JENNA KATE MICHAELIS (NPI# 1518581669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518581669 |
| Entity Type | Individual |
| Full Name | JENNA KATE MICHAELIS |
| Practice Address |
14646 Dash Way Poway CA 92064-2912 |
| Practice Telephone | 5304005254 |
| Mailing Telephone | 5304005254 |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-06-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
14646 DASH WAY |
| City | POWAY |
| State | CA |
| Zip Code | 92064-2912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649895293 | Direct Care | Durable Medical Equipment & Medical Supplies | 14646 Dash Way, Poway, CA 92064-2912 | 2020-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194357384 | Prabha Choudhary | Student in an Organized Health Care Education/Training Program | 17555, Corte Lomas Verdes, Poway, CA 92064 | 2020-02-06 |
| 1770143968 | Theresa Marie Morales | In Home Supportive Care | 15352 Running Deer Trl, Poway, CA 92064 | 2019-06-19 |
| 1689230997 | Jaclyn Miller | Audiologist | Health Medical Group, 15525 Pomerado Road Suite C-1, Poway, CA 92064 | 2019-05-13 |
| 1205306842 | Angelita Fuentes | Behavior Technician | 12975 Brookprinter Place Suite 250, Poway, CA 92064 | 2018-11-27 |
| 1396235271 | Michael Cutler, M.d., P.C. | Clinic/Center | 12285 Scripps Poway Pkwy Ste 103, Poway, CA 92064 | 2018-05-16 |
| 1720576671 | Jodi A Mcgrady Dmd, Ms, Adc | Dentist | 12350 Oak Knoll Rd, Poway, CA 92064 | 2018-04-26 |
| 1295237139 | Michelle J. Beaupre | Social Worker | 204 Poway Rd., Poway, CA 92064 | 2018-03-07 |
| 1669918165 | Restore Detox Centers | Substance Abuse Rehabilitation Facility | 14099 Sky Mountain Trail, Poway, CA 92064 | 2017-01-09 |
| 1205382561 | Nightingale Meyou | Pharmacist | 5615 Pomerado Rd, Poway, CA 92064 | 2016-08-28 |
| 1578017232 | Elan Lee | Dentist | 13035 Pomerado Road Suite B, Poway, CA 92064 | 2016-08-11 |
| Find all providers in zip 92064 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316264559 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 13390 Poway Rd, Poway, CA 92064-4626 | 2010-04-28 |
| 1538330998 | Pacific Sierra Medical | Durable Medical Equipment & Medical Supplies | 14456 Kentfield Pl, Poway, CA 92064-3360 | 2008-03-13 |
| 1356479661 | Dna, Integrated Health,inc. | Durable Medical Equipment & Medical Supplies | 13715 Poway Rd Ste 2, Poway, CA 92064-4732 | 2007-02-28 |
| 1770677379 | Abawi Inc. | Durable Medical Equipment & Medical Supplies | 12600 Stowe Dr. #4, Poway, CA 92064 | 2006-10-03 |
| 1609985043 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 12666 Poway Road, Poway, CA 92064-4416 | 2006-08-30 |
| 1295752541 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 13425 Community Rd, Poway, CA 92064-4723 | 2006-07-16 |
| 1134727951 | Physiotherapy Associates, Inc. | Durable Medical Equipment & Medical Supplies | 15525 Pomerado Rd Ste C8, Poway, CA 92064-2426 | 2020-10-14 |
| 1649895293 | Direct Care | Durable Medical Equipment & Medical Supplies | 14646 Dash Way, Poway, CA 92064-2912 | 2020-06-10 |
| 1821371683 | For Doctors Consulting Group | Durable Medical Equipment & Medical Supplies | 12630 Monte Vista Rd, Suite 210, Poway, CA 92064-2530 | 2011-09-27 |
| 1205149804 | Hanger Prosthetics & Orthotics West, Inc. | Durable Medical Equipment & Medical Supplies | 12630 Monte Vista Rd, Ste 101, Poway, CA 92064-2530 | 2010-07-23 |
| Find all providers in POWAY | ||||
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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.