ZAKORY MITCHEL DIPPOLD (NPI# 1972162287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972162287 |
| Entity Type | Individual |
| Full Name | ZAKORY MITCHEL DIPPOLD |
| Practice Address |
2284 S Ballenger Hwy Flint MI 48503-3446 |
| Mailing Address |
5437 Maple Park Dr Flint MI 48507-3902 |
| Practice Telephone | 8102217871 |
| Mailing Telephone | 8104711995 |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2019-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2284 S Ballenger Hwy, Flint, MI 485033446 | 8102217871 |
| Street Address |
2284 S BALLENGER HWY |
| City | FLINT |
| State | MI |
| Zip Code | 48503-3446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992774194 | Janice Kay Shimoda | General Practice | 2284 S Ballenger Hwy, Suite H, Flint, MI 48503-4653 | 2006-03-17 |
| 1558993139 | Hailee Strong | Behavior Technician | 2284 S Ballenger Hwy, Flint, MI 48503-3446 | 2020-02-11 |
| 1083258784 | Larissa Cottrell | Behavior Technician | 2284 S Ballenger Hwy, Flint, MI 48503-3446 | 2019-11-05 |
| 1649813775 | Omar Mohamed-f Elnour | Technician, Other | 2284 S Ballenger Hwy, Flint, MI 48503-3446 | 2019-10-22 |
| 1386287670 | Najla Collins | Behavior Technician | 2284 S Ballenger Hwy, Flint, MI 48503-3446 | 2019-10-20 |
| 1417599705 | Saundra Marie Harris | Behavior Technician | 2284 S Ballenger Hwy, Flint, MI 48503-3446 | 2019-10-08 |
| 1558913624 | Elonda Clemons | Technician, Health Information | 2284 S Ballenger Hwy, Flint, MI 48503-3446 | 2019-07-09 |
| 1720640386 | Nadia M Johnson | Behavior Technician | 2284 S Ballenger Hwy, Flint, MI 48503-3446 | 2019-07-03 |
| 1013579879 | Chester Watson IIi | Technician, Other | 2284 S Ballenger Hwy, Flint, MI 48503-3446 | 2019-07-02 |
| 1881152601 | Mary Frances Sesti | Behavioral Analyst | 2284 S Ballenger Hwy, Flint, MI 48503-3446 | 2019-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457971640 | Flint Odyssey House Inc. | Community/Behavioral Health | 1219 Martin Luther King Avenue, Flint, MI 48503 | 2020-04-17 |
| 1891265476 | Mary Margaret Woodruff | Health Educator | 411 E. Third St Suite 2, Flint, MI 48503 | 2018-11-27 |
| 1669942223 | Donna Jean Phelps | Behavior Technician | 2284 S Ballenger Highway, Flint, MI 48503 | 2018-11-27 |
| 1588150601 | Dayonna Scott | Social Worker | Hope Network, 2830 Corunna Rd, Flint, MI 48503 | 2018-07-02 |
| 1801388020 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2284 S Ballenger Hwy Ste F, Flint, MI 48503 | 2018-06-04 |
| 1134610504 | Swathi Gorle | Student in an Organized Health Care Education/Training Program | Hurley Medical Center, 1 Hurley Plaza, Flint, MI 48503 | 2018-05-22 |
| 1881128049 | Kara Garr | Registered Nurse | 805 Tuuri Pl, Flint, MI 48503 | 2017-04-14 |
| 1518405638 | Thomasinia Terrell | Peer Specialist | 422 W Fourth Ave, Flint, MI 48503 | 2017-02-09 |
| 1790231041 | Roslyn Boyce | Technician, Other | 2213 E. Court Street, Flint, MI 48503 | 2016-08-28 |
| 1689120818 | Yasmine Elhefnawy | Student in an Organized Health Care Education/Training Program | One Hurley Plaza 3d West, Flint, MI 48503 | 2016-08-28 |
| Find all providers in zip 48503 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639786478 | Terrence Newton | Technician | 1435 Peachwood Dr, Flint, MI 48507-5633 | 2020-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487271649 | Ashley Meade-caplinger | Technician | 2328 7th St, Wyandotte, MI 48192-4316 | 2020-07-02 |
| 1598395295 | Dale Andrea Smith | Technician | 216 Railway St, Crystal Fall, MI 49920 | 2020-01-22 |
| 1760028559 | Arlene Lewis | Technician | 1350 E M 21 Ste 34, Owosso, MI 48867-8000 | 2019-11-27 |
| 1144864471 | Jessica Gomez | Technician | 1621 Benjamin St, Saginaw, MI 48602-5311 | 2019-10-30 |
| 1942843800 | Lynnette Marie Geib | Technician | N1872 Hwy M-35, Menominee, MI 49858 | 2019-10-23 |
| 1093358004 | Monika Hildegard Winters | Technician | 4150 Lake Pleasant Rd S, Osseo, MI 49266-9623 | 2019-10-22 |
| 1184267528 | Willie M Rhymes Jr. | Technician | 16020 W Chicago St, Detroit, MI 48228-2144 | 2019-10-17 |
| 1871134189 | Patricia Littleton | Technician | 4610 Akron Rd, Akron, MI 48701 | 2019-10-08 |
| 1457902140 | Linda Pabis | Technician | 5406 Canada Rd, Birch Run, MI 48415 | 2019-09-24 |
| 1447801352 | Loraine Connelly | Technician | 32148 Camborne Ln, Livonia, MI 48154-3176 | 2019-09-23 |
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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.