SALLY VILLASENOR


Address: 4200 Whitehall Dr Ste 150, Ann Arbor, MI 48105-9694
Phone: 7349950308

SALLY VILLASENOR (NPI# 1992783906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992783906
Entity Type Individual
Full Name SALLY VILLASENOR
Credential NP
Practice Address 4200 Whitehall Dr Ste 150
Ann Arbor
MI 48105-9694
Mailing Address 24 Frank Lloyd Wright Dr Ste J2000
Ann Arbor
MI 48105-9484
Practice Telephone 7349950308
Practice Fax Number 7349950425
Mailing Telephone 7347476766
Mailing Fax Number 7342223100
Enumeration Date 2006-01-09
Last Update Date 2020-09-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 4704210404 MI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI 11-4939817 05
MI 10-4639777 05
MI 10-4639801 05
MI 11-4939791 05
MI 10-4639786 05
MI 11-4939782 05
MI 11-4939826 05
MI 10-4639795 05

Office Location

Street Address 4200 WHITEHALL DR STE 150
City ANN ARBOR
State MI
Zip Code 48105-9694

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326506718 Callie Seybert Physician Assistant 4200 Whitehall Dr Ste 150, Ann Arbor, MI 48105-9694 2019-03-05
1356837504 Chaz Hernandez Physician Assistant 4200 Whitehall Dr Ste 150, Ann Arbor, MI 48105-9694 2018-07-10
1750880589 Olivia Glidden Physician Assistant 4200 Whitehall Dr Ste 150, Ann Arbor, MI 48105-9694 2018-02-07
1386160539 Amy Lynn Cesnick Nurse Practitioner 4200 Whitehall Dr Ste 150, Ann Arbor, MI 48105-9694 2017-08-19
1043663743 Nicole Kremer Nurse Practitioner 4200 Whitehall Dr Ste 150, Ann Arbor, MI 48105-9694 2016-07-18
1902277932 Lisa Marie Fetters Nurse Practitioner 4200 Whitehall Dr Ste 150, Ann Arbor, MI 48105-9694 2015-10-16
1578950804 Justin Michael Rutt Family Medicine 4200 Whitehall Dr Ste 150, Ann Arbor, MI 48105 2015-04-24
1740682590 Sarah C Blau Physician Assistant 4200 Whitehall Dr Ste 150, Ann Arbor, MI 48105-9694 2014-09-24
1144581166 Lauren Rae Barhitte Nurse Practitioner 4200 Whitehall Dr Ste 150, Ann Arbor, MI 48105-9694 2012-06-06
1639445125 Eric Adam Fine Emergency Medicine 4200 Whitehall Dr Ste 150, Ann Arbor, MI 48105-9694 2012-03-28
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730728718 Alexander Jendrusina Psychologist Va Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI 48105 2019-12-23
1417515875 Christine Shyh Wang Student in an Organized Health Care Education/Training Program 4029 Avenue Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 2019-05-31
1013475003 Ryan Wang Physician Assistant 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 2019-03-08
1801366265 Amruta Sonavaria Physical Therapist 4701 East Huron River Drive, Ann Arbor, MI 48105 2018-11-28
1568955730 Alexander Sliwicki Pediatrics 1500 East Medical Drive, Medical Professional Building, Ann Arbor, MI 48105 2018-06-12
1902398464 Austin Remington Student in an Organized Health Care Education/Training Program 4029 Ave Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 2018-05-31
1881191658 Stephen James Hickner Student in an Organized Health Care Education/Training Program St. Mary Mercy Outpatient Psychiatric Services, 2006 Hogback Road, Suite 1, Ann Arbor, MI 48105 2018-04-09
1245681709 Winnie Nhan Internal Medicine 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 2016-06-27
1861857971 Connie Chen Pharmacist 2215 Fuller Road (119), Ann Arbor, MI 48105 2015-12-17
1407241193 Stefan Craciun Emergency Medicine 3484 Ashburnam Rd, Ann Arbor, MI 48105 2015-03-31
Find all providers in zip 48105

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821624685 Francisco Bielinki Jr. Nurse Practitioner 2355 Devonshire Rd, Ann Arbor, MI 48104-2703 2020-03-12
1609335363 Epmg Northern Michigan Pllc Nurse Practitioner 5301 E Huron River Dr Er, Ann Arbor, MI 48106 2019-03-13
1649771668 Julie Elizabeth Cain Nurse Practitioner 1418 Morton Ave, Ann Arbor, MI 48104-4437 2018-02-25
1689190167 Sonam Krichbaum Nurse Practitioner 302 E Liberty St Ste 201, Ann Arbor, MI 48104-2206 2017-08-16
1013438530 Keely Marie Blosh Nurse Practitioner 1500 E Medical Center Dr # 4321, 3rd Floor Cardiovascular Center Recp C, Ann Arbor, MI 48109-5864 2017-07-06
1821538026 Natalya Stokely-hamdan Nurse Practitioner 3410 Ferry St, Ann Arbor, MI 48103-1905 2017-03-07
1295113199 Ji-young Byun Nurse Practitioner 2251 Gemstone Ct, Ann Arbor, MI 48103-8970 2015-05-11
1528303740 Teresa Kathleen Reimer Nurse Practitioner 2301 S Huron Pkwy Ste 2b, Ann Arbor, MI 48104-5133 2012-11-28
1053662981 Andria Scappaticci Hazergian Nurse Practitioner 1500 E Medical Center Dr Bldg 1000312, Ann Arbor, MI 48109-5000 2012-10-02
1114171238 Donna Lee Auer Nurse Practitioner 325 E Eisenhower Plwy, Suite 100, Ann Arbor, MI 48108-5744 2008-11-17
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Competitor

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City ANN ARBOR
Zip Code 48105

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Dataset Information

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.

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