LINDSEY A. MITZEL (NPI# 1679990253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679990253 |
| Entity Type | Individual |
| Full Name | LINDSEY A. MITZEL |
| Credential | NP |
| Practice Address |
2900 Packard Rd Suite 1 Ypsilanti MI 48197-2060 |
| Mailing Address |
2900 Packard Rd Ste 1 Ypsilanti MI 48197-2061 |
| Practice Telephone | 7345728686 |
| Mailing Telephone | 7345728686 |
| Mailing Fax Number | 7345728866 |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2018-03-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
4704278935 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2900 PACKARD RD SUITE 1 |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-2060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558364562 | David C Thorrez | Pediatrics | 2900 Packard Rd, Ste 1, Ypsilanti, MI 48197-2061 | 2005-05-23 |
| 1730436700 | Jennifer Chaille Rich | Psychologist | 2900 Packard Rd, Suite 1, Ypsilanti, MI 48197-2060 | 2012-08-09 |
| 1265789614 | Kimberly Parkin | Psychologist | 2900 Packard Rd, Ypsilanti, MI 48197-2060 | 2012-08-04 |
| 1033350723 | Rosalind Mackraz Dieterich | Social Worker | 2900 Packard Rd, Suite 1, Ypsilanti, MI 48197-2060 | 2009-03-10 |
| 1346419264 | Crossroads Counseling, Pllc | Psychologist | 2900 Packard Rd, Suite 1, Ypsilanti, MI 48197-2060 | 2008-02-25 |
| 1457536468 | David C. Thorrez, Md | Pediatrics | 2900 Packard Rd, Ste 1, Ypsilanti, MI 48197-2060 | 2008-01-09 |
| 1346424447 | Thorrez Medical Practice Plc | Pediatrics | 2900 Packard Rd, Suite 1, Ypsilanti, MI 48197-2060 | 2007-12-26 |
| 1760549281 | Debra L. Boyer | Pediatrics | 2900 Packard Rd, Ypsilanti, MI 48197-2060 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
| Find all providers in zip 48197 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760899595 | Kathryn A Fenton | Nurse Practitioner | 2900 Packard Rd Ste 1, Ypsilanti, MI 48197-2061 | 2014-07-14 |
| 1811066830 | Lydia Dh Mcburrows | Nurse Practitioner | 510 Emerick St, Ypsilanti, MI 48198-5702 | 2006-11-06 |
| 1629459177 | Angela Waldman | Nurse Practitioner | 2900 Packard Rd Ste 1, Ypsilanti, MI 48197-2061 | 2015-06-10 |
| 1114310901 | Marissa Dasilva I | Nurse Practitioner | 4936 W Clark Rd, Ste 101, Ypsilanti, MI 48197-0861 | 2015-03-18 |
| 1407084411 | Rebecca Lynn Brown | Nurse Practitioner | 4936 W Clark Rd, Suite 101, Ypsilanti, MI 48197-0861 | 2009-06-29 |
| 1528102118 | Linda Repasky | Nurse Practitioner | 4936 W Clark Rd, Suite 101, Ypsilanti, MI 48197-0861 | 2007-02-16 |
| 1093868861 | Kathleen Davis | Nurse Practitioner | 4936 W Clark Rd, Suite 101, Ypsilanti, MI 48197-0861 | 2007-01-18 |
| 1275684490 | Michelle Hicks | Nurse Practitioner | 4936 W Clark Rd, Suite 101, Ypsilanti, MI 48197-0861 | 2007-01-15 |
| 1316005085 | Ella May A Tarrier | Nurse Practitioner | 47 N Huron St, Ypsilanti, MI 48197-2607 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851991061 | Sarah Elizabeth Barber | Nurse Practitioner | 12918 Lake Point Pass, Van Buren Twp, MI 48111-2243 | 2020-10-27 |
| 1730700881 | Kelsey Olinik | Nurse Practitioner | 22200 Barclay Dr, Novi, MI 48374-3874 | 2020-04-29 |
| 1467080705 | Jessica Nicole Heichel | Nurse Practitioner | 7729 Brass Creek Ct, Dexter, MI 48130-9384 | 2020-03-31 |
| 1114550506 | Katlyn Roberts | Nurse Practitioner | 60160 E 8 Mile Rd, South Lyon, MI 48178-9768 | 2020-02-13 |
| 1093351595 | Emily Janina Jamett | Nurse Practitioner | 31815 Southfield Rd Ste 10, Beverly Hills, MI 48025-5471 | 2019-11-20 |
| 1508410747 | Clorissa Diedrich | Nurse Practitioner | 829 N Center Ave Ste 130, Gaylord, MI 49735-1684 | 2019-07-25 |
| 1255895355 | Jessica Lynn Kata | Nurse Practitioner | 19229 Mack Ave Ste 28, Grosse Pointe Woods, MI 48236-2857 | 2019-01-23 |
| 1467934679 | Anita Lynn Riddle | Nurse Practitioner | 100 W. Vanburen Street, Battle Creek, MI 49017 | 2018-09-04 |
| 1285120634 | Alexandra Danko | Nurse Practitioner | 5500 Auto Club Dr Ste 160, Dearborn, MI 48126-2779 | 2018-07-09 |
| 1417442617 | Shelby Fredricks | Nurse Practitioner | 1205 S Mission St Ste 4, Mount Pleasant, MI 48858-3939 | 2018-06-29 |
| Find all providers with the same taxonomy | ||||
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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.