PATRICIA JEAN HAVERTY (NPI# 1992207534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992207534 |
| Entity Type | Individual |
| Full Name | PATRICIA JEAN HAVERTY |
| Credential | NP |
| Practice Address |
7800 W Outer Dr Ste 300 Detroit MI 48235-3458 |
| Practice Telephone | 3133404442 |
| Mailing Telephone | 3133404442 |
| Mailing Fax Number | 3133404443 |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2019-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704284652 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7800 W OUTER DR STE 300 |
| City | DETROIT |
| State | MI |
| Zip Code | 48235-3458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629233952 | Sandra Duque | Social Worker | 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 | 2008-07-25 |
| 1598372187 | Marykelly Wallace | Occupational Therapist | 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 | 2020-09-28 |
| 1124633003 | Shannon Jessica Jason | Case Manager/Care Coordinator | 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 | 2020-09-09 |
| 1518577121 | Sarah Downey | Occupational Therapist | 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 | 2020-08-07 |
| 1548878408 | Andrea Lynne Schmitt | Speech-Language Pathologist | 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 | 2020-07-16 |
| 1124646310 | Torey M. Mcnally | Speech-Language Pathologist | 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 | 2020-07-14 |
| 1205468006 | Jacob C Clark | Occupational Therapy Assistant | 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 | 2020-02-10 |
| 1750912416 | Janice Nicole Tillmon | Social Worker | 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 | 2020-01-31 |
| 1104469303 | Sherisa Renell Mcdonald | Psychologist | 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 | 2019-10-21 |
| 1558915744 | William Newman | Contractor | 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 | 2019-07-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457976292 | Ali Nauman Khan | Student in an Organized Health Care Education/Training Program | Detroit Medical Center-sinai Grace Hospital, 6071 W. Outer Driver, Detroit, MI 48235 | 2020-06-08 |
| 1629690565 | Faseeha Arshad Gondal | Student in an Organized Health Care Education/Training Program | Detroit Medical Center Sinai Grace Hospital, 6071 Outer Dr W. Detroit, Mi 48235, United States, Detroit, MI 48235 | 2020-05-14 |
| 1902428832 | Muhanad Abou Touk | Student in an Organized Health Care Education/Training Program | Dmc - Sinai Grace Hospital, Department of Internal Medi, 6071, W. Outer Drive, Detroit, MI 48235 | 2020-05-14 |
| 1780206730 | Ahmad Mismar | Student in an Organized Health Care Education/Training Program | Detroit Medical Center - Sinai Grace Hospital, Departme, 6071 West Outer Drive, Detroit, MI 48235 | 2020-05-13 |
| 1023630589 | Joao Paulo Fontana Bragagnollo | Student in an Organized Health Care Education/Training Program | 6071 W Outer Drive-sinai Grace Hospital, Department of Medicine 4th Floor M-406, Detroit, MI 48235 | 2020-05-07 |
| 1881216216 | Mohammad Awad Jaber | Student in an Organized Health Care Education/Training Program | 6071 W. Outer Drive, Dmc Sinai-grace Hospital, Detroit, MI 48235 | 2020-05-07 |
| 1366064818 | Syeda Busmah Owais | Student in an Organized Health Care Education/Training Program | 6071 Outer Drive, Sinai Grace Hospital, Department of I, Detroit, MI 48235 | 2020-05-07 |
| 1184245680 | Sushmitha Nanja Reddy | Student in an Organized Health Care Education/Training Program | Detroit Medcen Sinai Grace Hospital Dpt of Internal Med, 6071 W Outer Drive, Detroit, MI 48235 | 2020-05-06 |
| 1972164796 | Jack Phillip Tomen | Student in an Organized Health Care Education/Training Program | Sinai - Grace Hospital, 6071 Outer Drive W, Department of Medicine - 4 Main, Detroit, MI 48235 | 2019-06-24 |
| 1346809464 | Anusha Bapatla | Student in an Organized Health Care Education/Training Program | 4 Main, 6071 West Outer Drive, Sinai-grace Hospital, Department of Internal Medicine, Detroit, MI 48235 | 2019-06-12 |
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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.