CAROLYN M. NICKEL (NPI# 1558349910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558349910 |
| Entity Type | Individual |
| Full Name | CAROLYN M. NICKEL |
| Other Name | CAROLYN LAPERRIERE |
| Credential | PA |
| Practice Address |
5301 E Huron River Drive Ypsilanti MI 48197 |
| Mailing Address |
Po Box 446 24 Frank Lloyd Wright Drive Ann Arbor MI 48106-0446 |
| Practice Telephone | 7347128676 |
| Practice Fax Number | 7347123855 |
| Mailing Telephone | 7347476766 |
| Mailing Fax Number | 7342203100 |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2014-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601003972 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5301 E HURON RIVER DRIVE |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588979645 | Romy Pandey | Internal Medicine | 5301 E Huron River Drive, Iha Hospital Medicine Service, Ypsilanti, MI 48197 | 2010-08-13 |
| 1063745107 | Abha Gupta | Internal Medicine | 5301 E Huron River Drive, Ypsilanti, MI 48197 | 2009-09-08 |
| 1396864849 | St Joseph Mercy Hospital | Physician Assistant | 5301 E Huron River Drive, Surgery, Medical, Ypsilanti, MI 48197-1051 | 2007-03-28 |
| 1497801518 | St Joseph Mercy Hospital | Rehabilitation Unit | 5301 E Huron River Drive, Ypsilanti, MI 48197-1051 | 2007-01-25 |
| 1922161843 | Titilola A Famakinwa | Internal Medicine | 5301 E Huron River Drive, Ypsilanti, MI 48197 | 2006-12-19 |
| 1871551283 | Patricia Ann Mccleary | Registered Nurse | 5301 E Huron River Drive, Sjmh, Ypsilanti, MI 48198 | 2006-05-03 |
| 1578534939 | Alvin L Mccormick | Internal Medicine | 5301 E Huron River Drive, Mc 69504, Ypsilanti, MI 48197-1051 | 2006-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
| Find all providers in zip 48197 | ||||
| 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 |
|---|---|---|---|---|
| 1558821785 | Alexa Renee Tremmel | Physician Assistant | 5301 Mcauley Dr Ste 2199, Ypsilanti, MI 48197-1051 | 2019-03-22 |
| 1326510686 | Ovidiu George Curtean | Physician Assistant | 5333 Mcauley Dr Rm 5112, Ypsilanti, MI 48197-1003 | 2018-12-27 |
| 1720592637 | Martin Ace Layne | Physician Assistant | 802 Lowell St Apt 2, Ypsilanti, MI 48197-2808 | 2017-11-30 |
| 1013363712 | Laura Beth Winningham | Physician Assistant | 5301 Mcauley Dr # C-139, Ypsilanti, MI 48197-1051 | 2016-05-11 |
| 1972906444 | Devon Murphy | Physician Assistant | 5303 Elliott Drive, Suite 210, Ypsilanti, MI 48197 | 2014-09-29 |
| 1821351065 | Kristine N Hammond | Physician Assistant | 5333 Mcauley Dr Rm 2017, Ypsilanti, MI 48197-1096 | 2012-06-22 |
| 1245477819 | Jane R Burch | Physician Assistant | 3511 Bemis Rd, Ypsilanti, MI 48197-9307 | 2009-01-19 |
| 1235388158 | Rosemary Mackraz Thornton | Physician Assistant | 5333 Mcauley Dr Rm 3009, Ypsilanti, MI 48197-1097 | 2008-09-16 |
| 1730343062 | Courtney M Estala | Physician Assistant | 5315 Elliott Dr., Suite 301, Ypsilanti, MI 48197 | 2008-07-16 |
| 1619973104 | Elizabeth Sheep | Physician Assistant | 5315 Elliott Drive, Suite 304, Ypsilanti, MI 48197-8634 | 2005-06-21 |
| Find all providers in YPSILANTI | ||||
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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.