IVORY VILLANUEVA FULGENCIO (NPI# 1881142115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881142115 |
| Entity Type | Individual |
| Full Name | IVORY VILLANUEVA FULGENCIO |
| Practice Address |
1 Ford Pl Ste 2e Detroit MI 48202-3450 |
| Mailing Address |
2481 Huntington Dr Lake Orion MI 48360-2271 |
| Practice Telephone | 3138743081 |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2016-09-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 4704260314 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1 FORD PL STE 2E |
| City | DETROIT |
| State | MI |
| Zip Code | 48202-3450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447241229 | Mary Hicks | Nurse Practitioner | 1 Ford Pl, Detroit, MI 48202 | 2005-11-02 |
| 1548870769 | Robert Devore | Nurse Practitioner | 1 Ford Pl, Detroit, MI 48202-3450 | 2020-08-03 |
| 1740831668 | Sarah Anna Moore | Social Worker | 1 Ford Pl, Detroit, MI 48202-3450 | 2019-09-23 |
| 1043863897 | Bethany Thayer | Dietitian, Registered | 1 Ford Pl, Detroit, MI 48202-3450 | 2019-07-22 |
| 1609380328 | Tanesha Lowery | Nurse Practitioner | 1 Ford Pl, Detroit, MI 48202-3450 | 2017-11-17 |
| 1972012904 | Alaina Grace Esposito | Social Worker | 1 Ford Pl, Detroit, MI 48202-3450 | 2017-09-21 |
| 1780107029 | Kellie Martens | Psychologist | 1 Ford Pl, Detroit, MI 48202-3450 | 2017-07-19 |
| 1164956538 | Shaelyn Nicole Gurzick | Dietitian, Registered | 1 Ford Pl, Suite 5c, Detroit, MI 48202-3450 | 2017-04-12 |
| 1093251878 | Chinwe Obioha | Nurse Practitioner | 1 Ford Pl, Detroit, MI 48202-3450 | 2017-01-17 |
| 1699137620 | Jessica Andreasen | Social Worker | 1 Ford Pl, Detroit, MI 48202-3450 | 2016-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
| 1912529801 | Aroob Nabil Nimer Sweidan | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 | 2020-05-13 |
| 1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
| 1407401250 | Santhalakshmi Angappan | Student in an Organized Health Care Education/Training Program | Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 | 2019-08-08 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1700363892 | Zaid Al-saheli | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 | 2018-07-23 |
| 1932690096 | Yusuf Naser Alalwan | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 | 2018-05-24 |
| 1568952729 | Kelvin Sellers | Massage Therapist | 832 Seward, Detriot, MI 48202 | 2018-05-14 |
| Find all providers in zip 48202 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891352464 | Amanda Lori Cremeens | Nurse Anesthetist, Certified Registered | 4707 Saint Antoine St Ste E510, Detroit, MI 48201-1427 | 2019-05-20 |
| 1003355934 | Kurt Belen | Nurse Anesthetist, Certified Registered | 10814 Duprey St, Detroit, MI 48224-1295 | 2017-02-12 |
| 1891153672 | Elizabeth Smith | Nurse Anesthetist, Certified Registered | 232 E Palmer St, Apt #5, Detroit, MI 48202-3857 | 2016-02-08 |
| 1750748869 | Joshua Olson | Nurse Anesthetist, Certified Registered | 2945 Burns St, Detroit, MI 48214-1800 | 2016-01-20 |
| 1871959395 | Bianca Fields | Nurse Anesthetist, Certified Registered | 20271 Murray Hill St, Detroit, MI 48235-2130 | 2016-01-13 |
| 1205230315 | Jason Amador | Nurse Anesthetist, Certified Registered | 301 E Palmer St, Detroit, MI 48202-3823 | 2014-10-17 |
| 1609012590 | Lashonda Tiyon Turner | Nurse Anesthetist, Certified Registered | 3663 Woodward Ave, 200, Detroit, MI 48201-2445 | 2008-12-23 |
| 1518013044 | Michael Ford | Nurse Anesthetist, Certified Registered | 1 Ford Pl # 4e, Detroit, MI 48202-3450 | 2007-01-26 |
| 1154367399 | Margarete Holmes-ross | Nurse Anesthetist, Certified Registered | 244 Arden Park Blvd, Detroit, MI 48202-1302 | 2006-06-22 |
| 1760477871 | John Mckay Perkowski | Nurse Anesthetist, Certified Registered | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2005-09-14 |
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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.