MS. LAUREN VINZANT (NPI# 1962927137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962927137 |
| Entity Type | Individual |
| Full Name | MS. LAUREN VINZANT |
| Credential | PA-C |
| Practice Address |
14671 Telegraph Rd Redford MI 48239-3300 |
| Mailing Address |
27320 Alger Blvd Madison Heights MI 48071-3224 |
| Practice Telephone | 8586022029 |
| Mailing Telephone | 8586022029 |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2020-01-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 5601008302 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA61003199 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3901 Beaubien St, Detroit, MI 482012119 | 3137455227 |
| Street Address |
14671 TELEGRAPH RD |
| City | REDFORD |
| State | MI |
| Zip Code | 48239-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114140423 | Primecare Medical Centers of Michigan, P.l.l.c. | Clinic/Center | 14671 Telegraph Rd, Redford, MI 48239-3300 | 2007-04-11 |
| 1023615788 | Michael Hughes | Physician Assistant | 14671 Telegraph Rd, Redford, MI 48239-3300 | 2020-10-06 |
| 1922631258 | Timothy Pierce | Nurse Practitioner | 14671 Telegraph Rd, Redford, MI 48239-3300 | 2020-02-14 |
| 1215434253 | Stacy Ann Harris | Nurse Practitioner | 14671 Telegraph Rd, Redford, MI 48239-3300 | 2018-04-06 |
| 1790291292 | Christine M Bauman | Physician Assistant | 14671 Telegraph Rd, Redford, MI 48239-3300 | 2017-12-19 |
| 1205354412 | Vanessa Barrus | Physician Assistant | 14671 Telegraph Rd, Redford, MI 48239-3300 | 2017-09-07 |
| 1124563747 | Ericka Cheshire-salas | Physician Assistant | 14671 Telegraph Rd, Redford, MI 48239-3300 | 2017-01-05 |
| 1205379633 | Nour Makhzoum | Physician Assistant | 14671 Telegraph Rd, Redford, MI 48239-3300 | 2016-12-03 |
| 1396298907 | Dana Myers | Nurse Practitioner | 14671 Telegraph Rd, Redford, MI 48239-3300 | 2016-07-31 |
| 1154778835 | Jennifer Crosby | Nurse Practitioner | 14671 Telegraph Rd, Redford, MI 48239-3300 | 2016-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942849856 | Court'nee Ann Desmond | Nurse Practitioner | 14761 Telegraph Rd, Redford, MI 48239 | 2019-12-26 |
| 1891250239 | Sun Valley Pharmacy LLC | Pharmacy | 9291 Telegraph Rd, Redford, MI 48239 | 2019-02-08 |
| 1003343369 | Lucinda Pryor | Nurse Practitioner | 14210 Marion, Redford, MI 48239 | 2017-05-17 |
| 1740725274 | Georgetta W Bond | Technician, Other | 12770 Hemingway, Redford, MI 48239 | 2016-12-19 |
| 1508318015 | Doris Mckinney | Counselor | Lincoln Behavioral Services - 9315 Telegraph, Redford, MI 48239 | 2016-10-31 |
| 1609282110 | Rosaundra Tanika Pope | Home Health | 9989 Royal Grand, Redford, MI 48239 | 2014-07-03 |
| 1497170179 | Courtney Ritchie | General Practice | 24435 Plymouth Rd, Redford, MI 48239 | 2014-03-04 |
| 1003168592 | Alicia Monique Lurry | Counselor | 8171 Parkland, Detroit, MI 48239 | 2012-10-08 |
| 1407116080 | Ariss Tiffani Pierce | Physical Therapist | 14615 Telegraph Rd Ste 1, Redford, MI 48239 | 2012-05-17 |
| 1205144409 | Steven Thomas Haynes | Counselor | 7411 Parkland, Redford, MI 48239 | 2010-09-22 |
| Find all providers in zip 48239 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841835303 | Gerard M Lefebvre Jr. | Physician Assistant | 5301 Mcauley Dr Ste 5112, Ypsilanti, MI 48197-1051 | 2019-11-08 |
| 1548611023 | Michael Scott Schaeffer II | Physician Assistant | 58070 Montego Dr, New Hudson, MI 48165-9735 | 2016-06-27 |
| 1700248176 | Katilyn Kohl | Physician Assistant | 3990 John R St Ste 4905, Detroit, MI 48201-2018 | 2016-03-24 |
| 1881052363 | Surgical Assist, Plc | Physician Assistant | 4409 Gaylord Dr, Troy, MI 48098-4458 | 2016-01-29 |
| 1710342134 | Evan Reid Vandenbosch | Physician Assistant | 36622 5 Mile Rd, Suite 101, Livonia, MI 48154-1900 | 2015-12-30 |
| 1619368008 | Matthew Eisen | Physician Assistant | 1560 E Sherman Blvd Ste 9, Muskegon, MI 49444-1867 | 2015-02-06 |
| 1609214972 | Jennifer Lynn Krishnan | Physician Assistant | 3601 E 13 Mile Rd, Royal Oak, MI 48073-6769 | 2013-06-10 |
| 1093028441 | Lonna Petronella Van Ast | Physician Assistant | 1022 Ada Place Dr Se, Grand Rapids, MI 49546-3786 | 2010-07-14 |
| 1669707170 | Luke Thomas Dillon | Physician Assistant | 3100 Cross Creek Pkwy Ste 200, Auburn Hills, MI 48326-2776 | 2009-10-16 |
| 1912139544 | Richard Lawrence Burgett Sr. | Physician Assistant | 4327 Stone Ridge Dr, Traverse City, MI 49684-7958 | 2009-08-15 |
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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.