WENDY LYNN CARRIVEAU (NPI# 1992062251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992062251 |
| Entity Type | Individual |
| Full Name | WENDY LYNN CARRIVEAU |
| Credential | NP |
| Practice Address |
50505 Schoenherr Rd Ste 340 Shelby Township MI 48315-3140 |
| Mailing Address |
25380 Noble Dr Chesterfield MI 48051-3260 |
| Practice Telephone | 5867318400 |
| Mailing Telephone | 5862018607 |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2014-12-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 4704212817 | MI | Nursing Service Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
4704212817 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
50505 SCHOENHERR RD STE 340 |
| City | SHELBY TOWNSHIP |
| State | MI |
| Zip Code | 48315-3140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023069770 | Malaz Alatassi | Internal Medicine | 50505 Schoenherr Rd Ste 340, Shelby Township, MI 48315-3140 | 2006-05-15 |
| 1437710639 | Andrew Harris | Nurse Practitioner | 50505 Schoenherr Rd Ste 340, Shelby Township, MI 48315-3140 | 2019-06-27 |
| 1689193112 | Kimberly Denny | Physician Assistant | 50505 Schoenherr Rd Ste 340, Shelby Township, MI 48315-3140 | 2017-09-15 |
| 1376079426 | Diane Palm | Nurse Practitioner | 50505 Schoenherr Rd Ste 340, Shelby Township, MI 48315-3140 | 2017-05-11 |
| 1457883985 | Matthew Richard Garrity | Internal Medicine | 50505 Schoenherr Rd Ste 340, Shelby Township, MI 48315-3140 | 2017-04-03 |
| 1992155055 | Thomas Deverne Bussineau | Family Medicine | 50505 Schoenherr Rd Ste 340, Shelby Township, MI 48315-3140 | 2016-06-20 |
| 1801246012 | Zahraa Karoofa | Internal Medicine | 50505 Schoenherr Rd Ste 340, Shelby Township, MI 48315-3140 | 2016-06-18 |
| 1740664499 | Brian Tyson | Internal Medicine | 50505 Schoenherr Rd Ste 340, Shelby Township, MI 48315-3140 | 2015-07-13 |
| 1457733297 | Waseem Obeid | Internal Medicine | 50505 Schoenherr Rd Ste 340, Shelby Township, MI 48315-3140 | 2015-06-28 |
| 1821484122 | Raya Kutaimy | Internal Medicine | 50505 Schoenherr Rd Ste 340, Shelby Township, MI 48315-3140 | 2015-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885500 | Steven William Scavone | Counselor | 45660 Schonherr Rd., Shelby Township, MI 48315 | 2020-09-08 |
| 1861039844 | Lauren Nicole Himmel | Physician Assistant | 13051 Michael Dr., Shelby Twp., MI 48315 | 2019-12-09 |
| 1881173763 | Shelby Family Cosmetic & Restorative Dentistry | Dentist | 51221 Schoenherr Road., Suite 102, Shelby Township, MI 48315 | 2018-08-10 |
| 1023594223 | Apex Chiropractic, P.C. | Chiropractor | 51543 Schoenherr Road, Shelby Township, MI 48315 | 2018-07-11 |
| 1053809145 | Bam Management | Clinic/Center | 13433 Hall Road, Utica, MI 48315 | 2018-04-25 |
| 1659723203 | Patricia Gates | Registered Nurse | 23066 Balcombe, Utica, MI 48315 | 2016-07-07 |
| 1124481213 | Jai Shree Umiya Inc | Durable Medical Equipment & Medical Supplies | 13350 24 Mile Rd Ste 300, Shelby Township, MI 48315 | 2016-04-05 |
| 1679931828 | Team Rehabilitation S3, LLC | Physical Therapist | 13350 24 Mile Road, Suite 500, Shelby Township, MI 48315 | 2016-02-03 |
| 1164816484 | Sylvia White | Case Manager/Care Coordinator | 47100 Schoenherr Rd. Suite D, Shelby Township, MI 48315 | 2015-03-25 |
| 1770921389 | Amy Christine Vitale | Speech-Language Pathologist | 14145 Simone Dr., Developing Connections Inc, Shelby Twp, MI 48315 | 2013-06-06 |
| Find all providers in zip 48315 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144880733 | Kaitlin Lynch | Nurse Practitioner | 49241 Brooklyn, Shelby Township, MI 48317-2375 | 2019-06-17 |
| 1760957104 | Stephanie Bonynge | Nurse Practitioner | 49050 Schoenherr Rd Ste 100, Shelby Township, MI 48315 | 2018-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759396 | Zainab Ali Hachem | Nurse Practitioner | 5158 Neckel St, Dearborn, MI 48126-3217 | 2020-10-29 |
| 1861092900 | Lindsay Overall | Nurse Practitioner | 1962 Sherlynn Dr, Brighton, MI 48114-7618 | 2020-10-28 |
| 1588289144 | Anne Elizabeth Stephan | Nurse Practitioner | 1320 Addington Ln, Ann Arbor, MI 48108-8951 | 2020-06-10 |
| 1447872965 | Gagan Preet Kaur Dhaliwal | Nurse Practitioner | 45418 Glengarry Blvd, Canton, MI 48188-3001 | 2020-05-07 |
| 1023637766 | Jbnp Services, LLC | Nurse Practitioner | 19520 Parker St, Livonia, MI 48152-1579 | 2020-04-13 |
| 1912536137 | Mary Bailey | Nurse Practitioner | 8254 Twin Creek Cir, Temperance, MI 48182-8202 | 2020-04-08 |
| 1679108500 | Jennifer Ann Rutzen | Nurse Practitioner | 5802 Montebello Ave, Haslett, MI 48840-8208 | 2020-03-11 |
| 1871126813 | Gregory M Ali | Nurse Practitioner | 26750 Providence Pkwy Ste 120, Novi, MI 48374-1211 | 2020-02-18 |
| 1730712969 | Anthony Joseph Jurecic | Nurse Practitioner | 2382 Us 41 W, Marquette, MI 49855-2456 | 2020-02-17 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| Find all providers with the same taxonomy | ||||
| City | SHELBY TOWNSHIP |
| Zip Code | 48315 |
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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.