CHARLENE WALTON WINDHAM (NPI# 1518336080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518336080 |
| Entity Type | Individual |
| Full Name | CHARLENE WALTON WINDHAM |
| Practice Address |
17515 W 9 Mile Rd 375 Southfield MI 48075-4403 |
| Mailing Address |
17515 W 9 Mile Rd Ste. 375 Southfield MI 48075-4403 |
| Practice Telephone | 2485590950 |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2015-09-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
4704210421 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
17515 W 9 MILE RD 375 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075-4403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114912771 | Louis Bitoff Jr. | Podiatrist | 17515 W 9 Mile Rd, Southfield, MI 48075-4403 | 2005-09-20 |
| 1649721796 | Mi House Physician PC | Internal Medicine | 17515 W 9 Mile Rd, Suite 730, Southfield, MI 48075-4403 | 2016-10-24 |
| 1336698810 | Comfort and Care Transportation LLC | Non-emergency Medical Transport (VAN) | 17515 W 9 Mile Rd, Suite 250, Southfield, MI 48075-4403 | 2016-09-26 |
| 1437584554 | Advantage Home Care Management Inc. | Home Health | 17515 W 9 Mile Rd, Ste 980, Southfield, MI 48075-4403 | 2013-09-09 |
| 1972844058 | Advanced Case Management, Inc. | Case Management | 17515 W 9 Mile Rd, Suite 1188, Southfield, MI 48075-4403 | 2013-03-14 |
| 1932403912 | Perfecting Home Care | Home Health | 17515 W 9 Mile Rd, Suite 395, Southfield, MI 48075-4403 | 2011-01-05 |
| 1730492943 | Samantha Koren | Counselor | 17515 W 9 Mile Rd, Ste 720, Southfield, MI 48075-4403 | 2010-07-16 |
| 1912225152 | Horizon Treatment Center | Community/Behavioral Health | 17515 W 9 Mile Rd, Suite 720, Southfield, MI 48075-4403 | 2010-05-12 |
| 1699002907 | Faustinia Loper, Csw, PC | Community/Behavioral Health | 17515 W 9 Mile Rd, Suite 375, Southfield, MI 48075-4403 | 2009-11-06 |
| 1962634295 | Theresa Carano | Counselor | 17515 W 9 Mile Rd, Suite 720, Southfield, MI 48075-4403 | 2009-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801327507 | Tonya Scott | Nurse Practitioner | 21415 Civic Center Dr, #355, Southfield, MI 48076-3909 | 2017-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800768 | Yuri L Guzman | Nurse Practitioner | 795 N Ford Blvd, Ypsilanti, MI 48198-4116 | 2020-10-30 |
| 1144830803 | Robert Eugene Scribner IIi | Nurse Practitioner | 13913 Toepfer Rd, Warren, MI 48089-5842 | 2020-08-06 |
| 1124644661 | Denika Leflora Dalton | Nurse Practitioner | 5260 Fairway Trl, Grand Blanc, MI 48439-9445 | 2020-06-21 |
| 1780206995 | Jennifer Kay Marino | Nurse Practitioner | 20407 Mauer St, Saint Clair Shores, MI 48080-3789 | 2020-05-11 |
| 1720621709 | Kelsey Nicole Kloosterman | Nurse Practitioner | Susan P. Wheatlake Regional Cancer Center, 4499 220th Ave, Reed City, MI 49677 | 2019-10-23 |
| 1558911842 | Jomy Jose | Nurse Practitioner | 25719 Salem St, Roseville, MI 48066 | 2019-09-18 |
| 1306318498 | Ashley Marie Jacobson | Nurse Practitioner | 4100 Lake Dr Se Ste D, Grand Rapids, MI 49546-8292 | 2018-12-30 |
| 1568931673 | Jennifer Lavigne | Nurse Practitioner | 145 Michigan St Ne Ste 3300, Grand Rapids, MI 49503-2562 | 2018-11-19 |
| 1134694292 | Sheryl Ann Newton | Nurse Practitioner | 810 W South St, Kalamazoo, MI 49007-4601 | 2018-10-04 |
| 1386123180 | Alison M Sesock | Nurse Practitioner | 5202 Miller Rd Ste B, Flint, MI 48507-1040 | 2018-08-13 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHFIELD |
| Zip Code | 48075 |
Please comment or provide details below to improve the information on CHARLENE WALTON WINDHAM.
| 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.