DR. JOSEPHINE M KAMENDAT (NPI# 1801387592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801387592 |
| Entity Type | Individual |
| Full Name | DR. JOSEPHINE M KAMENDAT |
| Credential | FNP -C |
| Practice Address |
4071 24th Ave Fort Gratiot MI 48059-3801 |
| Mailing Address |
6141 State Rd Burtchville MI 48059-2420 |
| Practice Telephone | 8108244222 |
| Mailing Telephone | 8108746116 |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704239237NSA183 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1221 Pine Grove Ave, Port Huron, MI 480603511 | 8109875000 |
| Street Address |
4071 24TH AVE |
| City | FORT GRATIOT |
| State | MI |
| Zip Code | 48059-3801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750379194 | G Blair Dowden IIi | Family Medicine | 4071 24th Ave, Fort Gratiot, MI 48059-3801 | 2005-10-10 |
| 1477193134 | Charli Marie Souza | Nurse Practitioner | 4071 24th Ave, Fort Gratiot, MI 48059-3801 | 2020-01-10 |
| 1528606290 | Alicia Mcnary | Nurse Practitioner | 4071 24th Ave, Fort Gratiot, MI 48059-3801 | 2019-12-12 |
| 1114222031 | Lighthouse Family Medicine, Pllc | Family Medicine | 4071 24th Ave, Fort Gratiot, MI 48059-3801 | 2011-01-25 |
| 1598090797 | Amy Elizabeth Vilas | Physician Assistant | 4071 24th Ave, Fort Gratiot, MI 48059-3801 | 2009-10-06 |
| 1457497471 | Jenny Giles | Physician Assistant | 4071 24th Ave, Fort Gratiot, MI 48059-3801 | 2007-01-29 |
| 1285749549 | Julie A Boutt | Family Medicine | 4071 24th Ave, Fort Gratiot, MI 48059-3801 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679096374 | Rebecca Campau | Registered Nurse | 4985 Lakeshore Rd, Fort Gratiot, MI 48059 | 2017-07-25 |
| 1598175481 | David Kelley Sr. | Pharmacist | 4475 24th Ave., Fort Gratiot, MI 48059 | 2014-05-01 |
| 1316110968 | Apheresis and Transfusion Medicine of Port Huron Pllc | Pathology | 4970 Lakeshore Road, Fort Gratiot, MI 48059 | 2008-04-03 |
| 1275754152 | Jennifer Ann Peyerk | Physical Therapist | 3902 Arlington Ave., Fort Gratiot, MI 48059 | 2007-05-01 |
| 1013097278 | Randy John Plonka | Internal Medicine | 5979 Lakeshore, Ft Gratiot, MI 48059 | 2006-10-16 |
| 1881708428 | John Nathan Seppo | Social Worker | 3847 Pine Grove Avenue, Fort Gratiot, MI 48059 | 2006-08-19 |
| 1396756615 | Blue Water Family Dentistry PC | Dentist | 4044 24th Ave, Fort Gratiot, MI 48059 | 2006-08-11 |
| 1720018823 | Minden City Community Healthcare Outreach | Clinic/Center | 28 Deer Creek Drive, Fort Gratiot, MI 48059 | 2006-07-04 |
| 1982103966 | Luke Michael Privette | Physical Therapist | 4351 24th Ave Ste 1, Fort Gratiot, MI 48059 | 2018-02-06 |
| 1194115352 | Rachel Brooks | Chiropractor | 2844 Krafft Rd, Fort Gratiot, MI 48059 | 2015-01-27 |
| Find all providers in zip 48059 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477193134 | Charli Marie Souza | Nurse Practitioner | 4071 24th Ave, Fort Gratiot, MI 48059-3801 | 2020-01-10 |
| 1528606290 | Alicia Mcnary | Nurse Practitioner | 4071 24th Ave, Fort Gratiot, MI 48059-3801 | 2019-12-12 |
| 1700163672 | Jessica Jeanette Mcleod | Nurse Practitioner | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 | 2011-11-07 |
| 1750334405 | Physician Healthcare Network, PC | Nurse Practitioner | 3050 Commerce Dr, Billing and Administration, Fort Gratiot, MI 48059-3819 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972339 | Zeinab Berjaoui | Nurse Practitioner | 11496 Newbern Dr, Warren, MI 48093-2613 | 2020-11-08 |
| 1134720899 | Whitney Ashton Mervau | Nurse Practitioner | 3836 Haven Hill Ln, Williamsburg, MI 49690-9536 | 2020-11-07 |
| 1063013837 | Amy Lynn Wadsworth | Nurse Practitioner | 9259 Chambord Dr, Ypsilanti, MI 48197-9281 | 2020-11-06 |
| 1821699844 | Michelle Daldine | Nurse Practitioner | 38481 Gail St, Clinton Township, MI 48036-1823 | 2020-11-05 |
| 1710588876 | Coty Cole | Nurse Practitioner | 2065 South Center Rd, Ste A, Burton, MI 48519 | 2020-11-05 |
| 1205437175 | Michelle Jo Whitesel | Nurse Practitioner | 5861 Shadow Pines Ct, Howell, MI 48843-7130 | 2020-11-05 |
| 1326649617 | Melinda Lee Hawley | Nurse Practitioner | 4019 Stark Dr, West Branch, MI 48661-9633 | 2020-11-04 |
| 1720689193 | Mohammed Louthfur Rahman | Nurse Practitioner | Hoover Internal Medicine Pllc, 2930 Holbrook St, Hamtramck, MI 48212 | 2020-11-03 |
| 1619578234 | Devon Kruger | Nurse Practitioner | 4612 W David Hwy, Saranac, MI 48881-9740 | 2020-11-02 |
| 1760083208 | Ramonna Van Alstine | Nurse Practitioner | 13932 Fox Ridge Ln, Allenton, MI 48002-4525 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
| City | FORT GRATIOT |
| Zip Code | 48059 |
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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.