BETHANY CAROL PAVON (NPI# 1619374808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619374808 |
| Entity Type | Individual |
| Full Name | BETHANY CAROL PAVON |
| Credential | NP |
| Practice Address |
802 W King St Ste C Owosso MI 48867-2100 |
| Mailing Address |
Po Box 456 Owosso MI 48867-0456 |
| Practice Telephone | 9897294100 |
| Practice Fax Number | 9897294066 |
| Mailing Telephone | 9897256528 |
| Mailing Fax Number | 9897239446 |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2015-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704266187 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1619374808 | 05 |
| Street Address |
802 W KING ST STE C |
| City | OWOSSO |
| State | MI |
| Zip Code | 48867-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962495614 | Daniel F Barnas | Surgery | 802 W King St, Suite M, Owosso, MI 48867-2100 | 2005-08-29 |
| 1215416961 | Spectrum Health Primary Care Partners | Orthopaedic Surgery | 802 W King St, Owosso, MI 48867-2100 | 2018-08-13 |
| 1003108978 | Lyndsay Jo Ruff | Dietitian, Registered | 802 W King St, Suite R, Owosso, MI 48867-2100 | 2011-05-10 |
| 1831497338 | Michael Bryan Kramer | Pediatrics | 802 W King St, C, Owosso, MI 48867-2100 | 2011-03-08 |
| 1497983753 | Stacy Lynn Schaufele | Counselor | 802 W King St, Suite P, Owosso, MI 48867-2100 | 2009-06-25 |
| 1508043647 | Daniel F. Barnas Md PC | Surgery | 802 W King St, Suite M, Owosso, MI 48867-2100 | 2008-01-30 |
| 1427256239 | Terrence J Johnson Ph D PC | Psychologist | 802 W King St, Suite P., Owosso, MI 48867-2100 | 2007-07-03 |
| 1861515363 | Elizabeth Marie Johnson | Psychologist | 802 W King St, Suite P, Owosso, MI 48867-2100 | 2007-04-09 |
| 1730202227 | Terrence Joseph Johnson | Psychologist | 802 W King St, Suite P, Owosso, MI 48867-2100 | 2007-04-09 |
| 1073681219 | Owosso Surgical Associates, P.C. | Surgery | 802 W King St, Suite M, Owosso, MI 48867-2100 | 2006-12-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275093908 | Sabrina Hughes | Technician | 1350 E M 21 Ste 304, Owosso, MI 48867 | 2019-03-20 |
| 1124521869 | Karry Lynn Wilson | Occupational Therapist | 275 Caledonia Drive, Owosso, MI 48867 | 2018-03-08 |
| 1740782051 | Holly Krystine Taylor | Occupational Therapy Assistant | 275 Caledonia Dr, Owosso, MI 48867 | 2018-03-02 |
| 1255833703 | Misty Sue Yerrick | Occupational Therapy Assistant | 275 Caladonia Dr, Owosso, MI 48867 | 2018-03-01 |
| 1699276212 | Chantel Marie Ferrio | Physical Medicine & Rehabilitation | 275 Caldonia Drive, Owosso, MI 48867 | 2018-02-28 |
| 1083127880 | The Arc Shiawassee County Inc | Respite Care | 1905 West M-21, Owosso, MI 48867 | 2017-11-15 |
| 1609317486 | Moses Prempeh | Pharmacist | 1002 E Main St, Owosso, MI 48867 | 2017-03-14 |
| 1083065312 | Lauren Quinlan | Behavioral Analyst | 912 S Washington St, Owosso, MI 48867 | 2016-06-28 |
| 1952790990 | Ashley Nemeth | Occupational Therapy Assistant | 3130 W Brewer Rd, Owosso, MI 48867 | 2015-01-14 |
| 1538432174 | Marc W. Perry | Counselor | 120 W. Exchange Street, Suite 300, Catholic Charities, Owosso, MI 48867 | 2012-02-13 |
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| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972735801 | Elaine M Mcnamara | Nurse Practitioner | 721 N Shiawassee St Ste 101, Owosso, MI 48867-1632 | 2009-08-11 |
| 1174157556 | Tetyana Williams | Nurse Practitioner | 6980 S M 52, Owosso, MI 48867-9515 | 2020-02-25 |
| 1225524903 | Heather Gaudard | Nurse Practitioner | 200 Health Park Drive, Owosso, MI 48867-4886 | 2018-07-06 |
| 1356741334 | Suzanne S Hall | Nurse Practitioner | 721 N Shiawassee St, Owosso, MI 48867-1632 | 2014-08-27 |
| 1285075085 | Kristina Marie Yaklin | Nurse Practitioner | 1457 N M 52 Ste 2, Owosso, MI 48867-1519 | 2013-07-10 |
| 1447533138 | Dawn Marie Sirekis | Nurse Practitioner | 826 W King St, Owosso, MI 48867-2120 | 2011-09-20 |
| 1518079086 | Tina R Throop | Nurse Practitioner | 812 Bradley St, Owosso, MI 48867-2552 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154599 | Kelly Phuong Doan | Nurse Practitioner | 27327 23 Mile Rd, Chesterfield, MI 48051-2045 | 2020-11-04 |
| 1275133217 | Maureen Mae Lewis | Nurse Practitioner | 2782 N Coleman Rd, Coleman, MI 48618-9721 | 2020-10-29 |
| 1073113460 | Taylor L Pichette | Nurse Practitioner | 758 Lucille Dr, Wolverine Lake, MI 48390-2327 | 2020-10-27 |
| 1295333938 | Amanda Covell | Nurse Practitioner | 624 Cherry St Se Apt 5, Grand Rapids, MI 49503-4778 | 2020-10-14 |
| 1689271314 | Nicole Conklin | Nurse Practitioner | 524 Doyle Rd, Laingsburg, MI 48848-9611 | 2020-10-06 |
| 1447857677 | Shelby Lynn Waibel | Nurse Practitioner | 560 W Mitchell St Ste 210, Petoskey, MI 49770-2276 | 2020-10-01 |
| 1497361638 | Amira Aljamal | Nurse Practitioner | 4601 Shenandoah Ave, Allen Park, MI 48101-3131 | 2020-09-22 |
| 1659987014 | Sean Thomas Kane | Nurse Practitioner | 13734 Parallel Ave, Alpena, MI 49707-7987 | 2020-09-21 |
| 1235743592 | Mojica, LLC | Nurse Practitioner | 4163 W Pointe Dr, Waterford, MI 48329-4648 | 2020-09-03 |
| 1942812094 | Meagan James | Nurse Practitioner | 407 E Huron River Dr, Belleville, MI 48111-2763 | 2020-08-20 |
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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.