AMY DICKHAUSEN (NPI# 1851829279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851829279 |
Entity Type | Individual |
Full Name | AMY DICKHAUSEN |
Other Name | AMY GAWNE |
Practice Address |
500 Hancock St Saginaw MI 48602-4224 |
Practice Telephone | (989) 272-7291 |
Practice Fax Number | 9897973522 |
Mailing Telephone | 9892727291 |
Mailing Fax Number | 9897973522 |
Enumeration Date | 2017-05-30 |
Last Update Date | 2017-05-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
Street Address |
500 HANCOCK ST |
City | SAGINAW |
State | MI |
Zip Code | 48602-4224 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659313435 | Genoa Healthcare LLC | Durable Medical Equipment & Medical Supplies | 500 Hancock St, Ste 100, Saginaw, MI 48602-4224 | 2006-06-13 |
1639779911 | Samantha Erin Tenut | Registered Nurse | 500 Hancock St, Saginaw, MI 48602-4224 | 2020-10-27 |
1417556663 | Daysha Reese | Community Health Worker | 500 Hancock St, Saginaw, MI 48602-4224 | 2020-10-20 |
1780282442 | Stephanie Lynn Mumby | Dietitian, Registered | 500 Hancock St, Saginaw, MI 48602-4224 | 2020-10-15 |
1790302255 | Tellis Colt Donajkowski | Case Manager/Care Coordinator | 500 Hancock St, Saginaw, MI 48602-4224 | 2020-07-01 |
1609493485 | Rosa L Davis | Case Manager/Care Coordinator | 500 Hancock St, Saginaw, MI 48602-4224 | 2020-06-29 |
1124642301 | Jessica Gayle Szikszay | Social Worker | 500 Hancock St, Saginaw, MI 48602-4224 | 2020-06-03 |
1912528407 | Treasa Linsay Ross | Community Health Worker | 500 Hancock St, Saginaw, MI 48602-4224 | 2020-05-06 |
1174144836 | Alexandria Sharon | Community Health Worker | 500 Hancock St, Saginaw, MI 48602-4224 | 2020-05-04 |
1548881212 | Marie E Berg | Community Health Worker | 500 Hancock St, Saginaw, MI 48602-4224 | 2020-05-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326665654 | Samuel R Olson | Student in an Organized Health Care Education/Training Program | Covenent Healthcare Cooper, 700 Cooper Avenue, Saginaw, MI 48602 | 2020-07-02 |
1871110726 | Quinn Murphy Ameel | Student in an Organized Health Care Education/Training Program | Cmed 1632 Stone St., Saginaw, MI 48602 | 2020-06-26 |
1730713322 | Abiola A Alaka | Student in an Organized Health Care Education/Training Program | 314 N Hamilton St, Saginaw, MI 48602 | 2020-02-24 |
1598235137 | Summer Dawn Broekhof | Speech-Language Pathologist | 515 N. Michigan, Saginaw, MI 48602 | 2018-11-27 |
1811486293 | Barbara Jean Hall | Physical Therapy Assistant | 500 S Hamilton, Saginaw, MI 48602 | 2018-05-01 |
1053808519 | Cst Counseling and Transitional Services Inc | Social Worker | 120 N Michigan Ave Ste 207, Saginaw, MI 48602 | 2018-04-19 |
1801325246 | Moregan Rose Lamarr | Social Worker | 304 South Niagara St, Saginaw, MI 48602 | 2017-06-08 |
1750818449 | Tamera Graham | Nurse Practitioner | 1447 N. Harrison St., Saginaw, MI 48602 | 2017-05-12 |
1831622109 | Brooke Vitale | Technician, Other | 1300 N. Michigan, Autism Plus, Saginaw, MI 48602 | 2017-04-04 |
1215387576 | Dorthia Eggleston | Specialist | 1203 Gratiot, Saginaw, MI 48602 | 2016-06-17 |
Find all providers in zip 48602 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417578865 | Veronica R Vasquez | Peer Specialist | 500 Hancock St # 48602, Saginaw, MI 48602-4224 | 2020-04-27 |
1447794243 | Toia A Johnson | Peer Specialist | 5120 E Holland Rd, Saginaw, MI 48601-9470 | 2016-12-13 |
1164061537 | Janet Diefenbach | Peer Specialist | 500 Hancock Street, Saginaw, MI 48602-4224 | 2020-01-02 |
1629615919 | Shmarira Nicole Torrence | Peer Specialist | 500 Hancock St, Saginaw, MI 48602-4224 | 2019-12-05 |
1952946014 | Lisa Renee Husarick | Peer Specialist | 3665 Bay Rd, Saginaw, MI 48603-2445 | 2019-11-13 |
1619518024 | Larry West | Peer Specialist | 1321 S Fayette St, Saginaw, MI 48602-1447 | 2019-10-07 |
1568016830 | Emily Ballien | Peer Specialist | 3400 S Washington Rd, Saginaw, MI 48601-4958 | 2019-07-25 |
1093374951 | Jennifer Hauch | Peer Specialist | 1321 S Fayette St, Saginaw, MI 48602-1447 | 2019-06-13 |
1821655952 | Stephanie Martineau | Peer Specialist | 2100 Hemmeter Rd, Saginaw, MI 48603-3944 | 2019-05-23 |
1740844661 | Cirven Merrill | Peer Specialist | 1241 N Michigan Ave, Saginaw, MI 48602-4729 | 2019-04-25 |
Find all providers in SAGINAW |
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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.