MRS. JILL THUSTON (NPI# 1679088850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679088850 |
| Entity Type | Individual |
| Full Name | MRS. JILL THUSTON |
| Credential | PMHNP |
| Practice Address |
1501 Krafft Rd Fort Gratiot MI 48059-3565 |
| Mailing Address |
4056 Scott B Dr Saint Clair MI 48079-3564 |
| Practice Telephone | 8109855125 |
| Practice Fax Number | 8109855127 |
| Mailing Telephone | 8103335133 |
| Enumeration Date | 2017-12-09 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
4704308747 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1308 S Main St, Plymouth, MI 481702253 | 7344513440 | 7344518720 |
| Street Address |
1501 KRAFFT RD |
| City | FORT GRATIOT |
| State | MI |
| Zip Code | 48059-3565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609820737 | Mario Roberto Lanni | Psychiatry & Neurology | 1501 Krafft Rd, Fort Gratiot, MI 48059-3565 | 2006-05-22 |
| 1851930648 | Dayna Vasbinder | Counselor | 1501 Krafft Rd, Fort Gratiot, MI 48059-3565 | 2019-12-27 |
| 1679125363 | Taylor Marie Crossley | Clinical Nurse Specialist | 1501 Krafft Rd, Fort Gratiot, MI 48059-3565 | 2019-07-12 |
| 1023590536 | April Gardner | Social Worker | 1501 Krafft Rd, Fort Gratiot, MI 48059-3565 | 2018-08-30 |
| 1124471016 | Amy Beck | Social Worker | 1501 Krafft Rd, Fort Gratiot, MI 48059-3565 | 2016-07-15 |
| 1174924864 | Blue Water Mental Health Clinic | Psychologist | 1501 Krafft Rd, Fort Gratiot, MI 48059-3565 | 2014-09-12 |
| 1699175232 | Eileen O'meara Jay | Social Worker | 1501 Krafft Rd, Fort Gratiot, MI 48059-3565 | 2014-09-02 |
| 1962819011 | Sara Mchugh | Social Worker | 1501 Krafft Rd, Fort Gratiot, MI 48059-3565 | 2014-07-21 |
| 1689016248 | Kelly Aiello | Counselor | 1501 Krafft Rd, Fort Gratiot, MI 48059-3565 | 2013-07-24 |
| 1881030856 | Kara Bacheller | Counselor | 1501 Krafft Rd, Fort Gratiot, MI 48059-3565 | 2013-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679096374 | Rebecca Campau | Registered Nurse | 4985 Lakeshore Rd, Fort Gratiot, MI 48059 | 2017-07-25 |
| 1598175481 | David Kelley Sr. | Pharmacist | 4475 24th Ave., Fort Gratiot, MI 48059 | 2014-05-01 |
| 1316110968 | Apheresis and Transfusion Medicine of Port Huron Pllc | Pathology | 4970 Lakeshore Road, Fort Gratiot, MI 48059 | 2008-04-03 |
| 1275754152 | Jennifer Ann Peyerk | Physical Therapist | 3902 Arlington Ave., Fort Gratiot, MI 48059 | 2007-05-01 |
| 1013097278 | Randy John Plonka | Internal Medicine | 5979 Lakeshore, Ft Gratiot, MI 48059 | 2006-10-16 |
| 1881708428 | John Nathan Seppo | Social Worker | 3847 Pine Grove Avenue, Fort Gratiot, MI 48059 | 2006-08-19 |
| 1396756615 | Blue Water Family Dentistry PC | Dentist | 4044 24th Ave, Fort Gratiot, MI 48059 | 2006-08-11 |
| 1720018823 | Minden City Community Healthcare Outreach | Clinic/Center | 28 Deer Creek Drive, Fort Gratiot, MI 48059 | 2006-07-04 |
| 1982103966 | Luke Michael Privette | Physical Therapist | 4351 24th Ave Ste 1, Fort Gratiot, MI 48059 | 2018-02-06 |
| 1194115352 | Rachel Brooks | Chiropractor | 2844 Krafft Rd, Fort Gratiot, MI 48059 | 2015-01-27 |
| Find all providers in zip 48059 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692494 | Memphis Chardell Sandoval | Nurse Practitioner | 131 S. Seaway Dr., Muskegon, MI 49441 | 2020-09-01 |
| 1588282784 | Mary Tackbary | Nurse Practitioner | 3932 W Briar Hill Dr, Maple City, MI 49664-9521 | 2020-07-14 |
| 1962032227 | Westlake Consultation Center | Nurse Practitioner | 4870 W Clark Rd Ste 100, Ypsilanti, MI 48197-1104 | 2020-01-24 |
| 1689211823 | Wanda Edwards | Nurse Practitioner | 29000 Inkster Rd Ste 115, Southfield, MI 48034-1097 | 2019-12-06 |
| 1508416355 | Stephanie Lauren Marl | Nurse Practitioner | 29800 Adams Dr, Gibraltar, MI 48173 | 2019-09-13 |
| 1457905614 | Natalie Poole | Nurse Practitioner | 23077 Greenfield Rd Ste 260, Southfield, MI 48075-3745 | 2019-07-26 |
| 1629535117 | Valerie Baunoch | Nurse Practitioner | 2057 E West Maple Rd, Commerce Twp, MI 48390 | 2019-02-21 |
| 1790293488 | Infinity Hope Center LLC | Nurse Practitioner | 260 Vinewood St Ste 100a8919, Detroit, MI 48216-1667 | 2018-01-16 |
| 1033659644 | Anne Zamler | Nurse Practitioner | 14230 W Mcnichols Rd, Detroit, MI 48235-3912 | 2017-03-01 |
| 1396289120 | Next Level Up Health & Wellness Inc. | Nurse Practitioner | 28423 Parkwood St, Inkster, MI 48141-1669 | 2016-12-13 |
| Find all providers with the same taxonomy | ||||
| City | FORT GRATIOT |
| Zip Code | 48059 |
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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.