SEAN BOURNE (NPI# 1861884116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861884116 |
| Entity Type | Individual |
| Full Name | SEAN BOURNE |
| Practice Address |
1852 Savannah Ln Ypsilanti MI 48198-3676 |
| Practice Telephone | 6318054959 |
| Mailing Telephone | 6318054959 |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2015-02-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 4703111465 | MI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700237534 | Sean David Bourne | Family Medicine | 2205 N Parham Rd, Richmond, VA 23229-3161 | 2016-06-22 |
| Street Address |
1852 SAVANNAH LN |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48198-3676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962862268 | Bonita Boyd | Registered Nurse | 1852 Savannah Ln, Ypsilanti, MI 48198-3676 | 2016-02-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740840602 | Paxxon Healthcare Services LLC | Occupational Therapist | 8100 Geddes Road, Superior Township, MI 48198 | 2019-06-13 |
| 1053885137 | Justine Altman | Health Educator | 9855 High Meadow Dr., Ypsilanti, MI 48198 | 2019-01-11 |
| 1730650516 | Mark Neumann | Driver | 1233 Hull Ave, Ypsilanti, MI 48198 | 2018-12-05 |
| 1144703810 | Douglas John Pealer | Speech-Language Pathologist | 8100 Geddes Rd, Superior Charter Township, MI 48198 | 2018-09-10 |
| 1225520919 | Kathleen M Hartwell-king Iv | Nurse Practitioner | 315 Holmes Rd, Ypsilanti, MI 48198 | 2018-05-30 |
| 1205354339 | Kawana Young | Home Health | 1811 George Ave, Ypsilanti, MI 48198 | 2017-09-09 |
| 1477009173 | Brittney Thomas | Technician, Other | 1431 Leforge Rd Apt 301, Ypsilant, MI 48198 | 2016-09-01 |
| 1528461167 | Emily Purdey | Social Worker | 8604 Pine Ct, Ypsilanti, MI 48198 | 2014-09-26 |
| 1063812550 | Harry Lee Hampton Jr. | Driver | 868 Allen St, Ypsilanti, MI 48198 | 2014-09-03 |
| 1073932760 | Ed Mcswain | Counselor | 6633 Stoney Creek Rd, Ypsilanti, MI 48198 | 2014-04-10 |
| Find all providers in zip 48198 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911719 | Margaret Theresa Fry | Licensed Practical Nurse | 4929 Cedarview St Apt 2c, Ypsilanti, MI 48197-5029 | 2020-10-30 |
| 1881100535 | Nacole Tee | Licensed Practical Nurse | 6116 Lake Dr, Ypsilanti, MI 48197-7050 | 2017-12-18 |
| 1922512292 | Kelli Rae Thornburg | Licensed Practical Nurse | 7820 Whittaker Rd, Ypsilanti, MI 48197-9775 | 2017-11-25 |
| 1982133765 | Jesseca Anthony | Licensed Practical Nurse | 2688 Peachcrest St, Ypsilanti, MI 48198-3323 | 2017-06-06 |
| 1023549730 | Maria Cruzalegui | Licensed Practical Nurse | 1515 Ridge Rd Lot 127, Ypsilanti, MI 48198-3351 | 2017-03-23 |
| 1982145918 | Venus Johnson | Licensed Practical Nurse | 1029 Studebaker Ave, Ypsilanti, MI 48198-6284 | 2017-03-09 |
| 1073064838 | Xavier Love | Licensed Practical Nurse | 771 Woodcreek Ct, Ypsilanti, MI 48198-7529 | 2016-10-17 |
| 1447622741 | Ronald Pitts | Licensed Practical Nurse | 1926 Washtenaw Rd, Ypsilanti, MI 48197-1740 | 2015-10-26 |
| 1003295098 | Teri Shemwell | Licensed Practical Nurse | 554 Eugene St, Ypsilanti, MI 48198-6143 | 2015-05-22 |
| 1033598024 | Lucy Etchu | Licensed Practical Nurse | 1330 Chestnut Dr, Ypsilanti, MI 48197-1221 | 2015-05-22 |
| Find all providers in YPSILANTI | ||||
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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.