MRS. BREANNE NICOLE RANUCCI


Address: 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502
Phone: 6166855576

MRS. BREANNE NICOLE RANUCCI (NPI# 1942821079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942821079
Entity Type Individual
Full Name MRS. BREANNE NICOLE RANUCCI
Other Name BREANNE NICOLE DIXON
Credential PA-C
Practice Address 200 Jefferson Ave Se
Grand Rapids
MI 49503-4502
Practice Telephone 6166855576
Practice Fax Number 6166858910
Mailing Telephone 6166855576
Mailing Fax Number 6166858910
Enumeration Date 2020-04-29
Last Update Date 2020-08-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 5601009578 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 200 JEFFERSON AVE SE
City GRAND RAPIDS
State MI
Zip Code 49503-4502

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114929353 Grand River Emergency Medical Group Plc Emergency Medicine 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 2005-06-01
1073130449 Jessica Goldsworthy Pharmacist 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 2020-07-01
1851918551 Lacy J Worden Pharmacist 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 2020-06-29
1669099560 Kamah Ellena Pharmacist 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 2020-06-26
1629694344 Yoad Yechiel Porat Anesthesiology 200 Jefferson Ave Se, Jefferson Suite 305, Grand Rapids, MI 49503 2020-06-18
1851917587 Danuka Manupriya Ubayasena Anesthesiology 200 Jefferson Ave Se, Jefferson Suite 305, Grand Rapids, MI 49503 2020-06-18
1619593530 Albert Dongzhou Jiao Radiology 200 Jefferson Ave Se, Jefferson Suite 360, Grand Rapids, MI 49503 2020-06-17
1548882046 Rebecca Tourison Registered Nurse 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 2020-05-07
1750901757 Nicholas Patrick Callahan Registered Nurse 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 2020-04-20
1124668215 Brock Golembieski Physician Assistant 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 2020-01-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801496195 Airway Oxygen, Inc. Durable Medical Equipment & Medical Supplies Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 2020-10-27
1730707282 Adriana Molina-schmuker Counselor 901 Eastern Avenue Ne, Grand Rapids, MI 49503 2020-07-10
1477176949 Kimberly Buskirk Specialist 1131 Ionia Ava Nw, Grand Rapids, MI 49503 2020-05-19
1124647805 Jared Host Speech-Language Pathologist Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 2020-04-13
1265061378 Heather Gladfelter Student in an Organized Health Care Education/Training Program 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 2020-04-02
1194368647 Amy Jo Arends Nurse Practitioner 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 2019-10-28
1376185199 Beth Arce Occupational Therapist 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 2019-10-14
1295387256 Althea Ziolkowski Licensed Practical Nurse Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 2019-07-10
1790340719 Heather Anne Fox Occupational Therapist Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 2019-05-06
1184182883 April L Kaiserlian Social Worker 983 Spaulding Ave Ne, Ada, MI 49503 2019-03-12
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609473198 Rachel M. Graziano Physician Assistant 18 Lowell Ave Ne, Grand Rapids, MI 49503-3760 2020-10-07
1811537269 Joseph Salvatore Giovannucci Physician Assistant 145 Michigan St Ne Ste 2230, Grand Rapids, MI 49503-2562 2020-01-14
1326685686 Mitchell Lebel Physician Assistant 932 Fulton St E Unit 1, Grand Rapids, MI 49503-3565 2019-12-05
1326680331 Emily Wallace Physician Assistant 1661 Philadelphia Ave Se, Grand Rapids, MI 49507-2251 2019-10-10
1124688197 Leeann Marie Kuehn Physician Assistant 218 Warren Ave Se, Grand Rapids, MI 49506-1582 2019-06-20
1770057549 Shelby Elizabeth Hunt Physician Assistant 100 Michigan St Ne # Mc9017, Grand Rapids, MI 49503-2560 2019-01-15
1063906865 Kimberly Eccher Physician Assistant 300 68th St. Se, Grand Rapids, MI 49548 2018-06-15
1174029094 Katrina Ann Brummel Physician Assistant 555 Midtowne St Ne Ste 110, Grand Rapids, MI 49503-5731 2018-03-30
1902312994 Aaron Michaud Physician Assistant 301 Barclay Ave Ne, Grand Rapids, MI 49503 2017-12-28
1538687215 Sonia Nicola Physician Assistant 4100 Embassy Dr Se Ste 400, Grand Rapids, MI 49546-2416 2017-09-01
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Competitor

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City GRAND RAPIDS
Zip Code 49503

Improve Information

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Dataset Information

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.

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