MICKKI RENAE TEMPLEMAN (NPI# 1356371777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356371777 |
| Entity Type | Individual |
| Full Name | MICKKI RENAE TEMPLEMAN |
| Credential | CFNP |
| Practice Address |
411 W Broadway St Suite A Mount Pleasant MI 48858-2402 |
| Mailing Address |
411 W Broadway St Suite A Mt Pleasant MI 48858-2446 |
| Practice Telephone | 9897729523 |
| Practice Fax Number | 9897729052 |
| Mailing Telephone | 9897729523 |
| Mailing Fax Number | 9897729052 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2012-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704184401 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM | 5008701250 | 01 |
| MI | MCLAREN HEALTH PLAN | 1010137 | 01 |
| MI | PHP COMMERCIAL | 200000004572 | 01 |
| MI | 4520134-11 | 05 |
| Street Address |
411 W BROADWAY ST SUITE A |
| City | MOUNT PLEASANT |
| State | MI |
| Zip Code | 48858-2402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295021863 | Midmichigan Medical Center - Gratiot | Clinic/Center | 411 W Broadway St, Suite A, Mount Pleasant, MI 48858-2446 | 2011-06-22 |
| 1326102294 | Gratiot Medical Center An Affiliate of Midmichigan Health | Internal Medicine | 411 W Broadway St, Suite B, Mount Pleasant, MI 48858-2402 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535067 | Family Tree Maternity Center, LLC | Midwife | 5201 S. Mission Rd., Mt. Pleasant, MI 48858 | 2020-10-14 |
| 1942842471 | Isabella Citizens for Health, Inc. | Pharmacy | 2790 Health Parkway, Mt Pleasant, MI 48858 | 2019-10-16 |
| 1295299279 | Dalten Tyler Simnitch | Student in an Organized Health Care Education/Training Program | 3700 E Deerfield Rd, Lexington Ridge E01, Mount Pleasant, MI 48858 | 2019-01-24 |
| 1942773809 | Jordan Lynn Bell | Technician, Other | 798 S Whilteville Rd, Mount Pleasant, MI 48858 | 2019-01-03 |
| 1083183578 | Amanda Danielle Greene | Student in an Organized Health Care Education/Training Program | 1280 E. Campus Dr., Central Michigan University, Mt. Pleasant, MI 48858 | 2018-11-14 |
| 1891264388 | Emily Mccullen | Student in an Organized Health Care Education/Training Program | 1280 E Campus Drive, Central Michigan University, Mount Pleasant, MI 48858 | 2018-11-14 |
| 1174092662 | Nathaniel Lambie | Student in an Organized Health Care Education/Training Program | 1280 East Campus Drive, Central Michigan University, Mount Pleasant, MI 48858 | 2018-11-14 |
| 1386110872 | Megan Stahl | Social Worker | 301 S Crapo St Suite 100, Mt.pleasant, MI 48858 | 2018-10-23 |
| 1710461090 | Beverly Jean Medford | Custodial Care Facility | 9318 E. Pickard Rd., Mount Pleasant Mi, MI 48858 | 2018-09-21 |
| 1760976211 | Jen Carlesimo | Behavior Technician | Central Autism Treatment Center, 2520 S. University Park Drive, Building D, Mt. Pleasant, MI 48858 | 2018-06-19 |
| Find all providers in zip 48858 | ||||
| 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 |
|---|---|---|---|---|
| 1083229439 | Melissa Lynn Doering | Nurse Practitioner | 1054 Johnnie Dodds Blvd, Mount Pleasant, SC 29464-3153 | 2020-09-12 |
| 1851860332 | John Thomas Pattison V | Nurse Practitioner | 7070 E Broadway Rd, Mount Pleasant, MI 48858-8970 | 2018-11-14 |
| 1750806188 | Trista Ann Patten | Nurse Practitioner | 3811 Spring St # 301, Mount Pleasant, WI 53405-1667 | 2017-08-07 |
| 1841742152 | Emily Kastenson | Nurse Practitioner | 6611 Spring St, Mount Pleasant, WI 53406-2632 | 2016-11-03 |
| 1821349051 | Anna Rybak | Nurse Practitioner | 1604 Lakewood Ave, Mount Pleasant, WI 53403-3827 | 2012-09-27 |
| 1174630057 | Kimberly A Woyach | Nurse Practitioner | 8400 Washington Ave # 245, Mount Pleasant, WI 53406-3735 | 2006-08-24 |
| 1063010080 | Sara Ann Simpson | Nurse Practitioner | 6211 Durand Ave Ste 100, Mount Pleasant, WI 53406-4956 | 2020-10-12 |
| 1285242214 | Samantha Ashley Murray | Nurse Practitioner | 3801 Spring St, Mount Pleasant, WI 53405-1667 | 2020-07-15 |
| 1972136281 | Heather Marie Steppe | Nurse Practitioner | 3801 Spring St, Mount Pleasant, WI 53405-1667 | 2020-02-14 |
| 1831747625 | Sarantuya Nisler | Nurse Practitioner | 3805b Spring St Ste 260, Mount Pleasant, WI 53405-1643 | 2019-08-27 |
| Find all providers in MOUNT PLEASANT | ||||
| City | MOUNT PLEASANT |
| Zip Code | 48858 |
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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.