DAVE WAYNE BOISSINEAU (NPI# 1366970428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366970428 |
| Entity Type | Individual |
| Full Name | DAVE WAYNE BOISSINEAU |
| Credential | LPN |
| Practice Address |
97 S 4th St Ishpeming MI 49849-2168 |
| Practice Telephone | 9064852347 |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2017-06-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 4703117117 | MI | Nursing Service Providers |
| Street Address |
97 S 4TH ST |
| City | ISHPEMING |
| State | MI |
| Zip Code | 49849-2168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861553836 | Thomas Phillips | Specialist | 97 S 4th St, Ste D, Ishpeming, MI 49849-2168 | 2006-12-13 |
| 1235665142 | Thomas Olver | Counselor | 97 S 4th St, Ishpeming, MI 49849-2168 | 2017-05-11 |
| 1700324472 | Julie Salo | Counselor | 97 S 4th St, Ishpeming, MI 49849-2168 | 2017-02-02 |
| 1700163276 | Dawn Rd Gregory | Physical Therapist | 97 S 4th St, Ishpeming, MI 49849-2168 | 2011-11-10 |
| 1730485764 | John Gray Graham | Occupational Therapist | 97 S 4th St, Ishpeming, MI 49849-2168 | 2011-02-09 |
| 1538461447 | Amber K Argall | Speech-Language Pathologist | 97 S 4th St, Ishpeming, MI 49849-2168 | 2010-11-29 |
| 1982905733 | Kirsten R Matthews | Occupational Therapist | 97 S 4th St, Suite B, Ishpeming, MI 49849-2168 | 2010-11-10 |
| 1194054320 | Helen Kahn | Psychologist | 97 S 4th St, Ishpeming, MI 49849-2168 | 2009-12-17 |
| 1760626311 | Great Lakes Recovery Centers | Clinic/Center | 97 S 4th St, Suite A, Ishpeming, MI 49849-2168 | 2009-04-27 |
| 1073792925 | Radha Chintamaneni | Pediatrics | 97 S 4th St, Ishpeming, MI 49849-2168 | 2007-10-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639707912 | Trevor Doren | Physician Assistant | 813 Braastads Road, Ishpeming, MI 49849 | 2020-03-31 |
| 1336795244 | Ishpeming Nursing & Rehab Center, LLC | Skilled Nursing Facility | 435 Rd Pl, Ishpeming, MI 49849 | 2019-08-15 |
| 1316351224 | Great Lakes Recovery Centers | Clinic/Center | 97 S. 4th Street, Suite C, Ishpeming, MI 49849 | 2014-06-18 |
| 1689098857 | Karen Duquette | Psychologist | 540 E Division St, Ishpeming, MI 49849 | 2014-02-09 |
| 1063796456 | Brian E. Anderson, D.d.s., Pllc | Clinic/Center | 125 N. Pansy St, Ishpeming, MI 49849 | 2011-10-04 |
| 1689658973 | Joel A Johnson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 901 Lakeshore Dr., Ishpeming, MI 49849 | 2005-12-01 |
| 1538791975 | David Scott Swanson | Registered Nurse | 901 Lakeshore Drive, Ishpeming, MI 49849 | 2020-02-04 |
| 1669831756 | Bell Auxiliary | Voluntary or Charitable | 901 Lakeshore Drive, Ishpeming, MI 49849 | 2016-02-17 |
| 1982831749 | Brian Edward Anderson | Dentist | 125 N Pansy Street, Ishpeming, MI 49849 | 2009-06-18 |
| 1356546378 | Kelly Rose Menge | Obstetrics & Gynecology | 901 Lakeshore Dr., Ishpeming, MI 49849 | 2007-06-19 |
| Find all providers in zip 49849 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376045997 | Theresa Johnson | Licensed Practical Nurse | 1305 N 2nd St, Ishpeming, MI 49849-1147 | 2018-02-28 |
| 1548474208 | Patricia Diane Suiste | Licensed Practical Nurse | 97 S 4th St, Ishpeming, MI 49849-2168 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789546 | Lashonda S Noble | Licensed Practical Nurse | 21107 Lahser Rd, Southfield, MI 48033-4400 | 2020-10-30 |
| 1841890670 | Danielle Berry | Licensed Practical Nurse | 58 Murray St Se, Grand Rapids, MI 49548-3304 | 2020-10-30 |
| 1053911719 | Margaret Theresa Fry | Licensed Practical Nurse | 4929 Cedarview St Apt 2c, Ypsilanti, MI 48197-5029 | 2020-10-30 |
| 1821697095 | Andrew Onyemaechi Onyeanula | Licensed Practical Nurse | 8281 Woodcrest Dr Apt 2, Westland, MI 48185-1238 | 2020-10-20 |
| 1255948121 | Nikki Leonard | Licensed Practical Nurse | 806 Chartier, Marine City, MI 48039-2319 | 2020-09-25 |
| 1235746033 | Roberta A Thomas | Licensed Practical Nurse | 399 S Union St Apt 15, Sparta, MI 49345-1534 | 2020-09-25 |
| 1821604562 | Wendy Lynne Hughes | Licensed Practical Nurse | 2025 S Washington Ave Suite 210 Lansing, Mi 48910, Lansing, MI 48910 | 2020-09-18 |
| 1043824519 | Linda Hershberger | Licensed Practical Nurse | 219 Lane St, Mendon, MI 49072-9630 | 2020-09-02 |
| 1861006538 | David Bradley | Licensed Practical Nurse | 15540 Prevost St, Detroit, MI 48227-1963 | 2020-09-01 |
| 1215540430 | Sheronda Lanetta Blackmon | Licensed Practical Nurse | 13929 Harper Ave., Detroit, MI 48213 | 2020-08-27 |
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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.