KATIE ELIZABETH BEDNARK (NPI# 1952932238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952932238 |
| Entity Type | Individual |
| Full Name | KATIE ELIZABETH BEDNARK |
| Practice Address |
1001 Laurence Ave Ste E Jackson MI 49202-2980 |
| Mailing Address |
2961 Pheasant Run Dr Apt C Jackson MI 49202-5217 |
| Practice Telephone | 5177504777 |
| Mailing Telephone | 5173583220 |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2020-01-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1001 LAURENCE AVE STE E |
| City | JACKSON |
| State | MI |
| Zip Code | 49202-2980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790056265 | Rachel Ashley Flynn | Speech-Language Pathologist | 1001 Laurence Ave Ste E, Jackson, MI 49202-2980 | 2012-01-15 |
| 1164023651 | Travis Baker | Technician, Other | 1001 Laurence Ave Ste E, Jackson, MI 49202-2980 | 2020-11-03 |
| 1124627377 | Evan Michael Dailey | Technician, Other | 1001 Laurence Ave Ste E, Jackson, MI 49202-2980 | 2020-10-20 |
| 1538773486 | Scott Thorbjornsen | Speech-Language Pathologist | 1001 Laurence Ave Ste E, Jackson, MI 49202-2980 | 2020-09-08 |
| 1982218475 | Jessica Lynn Barlow | Technician, Other | 1001 Laurence Ave Ste E, Jackson, MI 49202-2980 | 2020-09-02 |
| 1134732662 | Josephine Elle Simmons | Technician, Other | 1001 Laurence Ave Ste E, Jackson, MI 49202-2980 | 2020-08-25 |
| 1386263556 | Lauren Elizabeth Gravelyn | Speech-Language Pathologist | 1001 Laurence Ave Ste E, Jackson, MI 49202-2980 | 2020-04-08 |
| 1235764960 | Marissa Swanson | Speech-Language Pathologist | 1001 Laurence Ave Ste E, Jackson, MI 49202-2980 | 2020-03-03 |
| 1922638675 | Ryan Heckaman | Technician, Other | 1001 Laurence Ave Ste E, Jackson, MI 49202-2980 | 2020-01-22 |
| 1023657178 | Jacob Lepard | Technician, Other | 1001 Laurence Ave Ste E, Jackson, MI 49202-2980 | 2020-01-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821590316 | Leslie Dominique Barroso | Social Worker | 834 Kennedy St, Jackson, MI 49202 | 2018-03-01 |
| 1073011136 | Nicole Szarek | Social Worker | 1200 N. West Ave, Jackson, MI 49202 | 2018-01-24 |
| 1598299430 | Cedric Griffin | Behavior Technician | 950 W. Monroe St, Jackson, MI 49202 | 2017-04-18 |
| 1285081612 | Patricia Decker | Psychologist | 950 West Monroe, Suite 500, Jackson, MI 49202 | 2016-05-16 |
| 1619344314 | Erica Ries | Social Worker | 1200 N West Ave Ste 800, Jackson, MI 49202 | 2015-08-28 |
| 1184007189 | Sarah Johnson | Behavioral Analyst | 818 Winifred St, Jackson, MI 49202 | 2015-07-08 |
| 1871971697 | Scott A Watterson Dds, Pllc | Dentist | 1030 Laurence Ave, Suite 3, Jackson, MI 49202 | 2015-05-13 |
| 1043608680 | Brenda Beverly | Counselor | 1190 West, 1190 West Suite 812, Jackson, MI 49202 | 2015-01-06 |
| 1295091593 | Natalie Ann Kember | Social Worker | 1206 Clinton, Jackson, MI 49202 | 2012-04-11 |
| 1912218728 | Tina Marie Pierce | Respite Care | 225 N Wisner St, Jakson, MI 49202 | 2010-06-25 |
| Find all providers in zip 49202 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
| 1922572890 | Ronald Hewitt | Technician, Other | 6088 Huntview Dr, Jackson, MS 39206-2130 | 2019-01-14 |
| 1952838187 | Perrise Stewart | Technician, Other | 916 N West Ave Ste F, Jackson, MI 49202-3243 | 2017-05-18 |
| 1023553583 | Lanisha Green | Technician, Other | 211 W Franklin St, Apt #4, Jackson, MI 49201-2379 | 2016-12-19 |
| 1205384344 | Loria Holmes | Technician, Other | 2720 Granada Dr, 2d, Jackson, MI 49202-1309 | 2016-09-19 |
| 1699223164 | Mary Lehman | Technician, Other | 4210 Aspen Way, Jackson, MI 49201-8681 | 2016-09-14 |
| 1891242129 | Courtney Marie Klinger | Technician, Other | 3200 Kingsbrooke Dr Apt 102, Jackson, MI 49202-1350 | 2016-09-02 |
| 1679028302 | Renee Guerrero | Technician, Other | 2605 E Alpine Lake Dr, Apt G, Jackson, MI 49203-6338 | 2016-08-23 |
| 1891147583 | Rachel Hamilton | Technician, Other | 2911 Ashton Ridge Dr Apt 4, Jackson, MI 49201-7569 | 2016-07-06 |
| 1003267717 | Devonja Harris | Technician, Other | 539 E Chester St, Jackson, TN 38301-7062 | 2016-06-23 |
| Find all providers in JACKSON | ||||
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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.