ELIZABETH JEAN WIERENGA (NPI# 1760951321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760951321 |
| Entity Type | Individual |
| Full Name | ELIZABETH JEAN WIERENGA |
| Practice Address |
1280 East Campus Drive Central Michigan University Mt Pleasant MI 48859-0001 |
| Mailing Address |
7883 Sears Rd Horton MI 49246-9513 |
| Practice Telephone | 5177457431 |
| Mailing Telephone | 5175632072 |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2018-11-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1280 EAST CAMPUS DRIVE CENTRAL MICHIGAN UNIVERSITY |
| City | MT PLEASANT |
| State | MI |
| Zip Code | 48859-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598255481 | Kimberly Kay Wyse | Psychologist | 2520 S University Park Drive, Building D Caat Center, Mount Pleasant, MI 48859 | 2018-05-16 |
| 1255888558 | Central Michigan University | Behavioral Analyst | 600 E Preston, Mount Pleasant, MI 48859 | 2016-09-02 |
| 1992852461 | Christina Eyers | Specialist/Technologist | 1172 Hpb, Mt. Pleasant, MI 48859 | 2007-01-05 |
| 1922630763 | Michael Swabash | Student in an Organized Health Care Education/Training Program | 1280 E Campus Dr, Mount Pleasant, MI 48859 | 2020-02-10 |
| 1710332440 | Jennifer Barnstable | Speech-Language Pathologist | 301 Williamston Center Rd, Suite 800, Williamston, MI 48859 | 2016-05-02 |
| 1447423942 | Roschelle A Heuberger | Dietitian, Registered | 1101 Health Professions Bldg, Mt Pleasant, MI 48859 | 2008-04-07 |
| 1659559375 | Linda Jean Patterson | Speech-Language Pathologist | 1101 Health Professions Bldg, Mt Pleasant, MI 48859 | 2008-02-05 |
| 1083798540 | Michael Anthony Nerbonne | Audiologist | 1101 Health Professions Building, Mount Pleasant, MI 48859 | 2006-10-24 |
| 1942818919 | Dominique Hope Dimatteo | Specialist/Technologist | 145c Rose Center, Mount Pleasant, MI 48859-0001 | 2020-07-16 |
| 1750913596 | Elizabeth Kay Edson | Student in an Organized Health Care Education/Training Program | 1280 East Camus Dr, Mt Pleasant, MI 48859-0001 | 2020-02-10 |
| Find all providers in zip 48859 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750913596 | Elizabeth Kay Edson | Student in an Organized Health Care Education/Training Program | 1280 East Camus Dr, Mt Pleasant, MI 48859-0001 | 2020-02-10 |
| 1871159335 | Irene Brodd | Student in an Organized Health Care Education/Training Program | 201 S University Ave # 4, Mt Pleasant, MI 48858-2527 | 2019-05-10 |
| 1356728273 | Kallie Johnson | Student in an Organized Health Care Education/Training Program | 63 Barrenfork Road, Mt Pleasant, AR 72561 | 2015-04-29 |
| 1215336292 | Chelsea Mills | Student in an Organized Health Care Education/Training Program | 1020 Taylor St, Mt Pleasant, MI 48858-3630 | 2014-08-15 |
| 1386254563 | Joseph Yi Zhou | Student in an Organized Health Care Education/Training Program | 1221 South Dr, Mt Pleasant, MI 48858-3257 | 2020-08-03 |
| 1972128940 | Laura Hays | Student in an Organized Health Care Education/Training Program | 2001 N Jefferson Ave, Mt Pleasant, TX 75455-2338 | 2020-06-15 |
| 1750900361 | Michael Albosta | Student in an Organized Health Care Education/Training Program | 1280 E Campus Dr, Mt Pleasant, MI 48859-2033 | 2020-04-14 |
| 1033742457 | Jamie Smith | Student in an Organized Health Care Education/Training Program | 1280 E Campus Dr, Mt Pleasant, MI 48895 | 2020-02-13 |
| 1164054904 | Jonathan Michael Cartier | Student in an Organized Health Care Education/Training Program | 1280 E Campus Dr, Mt Pleasant, MI 48859-2033 | 2020-02-10 |
| 1609408442 | Kyle King | Student in an Organized Health Care Education/Training Program | 1280 E Campus Dr, Mt Pleasant, MI 48859-2033 | 2020-02-10 |
| Find all providers in MT PLEASANT | ||||
| City | MT PLEASANT |
| Zip Code | 48859 |
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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.