LARRISSA CARLTON (NPI# 1700310802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700310802 |
| Entity Type | Individual |
| Full Name | LARRISSA CARLTON |
| Credential | CTRS |
| Practice Address |
31 S Mansfield St Ypsilanti MI 48197-4508 |
| Practice Telephone | 7346356064 |
| Mailing Telephone | 7346356064 |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2017-04-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 68815 | MI | Other Service Providers |
| Street Address |
31 S MANSFIELD ST |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-4508 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598795338 | Alma Marie Davenport | Specialist | 882 S Grove St Uppr Units, Ypsilanti, MI 48198-6344 | 2006-07-04 |
| 1881663367 | Bradley L Hubbard | Specialist | 5325 Elliott Drive, Ypsilanti, MI 48197 | 2006-03-16 |
| 1871569202 | Mohammad I Azimi | Specialist | 317 Ecorse Rd, Suite # 9, Ypsilanti, MI 48198-5787 | 2006-02-25 |
| 1245771583 | Catherine Mcauley Health Services Corp | Specialist | 5315 Elliott Dr, Suite 102, Ypsilanti, MI 48197-8634 | 2017-03-20 |
| 1245656529 | Elizabeth Buckmaster | Specialist | 1055 Cornell Rd, Ypsilanti, MI 48197-1657 | 2014-03-11 |
| 1295085967 | Sowmya Angusamy | Specialist | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2012-09-10 |
| 1760521298 | Michigan Brain & Spine Institute, PC | Specialist | 5315 Elliott Dr, Suite 102, Ypsilanti, MI 48197-8634 | 2007-02-05 |
| 1992875264 | Michael Henry Otto | Specialist | 5333 Mcauley Dr, Ste 6109, Ypsilanti, MI 48197-0000 | 2006-11-08 |
| 1861562134 | David Katz | Specialist | 5333 Mcauley Dr, R-3106, Ypsilanti, MI 48197-1014 | 2006-11-08 |
| 1841383650 | Jawad Yousef Agha, M.d., P.l.l.c. | Specialist | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2006-10-02 |
| Find all providers in YPSILANTI | ||||
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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.