rd, Maumee, OH 43537-1839 | 2005-12-06 |
| 1780817544 | Marilyn Susan Bame | Dietitian, Registered | 5871 Monclova Rd, Diabetes Care Center @ St. Luke's Hospital, Maumee, OH 43537-1839 | 2009-08-27 |
| 1437114089 | Sarah Elizabeth Crawford | Dietitian, Registered | 5871 Monclova Rd, St. Luke's Hospital Diabetes Care Center, Maumee, OH 43537-1839 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245884709 | Mary Walasinski | Behavior Technician | 1900 Indian Wood Circle Suite 100, Maumee, OH 43537 | 2019-08-01 |
| 1912483314 | Integrated Restorative Solutions LLC | Pain Medicine | 2718 River Rd, Maumee, OH 43537 | 2018-07-18 |
| 1326533373 | Michelle Lei Sandwisch | Nurse Practitioner | 7140 Maumee Western Road, Maumee, OH 43537 | 2018-06-22 |
| 1669978201 | Bradley D Walker | Case Manager/Care Coordinator | 1600 Michigan Ave, Maumee, OH 43537 | 2018-04-03 |
| 1841792306 | Stephen Flory | Specialist/Technologist | 2584 S Detroit Ave, Maumee, OH 43537 | 2018-03-01 |
| 1851841787 | Michelle Laver | Social Worker | 7320 Sh 108, Wauseon, OH 43537 | 2016-10-04 |
| 1083070288 | Friends Who Care | Home Health | 2749 Pine Trace Dr, Maumee, OH 43537 | 2016-01-05 |
| 1386025203 | Unique Health Care Solutions, LLC | Home Health | 3430 Briarfield Blvd, Maumee, OH 43537 | 2015-06-16 |
| 1104239698 | Jill Saul | Dietitian, Registered | 5871 Monclova Rd., Maumee, OH 43537 | 2014-06-03 |
| 1922438910 | Kristen Junga | Counselor | 1627 Henthorne Dr Ste E, Maumee, OH 43537 | 2013-11-12 |
| Find all providers in zip 43537 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093226623 | Advanced Practice Clinical Consultants LLC | Nurse Practitioner | 6239 Fallen Timbers Ln, Maumee, OH 43537-9361 | 2017-10-23 |
| 1063951952 | Kevin Creedon | Nurse Practitioner | 5705 Monclova Rd Ste 201, Maumee, OH 43537-1877 | 2017-02-13 |
| 1033546130 | Timothy W Haupricht | Nurse Practitioner | 1715 Indian Wood Cir Ste 266&265, Maumee, OH 43537-4055 | 2013-10-03 |
| 1558546945 | Gbnp, LLC | Nurse Practitioner | 3521 Briarfield Blvd, Suite C, Maumee, OH 43537-9387 | 2008-01-03 |
| 1063072643 | Heather Cole | Nurse Practitioner | 1655 Holland Rd Ste F, Maumee, OH 43537-1656 | 2019-06-17 |
| 1306385182 | Katrina L Bressler | Nurse Practitioner | 6005 Monclova Rd Ste 320, Maumee, OH 43537-1862 | 2017-02-14 |
| 1992172886 | Billie J Buehrer | Nurse Practitioner | 5755 Monclova Rd, Maumee, OH 43537-1837 | 2015-08-26 |
| 1043686710 | Kristi Lorenc | Nurse Practitioner | 660 Beaver Creek Cir, #110, Maumee, OH 43537-1745 | 2015-08-18 |
| 1356694780 | Catherine Womack | Nurse Practitioner | 1715 Indian Wood Cir, Suite 200, Office 266 & 255, Maumee, OH 43537-4055 | 2012-10-23 |
| 1144575226 | Nancy Keeton | Nurse Practitioner | 5757 Monclova Rd, Suite15, Maumee, OH 43537-1863 | 2012-07-16 |
| Find all providers in MAUMEE | ||||
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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.