JUDITH JO COLLICA (NPI# 1821318676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821318676 |
| Entity Type | Individual |
| Full Name | JUDITH JO COLLICA |
| Credential | NURSE PRACTITIONER |
| Practice Address |
1021 Karl Greimel Dr Ste 100 Brighton MI 48116-9465 |
| Practice Telephone | 8102203766 |
| Practice Fax Number | 8102258702 |
| Mailing Telephone | 8102203766 |
| Mailing Fax Number | 8102258702 |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2010-06-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
4074070674 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1021 KARL GREIMEL DR STE 100 |
| City | BRIGHTON |
| State | MI |
| Zip Code | 48116-9465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134686470 | Kristen Marie Ora | Social Worker | 8548 Grand River, Brighton, MI 48116 | 2019-02-22 |
| 1861981839 | Root To Rise Pllc | Social Worker | 396 Woodlake Dr, Brighton, MI 48116 | 2018-05-06 |
| 1952852857 | Valley Medical Pharmacy LLC | Pharmacy | 320 W Grand River Ave, Brighton, MI 48116 | 2016-10-17 |
| 1619360047 | Reema S Beri | Psychologist | 10327 East Grand River Avenue, Suite 406, Brighton, MI 48116 | 2015-03-10 |
| 1669883872 | Holly Babcock | Pharmacist | 8650 W Grand River, Brighton, MI 48116 | 2014-05-12 |
| 1861803991 | Corrigan Counseling Plc | Community/Behavioral Health | 710 E. Grand River Ave, Suite 2, Brighton, MI 48116 | 2014-05-12 |
| 1760756274 | Karen Joan Bergbower | Social Worker | 10299 Grand River, Suite P, Brighton, MI 48116 | 2012-03-01 |
| 1518298843 | Adam N Rushford | Chiropractor | 10192 E Grand River, Suite 107, Brighton, MI 48116 | 2010-01-27 |
| 1548419617 | Doreen Csokasy | Psychologist | 10315 E. Grand River, Brighton, MI 48116 | 2008-09-15 |
| 1336314350 | Larry Patrick Dewulf | Dentist | 8609 W Grand River, #102-1, Brighton, MI 48116 | 2008-04-30 |
| Find all providers in zip 48116 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841341559 | Tatum Sinclair | Nurse Practitioner | 77 Warren St Bldg 4, Brighton, MA 02135-3601 | 2007-01-16 |
| 1417921396 | Marian Amaranto | Nurse Practitioner | 183 S 18th Ave, Brighton, CO 80601-2472 | 2006-02-15 |
| 1649809765 | Aimee Carew- Lyons | Nurse Practitioner | 30 Warren St, Brighton, MA 02135-3602 | 2020-04-02 |
| 1730726126 | Alyssa Sue Fraser | Nurse Practitioner | 2305 Genoa Business Park Dr Ste 240, Brighton, MI 48114-7005 | 2019-12-04 |
| 1356903991 | Mary Laurette Hughes | Nurse Practitioner | 30 Warren St, Brighton, MA 02135-3602 | 2019-07-03 |
| 1063990950 | Lisa Ngu | Nurse Practitioner | 495 Western Ave, Brighton, MA 02135-1007 | 2018-08-01 |
| 1467828343 | Bipin Desai Md | Nurse Practitioner | 136 Kissane Ave, Brighton, MI 48116-2467 | 2015-08-14 |
| 1245653005 | Stephanie Louise Hopkins | Nurse Practitioner | 30 Warren St, Brighton, MA 02135-3602 | 2014-01-30 |
| 1811322373 | Marissa Ann Udelsman | Nurse Practitioner | 30 Warren St, Brighton, MA 02135-3602 | 2013-09-03 |
| 1265865091 | Amelia Joy Massimini | Nurse Practitioner | 30 Warren St, Brighton, MA 02135-3602 | 2013-08-15 |
| Find all providers in BRIGHTON | ||||
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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.