MRS. AMANDA ELAINE HAZEN (NPI# 1518564632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518564632 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA ELAINE HAZEN |
| Other Name | AMANDA ELAINE DEAK |
| Credential | NNP-BC |
| Practice Address |
1215 E Michigan Ave Lansing MI 48912-1811 |
| Mailing Address |
804 Service Rd Ste A109b East Lansing MI 48824-7015 |
| Practice Telephone | 5173641000 |
| Mailing Telephone | 5173534911 |
| Mailing Fax Number | 5174323928 |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
4704308597 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659688513 | Amanda J Hazen | Health Educator | 159 W 1st St, Oswego, NY 13126-2045 | 2010-09-13 |
| 1730367384 | Amanda K Hazen | Physical Therapist | 4080 N Cedar Ave, Fresno, CA 93726-5267 | 2008-02-06 |
| Street Address |
1215 E MICHIGAN AVE |
| City | LANSING |
| State | MI |
| Zip Code | 48912-1811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508869108 | Sparrow Specialty Hospital | General Acute Care Hospital | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2005-05-27 |
| 1447850136 | Jennifer Vincent | Clinical Nurse Specialist | 1215 E Michigan Ave, Lansing, MI 48912-1896 | 2020-10-30 |
| 1629682026 | Akhil Sharma | Internal Medicine | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2020-09-02 |
| 1134733850 | Katie Lukovich | Physician Assistant | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2020-09-01 |
| 1316550874 | Joshua Wissner | Nurse Anesthetist, Certified Registered | 1215 E Michigan Ave, Lansing, MI 48912-1896 | 2020-08-25 |
| 1174133615 | Si Yuan Khor | Internal Medicine | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2020-08-07 |
| 1487264677 | Majid Yavari | Internal Medicine | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2020-08-03 |
| 1124638531 | Anurut Huntrakul | Student in an Organized Health Care Education/Training Program | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2020-08-01 |
| 1720697626 | Mohammad Fahad Salam | Internal Medicine | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2020-07-27 |
| 1801414206 | Abdul-fatawu Osman | Internal Medicine | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2020-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316563646 | Shelley Gabel | Surgery | 1200 E Michigan Ave., Sparrow Professional Building Suite 655, Lansing, MI 48912 | 2020-06-23 |
| 1568087237 | Ahmed Mohamed Haggag | Student in an Organized Health Care Education/Training Program | 1215 East Michigan Avenue 3rd Floor, Lansing, MI 48912 | 2020-06-09 |
| 1467074773 | Craig Hargurkirat Malli | Family Medicine | 1215 E Michigan Avenue Suite 245, Lansing, MI 48912 | 2020-05-08 |
| 1215558945 | Temmy J. Brotherson | Family Medicine | Sparrow Health Systems, 1200 E Michigan Avenues, Suite 245, Lansing, MI 48912 | 2020-05-05 |
| 1386265452 | Kyle Patrick Doran | Emergency Medicine | Sparrow Health System, 1215 E Michigan Avenue, Lansing, MI 48912 | 2020-04-30 |
| 1316418841 | Andrea Mcswain Do PC | Obstetrics & Gynecology | 1909 E. Michigan Ave, Lansing, MI 48912 | 2018-12-10 |
| 1215386115 | Michael Vernon Hollis | Student in an Organized Health Care Education/Training Program | 1500 E Michigan Ave, Suite 655, Lansing, MI 48912 | 2016-06-10 |
| 1518333970 | Eastside Community Action Center | Social Worker | 1001 Dakin Street, Suite B, Lansing, MI 48912 | 2015-08-19 |
| 1649667403 | Cheryl Ann Wade | Counselor | 1712 E Michigan Ave., Lansing, MI 48912 | 2015-04-20 |
| 1083006134 | Carol Pratt | Occupational Therapist | 1200 E. Michigan Ave, Outpatient Rehab - Lower Level, Lansing, MI 48912 | 2015-02-26 |
| Find all providers in zip 48912 | ||||
| Taxonomy Code | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780104356 | Laura Marie Sykes | Nurse Practitioner | 1215 E. Michigan Aave, Lansing, MI 48909 | 2017-06-23 |
| 1467919837 | Crystal Lynn Warren | Nurse Practitioner | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2019-02-21 |
| 1891231502 | Shantel White | Nurse Practitioner | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2017-01-19 |
| 1659745321 | Carolyn Herrington | Nurse Practitioner | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2015-11-18 |
| 1770545816 | Alyse Ann Strahm | Nurse Practitioner | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750818449 | Tamera Graham | Nurse Practitioner | 1447 N. Harrison St., Saginaw, MI 48602 | 2017-05-12 |
| 1447574348 | Cheryl M Abernathy | Nurse Practitioner | 3532 Victoria Sta, Davison, MI 48423-8448 | 2010-03-22 |
| 1790386704 | Alexandria L Blevins | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-11-05 |
| 1932706991 | Fallon J Awe | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-10-02 |
| 1811530074 | Kristina Kay David | Nurse Practitioner | 22101 Moross Rd, Detroit, MI 48236-2148 | 2019-10-21 |
| 1447892070 | Nicholas Philip Garofalo | Nurse Practitioner | 22101 Moross Rd, Detroit, MI 48236-2148 | 2019-10-15 |
| 1003464181 | Amber Marroquin | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2689 | 2019-08-31 |
| 1245727189 | Daniela Robinson | Nurse Practitioner | 22101 Moross Rd, Detroit, MI 48236-2148 | 2018-04-17 |
| 1316440860 | Renee Marie Vigilante | Nurse Practitioner | 3990 John R St, Detroit, MI 48201-2018 | 2018-03-12 |
| 1417477076 | Sheila Marie Rundell | Nurse Practitioner | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2017-06-26 |
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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.