MRS. ANN M AVERY (NPI# 1619196680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619196680 |
| Entity Type | Individual |
| Full Name | MRS. ANN M AVERY |
| Credential | NURSE PRACTITIONER |
| Practice Address |
3147 Logan Valley Rd Traverse City MI 49684-4772 |
| Mailing Address |
Po Box 57 Cedar MI 49621-0057 |
| Practice Telephone | 2319350668 |
| Mailing Telephone | 2312285344 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2011-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704077842 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
4704077842 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720005184 | Ann Z. Avery | Family Medicine | 191 Macarthur Blvd, Coventry, RI 02816-7244 | 2006-07-15 |
| 1972528719 | Ann K Avery | Internal Medicine | 2500 Metrohealth Dr, Mhmc-medicine/infectious Disease C-2001, Cleveland, OH 44109-1900 | 2006-07-13 |
| Street Address |
3147 LOGAN VALLEY RD |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684-4772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972680411 | Lynn Lapointe Swan | Family Medicine | 3147 Logan Valley Rd, Traverse City, MI 49684-4772 | 2006-11-01 |
| 1174841720 | Jane Marie Stauffer | Nurse Practitioner | 3147 Logan Valley Rd, Traverse City, MI 49684-4772 | 2010-05-06 |
| 1376790923 | Thomas P. Dunfee | Clinic/Center | 3147 Logan Valley Rd, Traverse City, MI 49684-4772 | 2008-08-26 |
| 1386821940 | Leslie Caroline Heimburger | Internal Medicine | 3147 Logan Valley Rd, Traverse City, MI 49684-4772 | 2008-01-25 |
| 1467632059 | Traverse Health Clinic and Coalition | Clinic/Center | 3147 Logan Valley Rd, Traverse City, MI 49684-4772 | 2007-11-12 |
| 1447430236 | Brooke Alice Borgeson-gray | Nurse Practitioner | 3147 Logan Valley Rd, Traverse City, MI 49684-4772 | 2007-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641758 | Karen Anne Paulosky | Registered Nurse | 226 S Madison St, Traverse City, MI 49684 | 2020-05-18 |
| 1891314795 | Jaclyn Elizabeth Sylvain | Student in an Organized Health Care Education/Training Program | Munson Family Practice Center, 1400 Medical Campus Drive, Traverse City, MI 49684 | 2020-04-10 |
| 1285282988 | Madelyn Drumm | Dietitian, Registered | 217 S. Madison St., Suite 3022, Traverse City, MI 49684 | 2019-08-27 |
| 1265917686 | Kacie Danielle Heading | Social Worker | 12719 S. West Bay Shore Drive, Suite 9, Traverse City, MI 49684 | 2018-10-02 |
| 1881178325 | Jacob White Ph.d., Pllc | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-09-20 |
| 1144702572 | Constance Baab, Phd, Lmsw, Pllc | Social Worker | 3301 Veterans Drive Suite 127, Traverse City, MI 49684 | 2018-09-01 |
| 1346732880 | The Skin Cancer and Dermatology Center Plc | Dermatology | 1225 W Front St Ste 2, Traverse City, MI 49684 | 2018-05-31 |
| 1790283851 | Lisa Louise Kleyps | Massage Therapist | 3337 W. South Airport Road #2, Traverse City, MI 49684 | 2018-01-24 |
| 1114447646 | Brittany Alexandra Prior | Physical Therapist | 3899 W Front Sreet, Unit 3, Traverse City, MI 49684 | 2017-06-26 |
| 1568902963 | Jennifer Scott | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684 | 2017-03-03 |
| Find all providers in zip 49684 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639638588 | Shawn Ann Kintigh | Nurse Practitioner | 5041 N Royal Dr Ste 1, Traverse City, MI 49684-6986 | 2019-03-19 |
| 1134551492 | Karen Lynn Volas | Nurse Practitioner | 3865 W Front St, Traverse City, MI 49684-8153 | 2013-08-08 |
| 1275771370 | Danielle Emily Koch | Nurse Practitioner | 5191 Rosewood Dr, Traverse City, MI 49685-9137 | 2009-01-27 |
| 1144424219 | Linda Danielle Gottwald | Nurse Practitioner | 1105 Sixth St., Traverse City, MI 49684 | 2007-06-13 |
| 1619196490 | Renee Rose Jacobson | Nurse Practitioner | 1701 E Front St, Lb 106, Traverse City, MI 49686-3016 | 2007-04-24 |
| 1023182078 | Laura A. Schmidt | Nurse Practitioner | 921 W Front St, Traverse City, MI 49684-2327 | 2006-11-20 |
| 1609985977 | Patricia Elaine Mcintosh | Nurse Practitioner | 10767 E Traverse Hwy, Traverse City, MI 49684-6219 | 2006-08-30 |
| 1730116732 | Gabrielle W Cochran | Nurse Practitioner | 1515 Cass Street Suite C, Traverse City, MI 49684-4156 | 2006-06-26 |
| 1730157652 | Jill Norene Polmateer | Nurse Practitioner | 1104 Cass St, Traverse City, MI 49684-3236 | 2006-03-08 |
| 1538131396 | Patricia Davis | Nurse Practitioner | 217 S Madison St, Traverse City, MI 49684-2320 | 2006-02-06 |
| Find all providers in TRAVERSE CITY | ||||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
Please comment or provide details below to improve the information on MRS. ANN M AVERY.
| 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.