KATHERINE GARDUNO-KLYNSTRA (NPI# 1801266291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801266291 |
| Entity Type | Individual |
| Full Name | KATHERINE GARDUNO-KLYNSTRA |
| Credential | NP |
| Practice Address |
3500 N Elm Ave Jackson MI 49201-8887 |
| Practice Telephone | 5177805006 |
| Mailing Telephone | 5177805006 |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2016-07-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4704268823 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3500 N ELM AVE |
| City | JACKSON |
| State | MI |
| Zip Code | 49201-8887 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477579266 | Edward Luis Rodriguez | Psychiatry & Neurology | 3500 N Elm Ave, Opmh, Jackson, MI 49201-8887 | 2006-07-14 |
| 1952706236 | Tonya Lake | Nurse Practitioner | 3500 N Elm Ave, Jackson, MI 49201-8887 | 2014-10-29 |
| 1972828028 | Charles Jamsen | Internal Medicine | 3500 N Elm Ave, Jackson, MI 49201-8887 | 2010-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174137863 | Sally Ann Shaw | Behavior Technician | 3699 Miles Rd., Jackson, MI 49201 | 2020-09-01 |
| 1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
| 1841827946 | Maverick Jubane | Student in an Organized Health Care Education/Training Program | Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 | 2020-03-26 |
| 1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
| 1720632292 | Krystie Lynn Adorjan | Speech-Language Pathologist | 1175 W Parnall Rd, Jackson, MI 49201 | 2019-08-01 |
| 1407412653 | Howard Franklin Tanner II | Speech-Language Pathologist | 102 East Michigan Avenue, Jackson, MI 49201 | 2019-05-14 |
| 1356863740 | Rima Zarar Qayyum | Speech-Language Pathologist | 4800 Firethorn Dr., Jackson, MI 49201 | 2017-07-07 |
| 1306384383 | Briana Nesmith | Speech-Language Pathologist | 2025 Ann Arbor Road, Jackson, MI 49201 | 2017-02-09 |
| 1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
| 1306212881 | Aisha Henderson | Social Worker | 729 West Michigan Avenue, Jackson, MI 49201 | 2015-08-19 |
| Find all providers in zip 49201 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537220 | John Franklin Niswonger | Nurse Practitioner | 861 Canyon Trl, Jackson, MO 63755-4001 | 2020-10-28 |
| 1902421746 | Rebecca Mcwhirter | Nurse Practitioner | 1512 Roswell Dr, Jackson, MS 39211-5928 | 2020-06-08 |
| 1023656642 | Nicole Lynn Mckee | Nurse Practitioner | 170 Bridge St, Jackson, OH 45640-1144 | 2019-12-13 |
| 1104387695 | Chatina Spears Martin | Nurse Practitioner | 308 Melba Hill Dr, Jackson, MS 39209-2833 | 2019-03-27 |
| 1669987723 | Harmony House Calls LLC | Nurse Practitioner | 5140 Galaxie Dr Ste 105, Jackson, MS 39206 | 2017-12-11 |
| 1942649686 | Jennifer Annette Paulson | Nurse Practitioner | 113 W Michigan Ave Ste 201, Jackson, MI 49201-1340 | 2013-06-16 |
| 1770880171 | Tracy Little | Nurse Practitioner | 2782 N Highland Ave Ste C, Jackson, TN 38305-1797 | 2011-02-21 |
| 1750554267 | Barbara Darlington | Nurse Practitioner | 14 Abes Way, Jackson, NJ 08527-4440 | 2008-04-04 |
| 1902075401 | Dana Leanne Wilhite | Nurse Practitioner | 38 Abbey Pl, Jackson, TN 38305-1794 | 2008-02-28 |
| 1659550036 | Kristen Elizabeth Tweedy | Nurse Practitioner | 1100 E Michigan Ave Ste 307, Jackson, MI 49201-1850 | 2007-11-01 |
| Find all providers in JACKSON | ||||
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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.