ERICA BAZYDLO (NPI# 1619588183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619588183 |
| Entity Type | Individual |
| Full Name | ERICA BAZYDLO |
| Credential | RN |
| Practice Address |
500 10th St Port Huron MI 48060-4477 |
| Mailing Address |
6549 Town Center Dr Ste A Clarkston MI 48346-4824 |
| Practice Telephone | 8003953223 |
| Practice Fax Number | 8333296632 |
| Mailing Telephone | 8003953223 |
| Mailing Fax Number | 8333296632 |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2020-08-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 4704306320 | MI | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 42669 Garfield Rd, Clinton Township, MI 480381653 | 8003953223 | 8333296632 |
| Street Address |
500 10TH ST |
| City | PORT HURON |
| State | MI |
| Zip Code | 48060-4477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982795845 | James Thomas King Sr. | Social Worker | 500 10th St, Port Huron, MI 48060-4477 | 2006-09-27 |
| 1679115232 | Ismail B. Sendi, Md, PC | Clinic/Center | 500 10th St, Port Huron, MI 48060-4477 | 2019-10-15 |
| 1194204149 | Nora E. Avers | Counselor | 500 10th St, Port Huron, MI 48060-4477 | 2018-08-10 |
| 1740770114 | Jennifer Lynn Fehn | Counselor | 500 10th St, Port Huron, MI 48060-4477 | 2018-05-11 |
| 1295257525 | James Leon Stevens | Social Worker | 500 10th St, Port Huron, MI 48060-4477 | 2017-07-07 |
| 1588050462 | Rusmira Bektas | Counselor | 500 10th St, Port Huron, MI 48060-4477 | 2015-04-08 |
| 1104042548 | Christina M Petzel | Counselor | 500 10th St, Port Huron, MI 48060-4477 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897297 | Casey Edward Bicker | Behavior Technician | 3245 Keewahdin Rd; Fort Gratiot, Mi 48059, Port Huron, MI 48060 | 2020-09-29 |
| 1962032078 | Brianne Salchert | Peer Specialist | 1170 Michigan Rd., Port Huron, MI 48060 | 2020-01-17 |
| 1982123006 | Kenneth Shine Heuvelman | Counselor | 3522 Holland Park Ln, Port Huron, MI 48060 | 2017-09-11 |
| 1346767506 | Kelly Baker | Social Worker | 520 Superior St., Port Huron, MI 48060 | 2017-08-28 |
| 1326418609 | Jean Burleigh | Chore Provider | 614 Staton, Port Huron, MI 48060 | 2015-09-30 |
| 1205242161 | Lisa Gray | Counselor | 2885 W Rick Dr, Port Huron, MI 48060 | 2014-07-10 |
| 1861758880 | Aaron Overly | Surgery | 2609 Electric Ave Ste B&, Port Huron, MI 48060 | 2012-04-03 |
| 1942591508 | S Akram Ali | Surgery | 3270 Waldheim Dr, Port Huron, MI 48060 | 2011-04-29 |
| 1417258179 | Nicholas Alexander Tobianski | Physician Assistant | 3550 Pine Grove Avenue, Port Huron, MI 48060 | 2010-11-11 |
| 1598092769 | Blue Water Pharmacy LLC | Pharmacy | 1524 10th Street, Port Huron, MI 48060 | 2009-11-10 |
| Find all providers in zip 48060 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982176525 | Bonnie Sue Hanson | Registered Nurse | 2916 Peavey St, Port Huron, MI 48060-6987 | 2018-12-20 |
| 1427675768 | Kelsey Crampton | Registered Nurse | 1221 Pine Grove Ave, Port Huron, MI 48060-3511 | 2020-07-02 |
| 1508482951 | Elisa Dooley | Registered Nurse | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2020-06-22 |
| 1538790373 | Lauren Higgins | Registered Nurse | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2020-01-30 |
| 1689218240 | Diane Marie Bubel | Registered Nurse | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2019-11-06 |
| 1083274435 | Alicia Marie Cline | Registered Nurse | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2019-06-18 |
| 1346800166 | Kimberly Ann May | Registered Nurse | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2019-06-14 |
| 1457812679 | Michelle Macdonald | Registered Nurse | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2019-03-29 |
| 1366913386 | Barbara L Begley Lavery | Registered Nurse | 1430 Military St, Port Huron, MI 48060-5912 | 2018-12-17 |
| 1104397082 | Lauren Nicole Allen | Registered Nurse | 1430 Military St, Port Huron, MI 48060-5912 | 2018-12-17 |
| Find all providers in PORT HURON | ||||
| City | PORT HURON |
| Zip Code | 48060 |
Please comment or provide details below to improve the information on ERICA BAZYDLO.
| 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.