GWENDOLYN K LA CROIX (NPI# 1801343942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801343942 |
| Entity Type | Individual |
| Full Name | GWENDOLYN K LA CROIX |
| Credential | PMHNP-BC, RN |
| Practice Address |
7521 N Telegraph Rd Ste 1 Newport MI 48166-9398 |
| Mailing Address |
401 North St Milan MI 48160-1353 |
| Practice Telephone | 7345860031 |
| Practice Fax Number | 7345860032 |
| Mailing Telephone | 3139994499 |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2019-01-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
4704285632 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7521 N TELEGRAPH RD STE 1 |
| City | NEWPORT |
| State | MI |
| Zip Code | 48166-9398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558801571 | Elizabeth Magyar | Behavior Technician | 342 Yorkshire, Newport, MI 48166 | 2017-02-24 |
| 1891935151 | Oakwood Ambulatory, LLC | Family Medicine | 3132 Newport, Suite 107, Newport, MI 48166 | 2009-02-26 |
| 1417144932 | Paul Wesley Mikels | Social Worker | 7521 N Telegraph, Suite 1, Monroe, MI 48166 | 2007-09-28 |
| 1336379569 | Anna Hehl-bisson | Family Medicine | 3132 Newport Rd, North Park Plaza, Newport, MI 48166-6100 | 2009-07-22 |
| 1043523954 | Nicholas E Boggs | Family Medicine | 3132 Newport Rd, Newport, MI 48166-6100 | 2010-07-20 |
| 1003865973 | Second Generation Home Health Care | Durable Medical Equipment & Medical Supplies | 7790 Audubon Ln, Newport, MI 48166-6601 | 2006-05-09 |
| 1477556678 | Shelly J. Temperley | Ophthalmology | 8322 Hunter's Ridge Dr, Newport, MI 48166-7804 | 2005-05-23 |
| 1134138480 | Katie Focht | Physician Assistant | 9102 Rockhill Ln, Newport, MI 48166-7818 | 2006-08-05 |
| 1295103570 | Shardae Clark | Licensed Practical Nurse | 4127 Stone Post Rd, Newport, MI 48166-7830 | 2015-09-03 |
| 1558689737 | Newport Sav-mor | Pharmacy | 7505 Grafton Rd, Newport, MI 48166-8908 | 2010-05-12 |
| Find all providers in zip 48166 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
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| 1992823728 | Reatha L Ryan | Nurse Practitioner | 615 Sw Hurbert St, Suite C, Newport, OR 97365-4981 | 2007-03-27 |
| 1881245058 | Arletha Nicole Kincaid | Nurse Practitioner | 11 Friendship St, Newport, RI 02840-2209 | 2019-09-27 |
| 1952825267 | Christopher Brent Delph | Nurse Practitioner | 990 W Highway 25 70, Newport, TN 37821 | 2017-07-28 |
| 1538595525 | Renata Figueiredo Sasson | Nurse Practitioner | 11 Friendship St, Newport, RI 02840-2209 | 2013-09-23 |
| 1396090809 | Tami Beth Lamb | Nurse Practitioner | 51 Sw Lee St, Newport, OR 97365-3823 | 2012-07-20 |
| 1275840712 | Sally Kathryn Mathieson | Nurse Practitioner | 637 Union Street, Dr. Leslie Lockridge, Newport, VT 05855-0838 | 2010-09-03 |
| 1124241054 | Della Fogerson | Nurse Practitioner | 36 Sw Nye St, Newport, OR 97365-3821 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692494 | Memphis Chardell Sandoval | Nurse Practitioner | 131 S. Seaway Dr., Muskegon, MI 49441 | 2020-09-01 |
| 1588282784 | Mary Tackbary | Nurse Practitioner | 3932 W Briar Hill Dr, Maple City, MI 49664-9521 | 2020-07-14 |
| 1962032227 | Westlake Consultation Center | Nurse Practitioner | 4870 W Clark Rd Ste 100, Ypsilanti, MI 48197-1104 | 2020-01-24 |
| 1689211823 | Wanda Edwards | Nurse Practitioner | 29000 Inkster Rd Ste 115, Southfield, MI 48034-1097 | 2019-12-06 |
| 1508416355 | Stephanie Lauren Marl | Nurse Practitioner | 29800 Adams Dr, Gibraltar, MI 48173 | 2019-09-13 |
| 1457905614 | Natalie Poole | Nurse Practitioner | 23077 Greenfield Rd Ste 260, Southfield, MI 48075-3745 | 2019-07-26 |
| 1629535117 | Valerie Baunoch | Nurse Practitioner | 2057 E West Maple Rd, Commerce Twp, MI 48390 | 2019-02-21 |
| 1790293488 | Infinity Hope Center LLC | Nurse Practitioner | 260 Vinewood St Ste 100a8919, Detroit, MI 48216-1667 | 2018-01-16 |
| 1033659644 | Anne Zamler | Nurse Practitioner | 14230 W Mcnichols Rd, Detroit, MI 48235-3912 | 2017-03-01 |
| 1396289120 | Next Level Up Health & Wellness Inc. | Nurse Practitioner | 28423 Parkwood St, Inkster, MI 48141-1669 | 2016-12-13 |
| 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.