MRS. JUDITH ANN KASZYCA (NPI# 1619995503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619995503 |
Entity Type | Individual |
Full Name | MRS. JUDITH ANN KASZYCA |
Credential | NURSE PRACTITONER |
Practice Address |
3532 Main St Deckerville MI 48427-9615 |
Practice Telephone | 8103763100 |
Practice Fax Number | 8103768311 |
Mailing Telephone | 8103763100 |
Mailing Fax Number | 8103768311 |
Enumeration Date | 2006-07-18 |
Last Update Date | 2007-07-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4704103116 | MI | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 18073 | 05 |
Street Address |
3532 MAIN ST |
City | DECKERVILLE |
State | MI |
Zip Code | 48427-9615 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285671412 | Levi L Guerrero | General Practice | 3532 Main St, Deckerville, MI 48427-9615 | 2006-05-31 |
1366827982 | Keith Davidson | Nurse Practitioner | 3532 Main St, Deckerville, MI 48427-9615 | 2015-07-24 |
1164818977 | Deckerville Community Hospital, Inc. | Orthopaedic Surgery | 3532 Main St, Deckerville, MI 48427-9615 | 2015-04-08 |
1689840092 | Levi L. Guerrero, Md, PC | General Practice | 3532 Main St, Deckerville, MI 48427-9615 | 2008-05-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447444591 | Jennifer Ann Lindsey | Social Worker | 6637 Highland Road, Waterford, MI 48427 | 2007-08-31 |
1306067400 | Thomas I Hazelton | Dentist | 2382 Black River St, Deckerville, MI 48427 | 2007-05-02 |
1588715221 | David Alan Nisbett | Chiropractor | 2515 Maple St., Deckerville, MI 48427 | 2007-01-16 |
1902980568 | Dora Lynn Merriman | Registered Nurse | 212 E Sanilac Avenue, Sandusky, MI 48427 | 2006-10-24 |
1285714626 | Harold Don Trend | Social Worker | 3474 Palm Street, Deckerville, MI 48427 | 2006-10-17 |
1376579466 | William George Mcnish | Nurse Anesthetist, Certified Registered | 3559 Pine Street, Deckerville, MI 48427 | 2006-06-23 |
1619095718 | Deckerville Community Hospital, Inc | General Acute Care Hospital | 3559 Pine Street, Deckerville, MI 48427 | 2007-03-27 |
1164540555 | Deckerville Community Hospital, Inc. | Emergency Medicine | 3559 Pine Street, Deckerville, MI 48427 | 2007-03-26 |
1841368362 | Joan Ballentine | Pharmacist | 3482 Main, Deckerville, MI 48427-0067 | 2006-12-01 |
1003984527 | Rick Ballentine | Pharmacist | 3482 Main Street, Deckerville, MI 48427-0067 | 2006-12-01 |
Find all providers in zip 48427 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366827982 | Keith Davidson | Nurse Practitioner | 3532 Main St, Deckerville, MI 48427-9615 | 2015-07-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275130619 | Mohammad Afzal Khan | Nurse Practitioner | 29147 Appleblossom Ln, Farmington Hills, MI 48331-2420 | 2020-10-08 |
1528679305 | Eriko Apriliando | Nurse Practitioner | 15300 Silver Pkwy Apt 208, Fenton, MI 48430-3479 | 2020-08-13 |
1245858307 | Katherine Perko Hollander | Nurse Practitioner | 2274 Earlmont Rd, Berkley, MI 48072-1877 | 2020-07-06 |
1437782067 | Jamie Lynn Kosalsky | Nurse Practitioner | 1385 Cadmus Dr, Troy, MI 48085-1218 | 2020-02-21 |
1326698309 | Maria Christina Mekas | Nurse Practitioner | 423 Tamarack Dr, Saline, MI 48176-9573 | 2019-09-12 |
1669021358 | Cheryl Fowler | Nurse Practitioner | 523 Fontenelle St Se, Grand Rapids, MI 49548-7316 | 2019-09-05 |
1205482387 | Sarah E Born | Nurse Practitioner | 517 Erie Street, Three Rivers, MI 49093-2029 | 2019-08-14 |
1023660321 | Cheri Van Wyngarden | Nurse Practitioner | 6250 Jupiter Ave Ne, Belmont, MI 49306-8711 | 2019-07-16 |
1194385500 | Adesuwa Iyoha | Nurse Practitioner | 30509 Halecreek St, Romulus, MI 48174-3224 | 2019-06-18 |
1740740190 | John Kenneth Dekock | Nurse Practitioner | 5327 48th Ave, Hudsonville, MI 49426-9412 | 2019-03-21 |
Find all providers with the same taxonomy |
City | DECKERVILLE |
Zip Code | 48427 |
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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.