JESSICA RANAE BEATTY (NPI# 1629227004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629227004 |
| Entity Type | Individual |
| Full Name | JESSICA RANAE BEATTY |
| Credential | TLLP |
| Practice Address |
16836 Newburgh Rd Livonia MI 48154-1600 |
| Practice Telephone | 7344644220 |
| Practice Fax Number | 7344645885 |
| Mailing Telephone | 7344644220 |
| Mailing Fax Number | 7344645885 |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2008-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 6301013682 | MI | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215461769 | Jessica Noelle Beatty | Student in an Organized Health Care Education/Training Program | 12401 E. 17th Ave, 7th Floor, Department of Anesthesiology, Aurora, CO 80045-2570 | 2017-04-11 |
| 1003043266 | Jessica Beatty | Social Worker | 1159 Brownstown Rd, Larimer, PA 15647-9704 | 2009-06-16 |
| 1396371027 | Jessica Jean Beatty | Behavior Technician | 1070 Range Rd, Port Huron, MI 48060-4606 | 2020-03-13 |
| 1942673124 | Jessica Beatty | Speech-Language Pathologist | 3712 Dauphin St, Mobile, AL 36608-1725 | 2015-11-10 |
| 1912058264 | Jessica Ann Beatty | Occupational Therapy Assistant | 150 N Rosenberger Ave, Evansville, IN 47712-6503 | 2007-01-15 |
| Street Address |
16836 NEWBURGH RD |
| City | LIVONIA |
| State | MI |
| Zip Code | 48154-1600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649227802 | Elizabeth Lane Mccullough | Psychiatry & Neurology | 16836 Newburgh Rd, Upc Livonia, Livonia, MI 48154 | 2006-05-30 |
| 1972032423 | Rachel Rose Santoro | Psychiatry & Neurology | 16836 Newburgh Rd, Livonia, MI 48154-1600 | 2017-06-08 |
| 1154854420 | Brittany Anne Hammond | Student in an Organized Health Care Education/Training Program | 16836 Newburgh Rd, Livonia, MI 48154-1600 | 2017-04-04 |
| 1326432584 | Steven Loren Shaw | Student in an Organized Health Care Education/Training Program | 16836 Newburgh Rd, Livonia, MI 48154-1600 | 2015-03-26 |
| 1700131646 | Jaime M Arseneault | Student in an Organized Health Care Education/Training Program | 16836 Newburgh Rd, Livonia, MI 48154-1600 | 2012-07-17 |
| 1891089322 | Divya Vemuri | Psychiatry & Neurology | 16836 Newburgh Rd, Livonia, MI 48154-1600 | 2011-06-01 |
| 1265765291 | Kimberly Shaye Dawson | Student in an Organized Health Care Education/Training Program | 16836 Newburgh Rd, Livonia, MI 48154-1600 | 2009-09-09 |
| 1790934156 | Victoria Anne Sargent | Student in an Organized Health Care Education/Training Program | 16836 Newburgh Rd, Livonia, MI 48154-1600 | 2008-09-10 |
| 1336325877 | Annie M Grossman | Student in an Organized Health Care Education/Training Program | 16836 Newburgh Rd, Livonia, MI 48154-1600 | 2008-01-15 |
| 1699950048 | Sabrina Ann Kumar | Student in an Organized Health Care Education/Training Program | 16836 Newburgh Rd, Livonia, MI 48154-1600 | 2008-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699386227 | Iha Health Service Corporation | Durable Medical Equipment & Medical Supplies | Iha Associates In Podiatry, 14555 Levan Road Suite 116, Livonia, MI 48154 | 2020-08-17 |
| 1972130136 | Cameron Strong | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Hospital, 36475 Five Mile Road, Livonia, MI 48154 | 2020-03-26 |
| 1447894019 | Nova Pharmacy | Pharmacy | 15140 Levan Rd, Suite 40, Livonia, MI 48154 | 2019-11-06 |
| 1356992242 | Milly Baydoun | Registered Nurse | 36650 Five Mile Rd Ste 106, Livonia, MI 48154 | 2019-09-23 |
| 1861059396 | Align Family Chiropractic LLC | Clinic/Center | 19047 Middlebelt Rd, Livonia, MI 48154 | 2019-05-21 |
| 1619442159 | Ashley Vaduva | Counselor | 37677 Professional Center Dr Ste 110c, Livonia, MI 48154 | 2018-10-11 |
| 1245719434 | Myron Rubin Dds PC | Dentist | 15357 Frmington Rd, Livonia, MI 48154 | 2018-08-09 |
| 1720578636 | New Beginnings Addiction & Counseling Services | Counselor | 27677 Professional Center Drive Suite 135, Livonia, MI 48154 | 2018-05-16 |
| 1831693670 | Robust Rehab Services, Inc. | Occupational Therapist | 32854 5 Mile Rd, Livonia, MI 48154 | 2018-03-19 |
| 1184139644 | Nova Pharmacy LLC | Pharmacy | 15140 Levan Rd Suite 40, Livonia, MI 48154 | 2017-12-06 |
| Find all providers in zip 48154 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639780968 | Goyanka Ranganathan | Student in an Organized Health Care Education/Training Program | Ipc Primary Care Internal Medicine, 37595 Seven Mile Road, Suite 340, Livonia, MI 48152 | 2020-08-11 |
| 1972130136 | Cameron Strong | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Hospital, 36475 Five Mile Road, Livonia, MI 48154 | 2020-03-26 |
| 1457988552 | Adam Ouellette | Student in an Organized Health Care Education/Training Program | St. Joe's Outpatient Psychiatry and Counseling Center, 37595 Seven Mile Rd, Suite 230, Livonia, MI 48152 | 2020-03-26 |
| 1104385061 | Abdulbaset M. Salim | Student in an Organized Health Care Education/Training Program | 37595 7 Mile Rd # 304, Livonia, MI 48152-1003 | 2019-03-19 |
| 1134604549 | Allison Catherine Mcdonnell | Student in an Organized Health Care Education/Training Program | 36099 Brookview Dr, Livonia, MI 48152-2719 | 2018-10-02 |
| 1164943882 | Muhammad Yasir | Student in an Organized Health Care Education/Training Program | 37595 Seven Mile Rd. #340, Livonia, MI 48152 | 2017-07-03 |
| 1477892511 | Gina Bertinette Capalbo | Student in an Organized Health Care Education/Training Program | 37595 7 Mile Rd Ste 230, Livonia, MI 48152-1003 | 2013-02-09 |
| 1205151446 | Sukanya Sil | Student in an Organized Health Care Education/Training Program | 20276 Middlebelt Rd Ste 7, 7, Livonia, MI 48152-2054 | 2010-03-31 |
| 1043820228 | Akanksha Mehla | Student in an Organized Health Care Education/Training Program | 37595 7 Mile Rd Ste 340, Livonia, MI 48152-1003 | 2020-08-03 |
| 1780292326 | Jayesh Mittal | Student in an Organized Health Care Education/Training Program | 37595 7 Mile Rd Ste 340, Livonia, MI 48152-1003 | 2020-07-20 |
| Find all providers in LIVONIA | ||||
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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.