REBECCA KOTLOWSKI LUSK (NPI# 1932204625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932204625 |
| Entity Type | Individual |
| Full Name | REBECCA KOTLOWSKI LUSK |
| Credential | PSYD, ABPP |
| Practice Address |
2215 Fuller Rd Mental Health Clinic Ann Arbor MI 48105-2303 |
| Practice Telephone | 7347697100 |
| Practice Fax Number | 7348453235 |
| Mailing Telephone | 7347697100 |
| Mailing Fax Number | 7348453235 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2011-02-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 6301012055 | MI | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063568798 | Rebecca Ann Lusk | Nurse Practitioner | 4675 E 69th Ave, Commerce City, CO 80022-2343 | 2007-01-26 |
| Street Address |
2215 FULLER RD MENTAL HEALTH CLINIC |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48105-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619975075 | Susan M Meador | Pharmacist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2005-07-11 |
| 1972101103 | Blaine Franklin | Physical Therapist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2020-10-10 |
| 1306443262 | Benjamin Pfeifer | Psychologist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2020-10-05 |
| 1083223044 | John Zemicki | Pharmacist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2020-07-27 |
| 1790394955 | Jyness Ariel Williams | Pharmacist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2020-07-23 |
| 1114545761 | Emily Sahagian | Pharmacist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2020-07-10 |
| 1831717586 | Jessica Vogt | Physical Therapist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2020-07-09 |
| 1881212488 | Scarlett Kettwich | Dentist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2020-07-09 |
| 1518584879 | Lauren Mcculley | Pharmacist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2020-07-02 |
| 1023634243 | Amanjot Kaur Sarao | Dentist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2020-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730728718 | Alexander Jendrusina | Psychologist | Va Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI 48105 | 2019-12-23 |
| 1417515875 | Christine Shyh Wang | Student in an Organized Health Care Education/Training Program | 4029 Avenue Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2019-05-31 |
| 1013475003 | Ryan Wang | Physician Assistant | 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 | 2019-03-08 |
| 1801366265 | Amruta Sonavaria | Physical Therapist | 4701 East Huron River Drive, Ann Arbor, MI 48105 | 2018-11-28 |
| 1568955730 | Alexander Sliwicki | Pediatrics | 1500 East Medical Drive, Medical Professional Building, Ann Arbor, MI 48105 | 2018-06-12 |
| 1902398464 | Austin Remington | Student in an Organized Health Care Education/Training Program | 4029 Ave Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2018-05-31 |
| 1881191658 | Stephen James Hickner | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Outpatient Psychiatric Services, 2006 Hogback Road, Suite 1, Ann Arbor, MI 48105 | 2018-04-09 |
| 1245681709 | Winnie Nhan | Internal Medicine | 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 | 2016-06-27 |
| 1861857971 | Connie Chen | Pharmacist | 2215 Fuller Road (119), Ann Arbor, MI 48105 | 2015-12-17 |
| 1407241193 | Stefan Craciun | Emergency Medicine | 3484 Ashburnam Rd, Ann Arbor, MI 48105 | 2015-03-31 |
| Find all providers in zip 48105 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417350794 | Debra Rose Jelinek Gombert | Specialist | 2872 Glazier Way, Ann Arbor, MI 48105-2443 | 2014-10-01 |
| 1295176014 | Todd Hollon | Specialist | 1500 E. Medical Center Drive, 3470 Tc, Um Neurosurgery, Ann Arbor, MI 48109-5338 | 2013-07-09 |
| 1366681116 | Cendra Lynn | Specialist | 121 Crest St, Ann Arbor, MI 48103-4251 | 2009-02-17 |
| 1851581540 | Wessam Boutros Bou-assaly | Specialist | 2155 Fuller Rd, Radiology Department/ Va Health Center, Ann Arbor, MI 48105 | 2007-07-28 |
| 1841400405 | Anne Isabella Gentry | Specialist | Ann Arbor Rehabilitation Centers, Inc., 3135 Professional Drive, Ann Arbor, MI 48104 | 2007-05-23 |
| 1851503007 | Pattricia Mary Zuba | Specialist | 1500 E. Medical Center Drive 1g225, Ann Arbor, MI 48109-0046 | 2007-05-03 |
| 1992829568 | Alpha Solutions Inc | Specialist | 900 Briarwood Cir, Ann Arbor, MI 48108-1618 | 2007-03-19 |
| 1528103835 | Sandra Suzanne Fogarty | Specialist | 269 Collingwood St, Ann Arbor, MI 48103-3824 | 2007-02-21 |
| 1184773376 | Planned Parenthood Mid and South Michigan | Specialist | 2370 W. Stadium Blvd, Ann Arbor, MI 48104-3843 | 2007-01-09 |
| 1053351536 | Neural Watch LLC | Specialist | 812 Avis Dr, Ann Arbor, MI 48108-9649 | 2006-06-06 |
| Find all providers in ANN ARBOR | ||||
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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.