GERALYNN M MICKIEWICZ (NPI# 1457477861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457477861 |
| Entity Type | Individual |
| Full Name | GERALYNN M MICKIEWICZ |
| Credential | R.N. |
| Practice Address |
279 N Groesbeck Mount Clemens MI 48043 |
| Mailing Address |
70 Lafayette New Passages Behavioral Health & Rehabilitation Pontiac MI 48342 |
| Practice Telephone | 5866270024 |
| Practice Fax Number | 5866270027 |
| Mailing Telephone | 2483387458 |
| Mailing Fax Number | 2483387513 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2011-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 4704122851 | MI | Nursing Service Providers |
| Street Address |
279 N GROESBECK |
| City | MOUNT CLEMENS |
| State | MI |
| Zip Code | 48043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699300228 | Blue Diamond Aba Services LLC | Assistant Behavior Analyst | 102 North Avenue, Mt. Clemens, MI 48043 | 2020-03-04 |
| 1265086136 | Venture Counseling | Social Worker | 198 S. Main Street, Suite 2, Mount Clemens, MI 48043 | 2019-07-30 |
| 1386203651 | Michele Lee Casebolt | Physical Therapist | 30795 Twenty Three Mile Rd., Chesterfield, MI 48043 | 2019-06-11 |
| 1730669706 | Wynn A Mitchell | Case Manager/Care Coordinator | 24 Hubbard St, Mount Clemens, MI 48043 | 2018-08-18 |
| 1629520101 | Boitshoko Marang | Family Medicine | Clinton River Drive 11a, Mount Clemens, MI 48043 | 2016-10-31 |
| 1720332265 | New Passages | Point of Service | 175 N. Grorsebeck Hwy, Mt. Clemens, MI 48043 | 2012-11-06 |
| 1376807784 | Christopher John Shamass | Emergency Medicine | 1000 Harrington Boulevard, Mount Clemens, MI 48043 | 2012-06-29 |
| 1265749683 | Mycare Health Center | Clinic/Center | 18 Market Street, Suite C, Mount Clemens, MI 48043 | 2010-09-07 |
| 1114102837 | George Edward Perron | Family Medicine | 256 Wellington Crescent, Mt Clemens, MI 48043 | 2007-12-31 |
| 1558568733 | Dawood Ghassan Dalaly | Surgery | 1000 Harrington, Mt Clemens, MI 48043 | 2007-06-29 |
| Find all providers in zip 48043 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and 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 |
|---|---|---|---|---|
| 1437549912 | Cheryl Williams | Registered Nurse | 69 Eastman St, Mount Clemens, MI 48043-2509 | 2015-02-04 |
| 1861017857 | Twanna Angelic Campbell | Registered Nurse | 175 N Groesbeck Hwy, Mount Clemens, MI 48043-1562 | 2020-06-15 |
| 1942867841 | Karen L Valliere | Registered Nurse | 175 N Groesbeck Hwy, Mount Clemens, MI 48043-1562 | 2019-05-26 |
| 1427538982 | Theresa West | Registered Nurse | 175 N Groesbeck Hwy, Mount Clemens, MI 48043-1562 | 2018-08-15 |
| 1831648260 | Melissa Essian | Registered Nurse | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2016-09-27 |
| 1811358617 | Valerie Ettinger | Registered Nurse | 175 N Groesbeck Hwy, Mount Clemens, MI 48043-1562 | 2016-03-08 |
| 1447677216 | Julie Rae Stoudemire | Registered Nurse | 175 N Groesbeck Hwy, Mount Clemens, MI 48043-1562 | 2014-03-18 |
| 1851721872 | Shannon Gingle | Registered Nurse | 175 N Groesbeck Hwy, Mount Clemens, MI 48043-1562 | 2013-11-13 |
| 1528407202 | Pamela Denise | Registered Nurse | 175 N Groesbeck Hwy, Mount Clemens, MI 48043-1562 | 2013-06-17 |
| 1134465222 | Joan Allyn Tate | Registered Nurse | 175 N Groesbeck Hwy, Mount Clemens, MI 48043-1562 | 2012-12-18 |
| Find all providers in MOUNT CLEMENS | ||||
| City | MOUNT CLEMENS |
| Zip Code | 48043 |
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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.