DONNA TACTAC (NPI# 1740496579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740496579 |
| Entity Type | Individual |
| Full Name | DONNA TACTAC |
| Credential | RN |
| Practice Address |
16200 19 Mile Rd Clinton Twp MI 48038-1103 |
| Mailing Address |
14570 Island Dr Sterling Heights MI 48313-2212 |
| Practice Telephone | 5862638696 |
| Practice Fax Number | 5862638731 |
| Mailing Telephone | 5865666048 |
| Mailing Fax Number | 5862638696 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
4704188742 | MI | Nursing Service Providers |
| Street Address |
16200 19 MILE RD |
| City | CLINTON TWP |
| State | MI |
| Zip Code | 48038-1103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376103986 | Michael K Jordan | Behavior Technician | 16200 19 Mile Rd, Clinton Twp, MI 48038-1103 | 2019-06-17 |
| 1336708775 | Allison Duquette | Technician, Other | 16200 19 Mile Rd, Clinton Twp, MI 48038-1103 | 2019-06-10 |
| 1467015594 | Artisha Lashun Beard | Social Worker | 16200 19 Mile Rd, Clinton Twp, MI 48038-1103 | 2019-04-15 |
| 1649833781 | Jennifer Lynn Rahhal | Social Worker | 16200 19 Mile Rd, Clinton Twp, MI 48038-1103 | 2019-04-15 |
| 1215439393 | Kristin Marie Christopher | Registered Nurse | 16200 19 Mile Rd, Clinton Twp, MI 48038-1103 | 2018-03-05 |
| 1770001349 | Libby Ann Rowland | Technician, Other | 16200 19 Mile Rd, Clinton Twp, MI 48038-1103 | 2017-09-05 |
| 1154784288 | Melissa Woodard | Technician, Other | 16200 19 Mile Rd, Clinton Twp, MI 48038-1103 | 2016-04-05 |
| 1669846614 | Dana Jeffery | Social Worker | 16200 19 Mile Rd, Clinton Twp, MI 48038-1103 | 2015-11-13 |
| 1962870410 | Lindsay Cattell | Technician, Other | 16200 19 Mile Rd, Clinton Twp, MI 48038-1103 | 2015-09-14 |
| 1053703512 | Adam Fuhrman | Counselor | 16200 19 Mile Rd, Clinton Twp, MI 48038-1103 | 2015-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447864129 | Raphael Antonio Tramble | Counselor | River Oaks Suites Plaza 42815 Garfield Road, Suite 201, Clinton Township, MI 48038 | 2020-09-01 |
| 1275160384 | Varun C Sankuratri | Obstetrics & Gynecology | 16515 Nineteen Mile Rd, Gme Office: Attention Obgyn PC Kelly Bennet, Clinton Township, MI 48038 | 2020-03-26 |
| 1114563178 | Hopeful Reflections Counseling Center, Pllc | Counselor | 44444 Hayes, Clinton Township, MI 48038 | 2019-11-25 |
| 1588224570 | Karrie Marie Armstrong | Social Worker | 42815 Garfield Rd Macomb Therapy Group, Suite 201, Clinton Twp, MI 48038 | 2019-06-20 |
| 1386201424 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr Ste #2, Clinton Twp, MI 48038 | 2019-05-23 |
| 1306314489 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr., Suite 2, Clinton Twp, MI 48038 | 2018-11-07 |
| 1730677592 | Najoi Sleiman | Physical Medicine & Rehabilitation | 15855 19-mile Road, Rehab Services, 4th Floor, South Tower, Clinton Twp., MI 48038 | 2018-04-27 |
| 1295230365 | David Michael Ragbeer | Emergency Medicine | Henry Ford Macomb Hospitals, 15855 Nineteen Mile Road, Clinton Township, MI 48038 | 2018-03-29 |
| 1932601317 | Synergy Pharmacy LLC | Pharmacy | 42621 Garfield Rd Ste 101a, Clinton Township, MI 48038 | 2018-03-01 |
| 1689175002 | Melissa Velez Miracle | Speech-Language Pathologist | 38809 Windmill Pointe W, Clinton Twp, MI 48038 | 2018-02-21 |
| Find all providers in zip 48038 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922383538 | Roger Arnold Zinke Jr. | Registered Nurse | 43740 N Groesbeck Hwy, Clinton Twp, MI 48036-1139 | 2011-10-14 |
| 1871801035 | Carol A Norgiel | Registered Nurse | 43740 N Groesbeck Hwy, Clinton Twp, MI 48036-1139 | 2010-09-21 |
| 1740496587 | Lisa Elaine Deneau | Registered Nurse | 16200 19 Mile Rd, Clinton Twp, MI 48038-1103 | 2007-05-16 |
| 1922146018 | Catherine Anne Currence | Registered Nurse | 21885 Dunham Rd, Suite 5, Clinton Twp, MI 48036-1030 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154946705 | Ahuva Lakier | Registered Nurse | 15895 Harden Cir, Southfield, MI 48075-3042 | 2020-06-09 |
| 1891351540 | Frederick Patrick | Registered Nurse | 2864 125th Ave, Allegan, MI 49010-9276 | 2019-05-17 |
| 1801452578 | Lolita Curry | Registered Nurse | 32 East 1200 Telegraph, Pontiac, MI 48341 | 2019-05-17 |
| 1275003113 | Cathleen Brooks | Registered Nurse | 1200 N Telegraph Rd # 32, Pontiac, MI 48341-1032 | 2018-12-04 |
| 1679041545 | Shiba Lashon Nixon | Registered Nurse | New Oakland, 6549 Town Center Suite A, Clarkston, MI 48346 | 2018-11-08 |
| 1780168856 | Alison Male | Registered Nurse | 530 W Oldfield St, Alpena, MI 49707-1810 | 2018-09-24 |
| 1508346800 | Colleen Botos | Registered Nurse | 5671 N Skeel Ave Ste 6, Oscoda, MI 48750-1535 | 2018-08-16 |
| 1811416845 | Karen Sue Franks | Registered Nurse | 615 E. Crosstown Parkway, Kalamazoo, MI 49009 | 2017-09-11 |
| 1083131924 | Kristen Lynn Little | Registered Nurse | 3726 Spruce Run, White Lake, MI 48383-3523 | 2017-08-22 |
| 1396269379 | Emily Elisabeth Ann Pawlowski | Registered Nurse | 12021 Cardwell St, Livonia, MI 48150-2355 | 2017-08-01 |
| Find all providers with the same taxonomy | ||||
| City | CLINTON TWP |
| Zip Code | 48038 |
Please comment or provide details below to improve the information on DONNA TACTAC.
| 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.