MS. JOANIE LYNNE ANDERSON (NPI# 1609311950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609311950 |
Entity Type | Individual |
Full Name | MS. JOANIE LYNNE ANDERSON |
Credential | CPSS |
Practice Address |
218 Fast Ice Dr Midland MI 48642-6167 |
Practice Telephone | 9896312320 |
Practice Fax Number | 9896313343 |
Mailing Telephone | 9896312320 |
Mailing Fax Number | 9896313343 |
Enumeration Date | 2016-12-22 |
Last Update Date | 2016-12-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
Street Address |
218 FAST ICE DR |
City | MIDLAND |
State | MI |
Zip Code | 48642-6167 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063501351 | Nicole Lynn Minnis | Psychologist | 218 Fast Ice Dr, Midland, MI 48642-6167 | 2006-10-12 |
1013560820 | Jessica Lynn Klatt | Social Worker | 218 Fast Ice Dr, Midland, MI 48642-6167 | 2019-07-20 |
1639661630 | Ariel Dawn Tausk | Social Worker | 218 Fast Ice Dr, Midland, MI 48642-6167 | 2018-06-05 |
1295226769 | Rashell Byrski | Social Worker | 218 Fast Ice Dr, Midland, MI 48642-6167 | 2018-05-21 |
1548761745 | Jenae Eva Finney | Social Worker | 218 Fast Ice Dr, Midland, MI 48642-6167 | 2018-02-22 |
1578070124 | Jessica Sansoucie | Social Worker | 218 Fast Ice Dr, Midland, MI 48642-6167 | 2018-01-04 |
1528583432 | Trisha Powell | Social Worker | 218 Fast Ice Dr, Midland, MI 48642-6167 | 2017-08-11 |
1972028934 | Pamela Lane Graber | Social Worker | 218 Fast Ice Dr, Midland, MI 48642-6167 | 2017-08-10 |
1821528845 | Melissa Ann Gilbert | Peer Specialist | 218 Fast Ice Dr, Midland, MI 48642 | 2017-06-13 |
1801324330 | Rachel Lightfoot | Social Worker | 218 Fast Ice Dr, Midland, MI 48642-6167 | 2017-05-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609488378 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 4816 Bay City Rd, Midland, MI 48642 | 2020-08-23 |
1033762166 | Landon Reed | Occupational Therapist | 5600 Waldo Ave, Midland, MI 48642 | 2019-07-17 |
1609436062 | Rostam Adult and Pediatric Medicine Midland Pllc | Family Medicine | 801 Joe Mann Blvd, Suite H, Midland, MI 48642 | 2019-06-18 |
1194295758 | Shirley Curtiss | Behavior Technician | 3301 Ridgecrest Drive, Midland, MI 48642 | 2018-11-27 |
1396264768 | Emily Lipa | Behavior Technician | 3301 Ridgecrest Dr., Midland, MI 48642 | 2017-09-16 |
1366982381 | Alison Bressette | Behavior Technician | 337 Lemke St, Midland, MI 48642 | 2017-02-24 |
1376926162 | Aba Connections of Central Michigan, LLC | Behavioral Analyst | 3301 Ridecrest Dr, Midland, MI 48642 | 2015-06-30 |
1952724130 | Rachelle Mott | Registered Nurse | 218 Fast Ice Dr., Midland, MI 48642 | 2014-01-24 |
1407123482 | Community Mental Health for Central Michigan | Community/Behavioral Health | 218 Fast Ice Drive, Midland, MI 48642 | 2011-11-19 |
1225283534 | Audio-aid Rx | Hearing Aid Equipment | 6855 N. Eastman Ave., Midland, MI 48642 | 2008-12-01 |
Find all providers in zip 48642 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821528845 | Melissa Ann Gilbert | Peer Specialist | 218 Fast Ice Dr, Midland, MI 48642 | 2017-06-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063026284 | Leah Mae Sindone | Peer Specialist | 22324 Derby Rd, Woodhaven, MI 48183-3700 | 2020-09-04 |
1992314728 | Willie Earl Feggins | Peer Specialist | 370 Country Club Rd, Holland, MI 49423-8303 | 2020-07-28 |
1831711613 | John Lee Williams Jr. | Peer Specialist | 24400 Schoolcraft, Redford, MI 48239-2633 | 2020-05-14 |
1568084861 | Zannie Roy Jackson Jr. | Peer Specialist | 36801 Ann Arbor Trl, Livonia, MI 48150-3422 | 2020-05-11 |
1417578865 | Veronica R Vasquez | Peer Specialist | 500 Hancock St # 48602, Saginaw, MI 48602-4224 | 2020-04-27 |
1235768680 | Matthew Milz | Peer Specialist | 145o S Lapeer Rd, Oxford, MI 48371-4982 | 2020-04-07 |
1558996132 | Camille Jewell Jackson | Peer Specialist | 8181 N Wayne Rd Apt S2147, Westland, MI 48185-3842 | 2020-03-04 |
1073146908 | James Laroach | Peer Specialist | 913 W. Homes Suite 200, Lansing, MI 48910 | 2020-02-19 |
1578193827 | Axel Lee Gruenberg | Peer Specialist | 221790 West 9 Mile, Southfield, MI 48033 | 2020-01-24 |
1962032078 | Brianne Salchert | Peer Specialist | 1170 Michigan Rd., Port Huron, MI 48060 | 2020-01-17 |
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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.