JACQUELINE DONOVAN (NPI# 1366940496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366940496 |
| Entity Type | Individual |
| Full Name | JACQUELINE DONOVAN |
| Credential | NP |
| Practice Address |
502 W Harrie St Newberry MI 49868-1209 |
| Mailing Address |
1814 Boston St Se Grand Rapids MI 49506-4402 |
| Practice Telephone | 9062939200 |
| Mailing Telephone | 5174045644 |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704282026 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417578576 | Jacqueline M Donovan | Durable Medical Equipment & Medical Supplies | 3212 Smith St Ste 102, Houston, TX 77006-6622 | 2020-04-29 |
| 1558737841 | Jacqueline Donovan | Counselor | 20 Eastbrook Rd Ste 104, Dedham, MA 02026-2088 | 2015-08-20 |
| 1497068829 | Jacqueline Erin Donovan | Anesthesiology | 333 The City Drive, Suite 2150, Orange, CA 92868 | 2010-07-14 |
| 1225394596 | Jacqueline Kathryn Donovan | Podiatrist | 6002 E Main St, Columbus, OH 43213 | 2012-04-11 |
| Street Address |
502 W HARRIE ST |
| City | NEWBERRY |
| State | MI |
| Zip Code | 49868-1209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497742050 | Helen Newberry Joy Hospital | General Acute Care Hospital | 502 W Harrie St, Newberry, MI 49868-1209 | 2005-09-29 |
| 1629543855 | Laura Lynn Generou | Social Worker | 502 W Harrie St, Newberry, MI 49868-1209 | 2018-10-03 |
| 1780169375 | Brook Lynn Dake | Nurse Practitioner | 502 W Harrie St, Newberry, MI 49868-1209 | 2018-09-28 |
| 1346763398 | Daniel Netherton | Physician Assistant | 502 W Harrie St, Newberry, MI 49868-1209 | 2017-07-21 |
| 1912459231 | Helen Newberry Joy Hospital Pharmacy | Pharmacy | 502 W Harrie St, Newberry, MI 49868-1209 | 2016-11-03 |
| 1235581356 | Indigo Hospital Medicine - Midwest, Plc | Internal Medicine | 502 W Harrie St, Newberry, MI 49868-1209 | 2016-07-13 |
| 1659722163 | Laura Jeanne Everhart | Pharmacist | 502 W Harrie St, Newberry, MI 49868-1209 | 2016-06-27 |
| 1174916886 | Helen Newberry Joy Hospital | Skilled Nursing Facility | 502 W Harrie St, Newberry, MI 49868-1209 | 2015-03-05 |
| 1023459914 | Aaron Joseph Nolan | Nurse Practitioner | 502 W Harrie St, Newberry, MI 49868-1209 | 2013-07-09 |
| 1093077596 | Jonathan Michael Webb | Family Medicine | 502 W Harrie St, Newberry, MI 49868-1209 | 2012-06-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700119989 | Kathy Ballard Behavioral Health Services LLC | Social Worker | 405 Newberry Avenue, Newberry, MI 49868 | 2009-09-06 |
| 1063657286 | Up Superior Enterprises, Inc | Durable Medical Equipment & Medical Supplies | 13534 State Highway 28, Newberry, MI 49868 | 2008-12-03 |
| 1447349576 | Denise Magdalene Danaher | Registered Nurse | 14150 Hamilton Lake Road, Newberry, MI 49868 | 2006-10-12 |
| 1114934189 | M K Stores Inc | Durable Medical Equipment & Medical Supplies | 7293 M-123, Newberry, MI 49868 | 2006-08-02 |
| 1912932757 | Brian Joseph Bezotte | Social Worker | 14126 West County Road 428, Newberry, MI 49868 | 2006-07-11 |
| 1710944525 | Hilary S Newby | Dentist | 7793 S Newberry Ave, Newberry, MI 49868 | 2006-04-26 |
| 1700112141 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 405 Newberry Avenue, Room 2, Newberry, MI 49868 | 2009-10-20 |
| 1265561260 | Luce-mackinac Health Department | Home Health | 14150 Hamilton Lake Road, Newberry, MI 49868 | 2007-03-05 |
| 1700915709 | Luce-mackinac Health Department | Hospice Care, Community Based | 14150 Hamilton Lake Road, Newberry, MI 49868 | 2007-03-05 |
| 1578691242 | Luce-mackinac Health Department | Public Health or Welfare | 14150 Hamilton Lake Road, Newberry, MI 49868 | 2007-03-02 |
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| 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 |
|---|---|---|---|---|
| 1942233606 | Karen Crossin | Nurse Practitioner | 25737 Sw 20th Pl, Newberry, FL 32669-5000 | 2006-07-08 |
| 1043413370 | Helen Newberry Joy Hospital | Nurse Practitioner | 502 W Harrie St, Newberry, MI 49868-1209 | 2007-06-06 |
| 1659418226 | Helen Newberry Joy Hospital | Nurse Practitioner | 502 W Harrie St, Newberry, MI 49868-1209 | 2007-01-31 |
| 1932263084 | Carol A Norman | Nurse Practitioner | 502 W Harrie St, Newberry, MI 49868-1209 | 2006-12-21 |
| 1073680534 | Krista Groll | Nurse Practitioner | 502 W Harrie St, Newberry, MI 49868-1209 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154599 | Kelly Phuong Doan | Nurse Practitioner | 27327 23 Mile Rd, Chesterfield, MI 48051-2045 | 2020-11-04 |
| 1275133217 | Maureen Mae Lewis | Nurse Practitioner | 2782 N Coleman Rd, Coleman, MI 48618-9721 | 2020-10-29 |
| 1073113460 | Taylor L Pichette | Nurse Practitioner | 758 Lucille Dr, Wolverine Lake, MI 48390-2327 | 2020-10-27 |
| 1295333938 | Amanda Covell | Nurse Practitioner | 624 Cherry St Se Apt 5, Grand Rapids, MI 49503-4778 | 2020-10-14 |
| 1689271314 | Nicole Conklin | Nurse Practitioner | 524 Doyle Rd, Laingsburg, MI 48848-9611 | 2020-10-06 |
| 1447857677 | Shelby Lynn Waibel | Nurse Practitioner | 560 W Mitchell St Ste 210, Petoskey, MI 49770-2276 | 2020-10-01 |
| 1497361638 | Amira Aljamal | Nurse Practitioner | 4601 Shenandoah Ave, Allen Park, MI 48101-3131 | 2020-09-22 |
| 1659987014 | Sean Thomas Kane | Nurse Practitioner | 13734 Parallel Ave, Alpena, MI 49707-7987 | 2020-09-21 |
| 1235743592 | Mojica, LLC | Nurse Practitioner | 4163 W Pointe Dr, Waterford, MI 48329-4648 | 2020-09-03 |
| 1942812094 | Meagan James | Nurse Practitioner | 407 E Huron River Dr, Belleville, MI 48111-2763 | 2020-08-20 |
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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.