MARY PAULSON (NPI# 1790186880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790186880 |
| Entity Type | Individual |
| Full Name | MARY PAULSON |
| Practice Address |
11260 E Fleck Rd Riverdale MI 48877-9513 |
| Practice Telephone | 9897637568 |
| Mailing Telephone | 9897637568 |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2014-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 4703059762 | MI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659323723 | Mary Janette Paulson | Pharmacist | 5852 Highway T38 N, Grinnell, IA 50112-7624 | 2006-05-17 |
| 1558670646 | Mary A Paulson | Psychologist | 455 Shawnee Ln, Chillicothe, OH 45601-4145 | 2010-10-07 |
| 1093839425 | Mary Anne Paulson | Counselor | 1011 N 8th St, Sheboygan, WI 53081-4006 | 2007-03-19 |
| Street Address |
11260 E FLECK RD |
| City | RIVERDALE |
| State | MI |
| Zip Code | 48877-9513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922644582 | Lindy Lee Hilding | Nurse Practitioner | 6103 N Douglas Rd, Riverdale, MI 48877-9519 | 2019-11-19 |
| 1659727303 | Raymond L. Augenstein | Preferred Provider Organization | 11682 E Gates Rd, Riverdale, MI 48877-9566 | 2016-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558594 | James D Hickman | Home Health Aide | 2252 Addison Park, Riverdale, GA 30296 | 2020-11-04 |
| 1922608520 | Sylvia Adams | Pharmacist | 1173 W Briar Gate Ct, Riverdale, GA 30296-3378 | 2020-11-01 |
| 1891395612 | Stephanie D Vortman | Pharmacist | 48 State Route 23, Pharmacy At Walmart, Riverdale, NJ 07457 | 2020-10-30 |
| 1558961557 | Christina Jarvis-reid | Licensed Practical Nurse | 211 Lasso Dr, Riverdale, GA 30274-4095 | 2020-10-28 |
| 1609475565 | Tonika Tchampo | Durable Medical Equipment & Medical Supplies | 8050 Taylor Rd Apt 1101, Riverdale, GA 30274-4392 | 2020-10-21 |
| 1548868300 | Universal Home Assistance LLC | Home Health | 6215 64th Ave Apt 4, Riverdale, MD 20737-2943 | 2020-10-14 |
| 1790382182 | Sharde K Berry | Home Health Aide | 5913 40th Ave, Riverdale, MD 20737 | 2020-10-08 |
| 1952908816 | Katherine Dover-payne | Nurse Practitioner | 661 W 138th St, Riverdale, IL 60827-1660 | 2020-10-05 |
| 1063019834 | Latoya Marie Jones | Home Health Aide | 8185 Englewood Trl, Riverdale, GA 30274-4246 | 2020-10-05 |
| 1174130918 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Route 23 N, Riverdale, NJ 07457 | 2020-09-25 |
| Find all providers in RIVERDALE | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961557 | Christina Jarvis-reid | Licensed Practical Nurse | 211 Lasso Dr, Riverdale, GA 30274-4095 | 2020-10-28 |
| 1114456514 | Grace L Kelson | Licensed Practical Nurse | 9142 Clubhouse Dr, Riverdale, GA 30274 | 2017-06-08 |
| 1326582636 | Lolita Martin | Licensed Practical Nurse | 14235 S Wallace Ave, Riverdale, IL 60827-2324 | 2016-12-06 |
| 1932465002 | Anselm Azongho | Licensed Practical Nurse | 6003 67th Ave, Apt 3, Riverdale, MD 20737-1756 | 2012-04-03 |
| 1871810309 | Suzie Lacombe | Licensed Practical Nurse | 89 Derby Dr, Riverdale, GA 30274-6717 | 2010-04-23 |
| 1104069517 | Taina S. Holly | Licensed Practical Nurse | 1234 Elgin Way, Riverdale, GA 30296 | 2009-04-15 |
| 1427602150 | Nancy Fornah | Licensed Practical Nurse | 5711 Sarvis Ave Ste 608, Riverdale, MD 20737-1394 | 2019-07-31 |
| 1093180473 | Julia A Belcher | Licensed Practical Nurse | 6572 River Park Dr, Ste 101, Riverdale, GA 30274-2214 | 2015-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789546 | Lashonda S Noble | Licensed Practical Nurse | 21107 Lahser Rd, Southfield, MI 48033-4400 | 2020-10-30 |
| 1841890670 | Danielle Berry | Licensed Practical Nurse | 58 Murray St Se, Grand Rapids, MI 49548-3304 | 2020-10-30 |
| 1053911719 | Margaret Theresa Fry | Licensed Practical Nurse | 4929 Cedarview St Apt 2c, Ypsilanti, MI 48197-5029 | 2020-10-30 |
| 1821697095 | Andrew Onyemaechi Onyeanula | Licensed Practical Nurse | 8281 Woodcrest Dr Apt 2, Westland, MI 48185-1238 | 2020-10-20 |
| 1255948121 | Nikki Leonard | Licensed Practical Nurse | 806 Chartier, Marine City, MI 48039-2319 | 2020-09-25 |
| 1235746033 | Roberta A Thomas | Licensed Practical Nurse | 399 S Union St Apt 15, Sparta, MI 49345-1534 | 2020-09-25 |
| 1821604562 | Wendy Lynne Hughes | Licensed Practical Nurse | 2025 S Washington Ave Suite 210 Lansing, Mi 48910, Lansing, MI 48910 | 2020-09-18 |
| 1043824519 | Linda Hershberger | Licensed Practical Nurse | 219 Lane St, Mendon, MI 49072-9630 | 2020-09-02 |
| 1861006538 | David Bradley | Licensed Practical Nurse | 15540 Prevost St, Detroit, MI 48227-1963 | 2020-09-01 |
| 1215540430 | Sheronda Lanetta Blackmon | Licensed Practical Nurse | 13929 Harper Ave., Detroit, MI 48213 | 2020-08-27 |
| 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.