KRISTINA RENEE JENNINGS (NPI# 1427688746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427688746 |
Entity Type | Individual |
Full Name | KRISTINA RENEE JENNINGS |
Credential | PA-C |
Practice Address |
41850 W 11 Mile Rd Ste 207 Novi MI 48375-1820 |
Mailing Address |
14596 Grandville Ave Detroit MI 48223-2231 |
Practice Telephone | 8106233476 |
Mailing Telephone | 3135704358 |
Enumeration Date | 2020-01-26 |
Last Update Date | 2020-01-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 5601009741 | MI | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023357167 | Kristina M. Jennings | Counselor | 305 Regency Pkwy, Suite #601, Mansfield, TX 76063-3794 | 2013-02-09 |
Street Address |
41850 W 11 MILE RD STE 207 |
City | NOVI |
State | MI |
Zip Code | 48375-1820 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558775700 | Justin Di Rezze | Internal Medicine | 41850 W 11 Mile Rd Ste 207, Novi, MI 48375-1820 | 2014-06-16 |
1710598461 | Ann Marie Quinlan | Nurse Practitioner | 41850 W 11 Mile Rd Ste 207, Novi, MI 48375-1820 | 2020-08-14 |
1811529621 | Taylor Wood | Physician Assistant | 41850 W 11 Mile Rd Ste 207, Novi, MI 48375-1820 | 2020-02-10 |
1811545874 | Emilyjo Rena Courterier | Nurse Practitioner | 41850 W 11 Mile Rd Ste 207, Novi, MI 48375-1820 | 2019-09-03 |
1609362375 | Theoria Medical | Internal Medicine | 41850 W 11 Mile Rd Ste 207, Novi, MI 48375-1820 | 2018-07-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134747363 | Quick Care Medical Devices, LLC | Durable Medical Equipment & Medical Supplies | 25500 Meadowbrook Rd 275b, Novi, MI 48375 | 2020-07-14 |
1205475209 | Terri Lynn Tiederman | Registered Nurse | Cns Healthcare 24230 Karim Blvd, Ste 100, Novi, MI 48375 | 2019-12-23 |
1588202089 | Kenneth Alexander | Pharmacist | 40339 Grand River Ave # 110, Novi, MI 48375 | 2019-12-15 |
1962044644 | Sam Pharmacy Rx | Pharmacy | 39915 Grand River Ave Suite 550, Novi, MI 48375 | 2019-10-14 |
1700440203 | Arman C. Moshyedi, Md, Pllc | Psychiatry & Neurology | 4000 Grand River Avenue, Suite 306, Novi, MI 48375 | 2019-04-30 |
1225593726 | Daniel Woodward Mead | Nurse Practitioner | 39500 W 10 Mile Rd Ste 100, Novi, MI 48375 | 2019-02-08 |
1700340569 | Nuch of Michigan, Inc. | Clinic/Center | 20782 Thirteen Mile Road, Roseville, MI 48375 | 2019-01-25 |
1447735626 | Timothy Holland | Behavior Technician | 41521 W Ll Mile Rd, Novi, MI 48375 | 2018-10-03 |
1750874376 | Christian Field | Behavior Technician | 41512 W 11 Mile Rd, Novi, MI 48375 | 2018-06-08 |
1114415668 | O2 Pharmacy, LLC | Pharmacy | 39765 Grand River Ave, Novi, MI 48375 | 2018-04-30 |
Find all providers in zip 48375 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477109015 | Sandra Pui | Physician Assistant | 44900 Lightsway Dr, Novi, MI 48375-3820 | 2019-08-09 |
1417447848 | Spencer J Kovar | Physician Assistant | 27204 Beck Rd, Novi, MI 48374-1348 | 2018-05-10 |
1174045959 | Leticia Garcia Haff | Physician Assistant | 39525 W 14 Mile Rd Ste 101, Novi, MI 48377-1635 | 2017-07-12 |
1750511887 | Michelle Tomovski | Physician Assistant | 26750 Providence Pkwy Ste 200, Novi, MI 48374-1212 | 2009-07-23 |
1083815443 | Jody Lynn Zak | Physician Assistant | 25613 Fountain Park Dr E, Apt 203, Novi, MI 48375-2538 | 2007-05-31 |
1619195203 | Carol Ann Felcher | Physician Assistant | 25513 Dogwood Ln, Novi, MI 48374-2160 | 2007-04-22 |
1457488785 | Arlene Calunas | Physician Assistant | 41072 Todd Ln, Novi, MI 48375-4969 | 2007-02-27 |
1508913047 | Suzy Jo Francoeur | Physician Assistant | 40000 Grand River Ave Ste 105, Novi, MI 48375-2133 | 2007-01-05 |
1740357177 | Jeffrey Scott Pirtle | Physician Assistant | 24230 Karim Blvd Ste 100, Novi, MI 48375-2960 | 2006-11-29 |
1356940175 | Jacob Mastropaolo | Physician Assistant | 27275 Haggerty Rd Ste 500, Novi, MI 48377-3635 | 2020-10-22 |
Find all providers in NOVI |
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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.