MRS. JACKIE WALGRAM (NPI# 1740436286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740436286 |
| Entity Type | Individual |
| Full Name | MRS. JACKIE WALGRAM |
| Other Name | MS. JACKIE HOWARD |
| Credential | RN/HEALTH EDUCATOR |
| Practice Address |
4881 Wil O Paw Dr Coloma MI 49038-8816 |
| Practice Telephone | 2693255659 |
| Mailing Telephone | 2695694509 |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2019-08-14 |
| NPI Deactivation Date | 07/01/2019 |
| NPI Reactivation Date | 2019-07-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174H00000X | Health Educator | 4704132716 | MI | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | LICENSE | 4704132716 | 01 |
| Street Address |
4881 WIL O PAW DR |
| City | COLOMA |
| State | MI |
| Zip Code | 49038-8816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528494135 | Gerald Carl Thiele | Hearing Instrument Specialist | 6693 Red Arrow Hwy, Coloma, MI 49038 | 2013-09-16 |
| 1518283100 | Jeffrey Thomas Perrapato | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6270 Lakewood Pointe Drive, Coloma, MI 49038 | 2010-04-08 |
| 1316123102 | Moss Chiropractic Clinic P.C. | Chiropractor | 429 N. Paw Paw Street, Coloma, MI 49038 | 2008-01-11 |
| 1386848745 | Daniel A Iliff | Chiropractor | 6560 Red Arrow Highway, Coloma, MI 49038 | 2007-06-12 |
| 1598711939 | Darlene Suzanne Bruner-getz | Dentist | 213 N Paw Paw St, Coloma, MI 49038 | 2006-05-26 |
| 1194295782 | Jeremy B Shelley | Physical Therapist | 7040 Red Arrow Hwy, Coloma, MI 49038 | 2018-11-27 |
| 1265898878 | Brandi Smith | Nurse Practitioner | 6701 Paw Paw Ave, Coloma, MI 49038 | 2016-01-12 |
| 1144866906 | Healing Counseling Services LLC | Social Worker | 6572 Red Arrow Hwy Ste 2, Coloma, MI 49038-8700 | 2019-11-26 |
| 1457540908 | Red Arrow Family Practice | General Practice | 6500 Red Arrow Hwy, Coloma, MI 49038-8700 | 2007-10-22 |
| 1962562397 | Susan L Startup | Social Worker | 6560 Red Arrow Hwy, Coloma, MI 49038-8700 | 2006-12-08 |
| Find all providers in zip 49038 | ||||
| Taxonomy Code | 174H00000X |
| Grouping | Other Service Providers |
| Classification | Health Educator |
| Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003413899 | Caitlin Rose Hills | Health Educator | 521 Cobb St Ste A, Cadillac, MI 49601-2599 | 2020-10-05 |
| 1528680089 | Bree D Bode | Health Educator | 3625 Black Star St, Hudsonville, MI 49426 | 2020-05-07 |
| 1265053730 | James Philip A Mallare | Health Educator | 656 W Kirby St Rm 2151, Detroit, MI 48202-3622 | 2020-05-06 |
| 1568095628 | Kenneth D Jefferson Jr. | Health Educator | 5623 Fieldstone Ct, Middleville, MI 49333-8110 | 2020-02-18 |
| 1639701477 | Melissa Jennings | Health Educator | 606 Fieldstone Cir E, Chelsea, MI 48118-1465 | 2020-02-10 |
| 1043858483 | Jim Harrington | Health Educator | 800 Livingston Blvd Ste 4a2, Gaylord, MI 49735-8345 | 2019-12-17 |
| 1275176695 | Debra L Blackett | Health Educator | 2620 Alveston Dr, Bloomfield Hills, MI 48304-1802 | 2019-10-18 |
| 1114576790 | G. Bomani Gray | Health Educator | 55 W 7 Mile Rd, Detroit, MI 48203-1966 | 2019-09-06 |
| 1215592241 | Ashley Page | Health Educator | 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 | 2019-05-06 |
| 1366909996 | Kimberly Anne Karimi Morisett | Health Educator | 4680 E Walton Rd, Shepherd, MI 48883-9563 | 2019-03-01 |
| 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.