KRISTY GUSTAVSON (NPI# 1730692336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730692336 |
| Entity Type | Individual |
| Full Name | KRISTY GUSTAVSON |
| Practice Address |
4046 Hess Ave Saginaw MI 48601-4261 |
| Mailing Address |
3785 Bay Rd Saginaw MI 48603-2433 |
| Practice Telephone | 9897537781 |
| Mailing Telephone | 9897912455 |
| Mailing Fax Number | 9897911392 |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2019-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401017237 | MI | Behavioral Health & Social Service Providers |
| Street Address |
4046 HESS AVE |
| City | SAGINAW |
| State | MI |
| Zip Code | 48601-4261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629116181 | Richard Mastroianni | Social Worker | 4046 Hess Ave, Saginaw, MI 48601 | 2007-02-04 |
| 1952889016 | Jeanette Smith | Nurse Practitioner | 4046 Hess Ave, Saginaw, MI 48601-4261 | 2018-08-01 |
| 1184146581 | Saginaw Valley Medical Center Pllc | Internal Medicine | 4046 Hess Ave, Saginaw, MI 48601-4261 | 2017-07-07 |
| 1134534522 | Saginaw Health Clinic | Internal Medicine | 4046 Hess Ave, Saginaw, MI 48601 | 2014-06-25 |
| 1699008318 | Vincent Medical Clinic, P.C. | Family Medicine | 4046 Hess Ave, Saginaw, MI 48601-4261 | 2009-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629570197 | Amanda Lynn Clothier | Occupational Therapist | 800 S Washington, Saginaw, MI 48601 | 2018-03-01 |
| 1891206959 | The Young Mens Christian Association of Saginaw | Health Educator | 1915 Fordney St., Saginaw, MI 48601 | 2017-10-17 |
| 1457860330 | Thassa Antwinette Ervin | Nurse's Aide | 2918 Arlington Dr, Saginaw, MI 48601 | 2017-09-23 |
| 1790200053 | Deana Marie Warner | Occupational Therapy Assistant | 2454 Madsen Rd., Saginaw, MI 48601 | 2017-08-08 |
| 1821522459 | Home Care Central Inc | Home Health | 4789 Janes Road, Saginaw, MI 48601 | 2017-04-20 |
| 1194199497 | Demartez Lamar Couch | Contractor | 1474 Chatham Dr., Saginaw, MI 48601 | 2015-11-24 |
| 1831568997 | First Choice Staffing Agency, LLC | Hospice Care, Community Based | 339 S. 25th St., Saginaw, MI 48601 | 2015-09-18 |
| 1801212204 | Marla Katherine Price | Dietitian, Registered | 800 S. Washington, St. Marys of Michigan, Saginaw, MI 48601 | 2014-03-10 |
| 1346591328 | Lance Louis-john Redwantz | Dietitian, Registered | 1522 Janes Street, Saginaw, MI 48601 | 2012-10-01 |
| 1386900785 | Mark Dennis Szczepanski | Social Worker | 1040 Towerline Rd, Saginaw, MI 48601 | 2012-04-10 |
| Find all providers in zip 48601 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790384998 | Amanda Nicole Lambert | Counselor | 1919 Gratiot Ave, Saginaw, MI 48602-2763 | 2020-10-20 |
| 1861851313 | Wisconsin Lutheran Child &family Service, Inc | Counselor | 5051 Mccarty Rd, Saginaw, MI 48603-9620 | 2016-02-12 |
| 1306205851 | Gary Casebier | Counselor | 740 Fox Run Trl, Saginaw, TX 76179-0922 | 2016-02-12 |
| 1619334497 | Wisconsin Lutheran Child & Family Service, Inc | Counselor | 2777 Hardin St, Saginaw, MI 48602-3710 | 2016-01-25 |
| 1740682566 | Vickey Tyson | Counselor | 955 Athens St, Saginaw, MI 48601-1469 | 2014-09-24 |
| 1609175751 | Stacey Marie Gibson | Counselor | 1013 N River Rd, Saginaw, MI 48609-6833 | 2011-03-15 |
| 1447560842 | Lloysa Gallery | Counselor | 3550 Shattuck Rd Ste C, Saginaw, MI 48603-3153 | 2010-10-19 |
| 1306082656 | Melissa Nicole Shannon | Counselor | 609 Mcneill Ln, Saginaw, TX 76179-6358 | 2008-12-16 |
| 1518011667 | Michael D Powers | Counselor | 2715 State St, Saginaw, MI 48602-3700 | 2007-01-23 |
| 1699880807 | James Brian Haufe | Counselor | 3216 Christy Way S, Saginaw, MI 48603-2214 | 2006-08-20 |
| Find all providers in SAGINAW | ||||
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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.