MS. CAROLYN JEAN STOCKWELL (NPI# 1952455057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952455057 |
| Entity Type | Individual |
| Full Name | MS. CAROLYN JEAN STOCKWELL |
| Credential | MSN RN APRN BC CNP |
| Practice Address |
261 Mack Ave Detroit MI 48201-2417 |
| Practice Telephone | 3137451109 |
| Practice Fax Number | 3137451222 |
| Mailing Telephone | 3137451109 |
| Mailing Fax Number | 3137451222 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2019-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704121000 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4704121000 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4600807 | 05 | |
| MI | BCBS | GROUP #ON32030 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 311 Mack Ave Ste 64100, Detroit, MI 482012466 | 3138320650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396213559 | Carolyn Stockwell | Specialist/Technologist | 4460 Red Bank Rd Ste 110, Cincinnati, OH 45227-2173 | 2018-11-06 |
| Street Address |
261 MACK AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-2417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225038904 | Scott Richard Millis | Clinical Neuropsychologist | 261 Mack Ave, Rehabilitation Institute of Michigan, Rm 552, Detroit, MI 48201-2417 | 2005-07-26 |
| 1639781057 | Jared Thomas Kurdunowicz | Physical Therapist | 261 Mack Ave, Detroit, MI 48201-4820 | 2020-08-18 |
| 1497373211 | Rachel Smith | Physical Therapist | 261 Mack Ave, Detroit, MI 48201-2495 | 2020-07-08 |
| 1083252340 | Abbey Rae Stuhldreher | Physical Therapist | 261 Mack Ave, Detroit, MI 48201-2417 | 2019-12-18 |
| 1316593452 | Stephanie Hollander | Specialist/Technologist | 261 Mack Ave, Detroit, MI 48201-2417 | 2019-08-14 |
| 1801354147 | Jordan Malik Lawal | Physical Therapist | 261 Mack Ave, Detroit, MI 48201-2417 | 2019-03-06 |
| 1164980553 | Kelsey Ann Vanamberg | Physical Therapist | 261 Mack Ave, Detroit, MI 48201-2417 | 2019-03-05 |
| 1720545262 | Mahtab Koochaki | Physical Therapist | 261 Mack Ave, Detroit, MI 48201-2417 | 2019-02-20 |
| 1760954564 | Courtney Meram | Physical Therapist | 261 Mack Ave, Detroit, MI 48201-2417 | 2018-12-19 |
| 1710457999 | Joyal Dee Pavey | Occupational Therapist | 261 Mack Ave, Detroit, MI 48201-2417 | 2018-11-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
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| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (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. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629616511 | Nursing Practice Corporation | Nurse Practitioner | 1550 Taylor St, Detroit, MI 48206-2081 | 2019-12-11 |
| 1578026076 | Julia Christine Zaddock | Nurse Practitioner | 12800 Toronto St., Detroit, MI 48217 | 2019-04-11 |
| 1629552112 | Katelyn E. Hamann | Nurse Practitioner | Children's Hosptial of Mi, 3901 Beaubien - 2nd Fl - Carl's Bldg, Detroit, MI 48201-2119 | 2018-09-20 |
| 1750801023 | Amy Marie Bertha | Nurse Practitioner | New Center One/endocrinology/metabolism, 3031 W. Grand Blvd, Detroit, MI 48202 | 2017-06-27 |
| 1376077107 | Maryam Hakemi | Nurse Practitioner | 3990 John R. St., Harper University Hospital, Detroit, MI 48201 | 2017-04-19 |
| 1841748076 | Jennifer N. Watson | Nurse Practitioner | 3950 Beaubien - Ground Fl, Children's Hospital of Mi, Detroit, MI 48201-2153 | 2016-09-16 |
| 1891164323 | Cheryl Barratt | Nurse Practitioner | Children's Hospital of Mi - Er, 3901 Beaubien, Detroit, MI 48201 | 2015-09-15 |
| 1730556291 | Markita Marie Thompson | Nurse Practitioner | 277 Gratiot Ave Ste 100a8919, Detroit, MI 48226-2239 | 2015-08-31 |
| 1316372980 | Sarah Kironde | Nurse Practitioner | 7700 2nd Avenue, Detroit, MI 48202 | 2013-09-13 |
| 1679917322 | Arlanda Latrice Smith | Nurse Practitioner | 8904 Woodward Ave, Detroit, MI 48202-1821 | 2013-04-24 |
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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.