MISS LORI RAE BJORNSON (NPI# 1992874077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992874077 |
| Entity Type | Individual |
| Full Name | MISS LORI RAE BJORNSON |
| Credential | NP |
| Practice Address |
11111 Hall Road Suite 105 Utica MI 48317 |
| Practice Telephone | 2486565003 |
| Practice Fax Number | 2486565004 |
| Mailing Telephone | 2486565003 |
| Mailing Fax Number | 2486565004 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-05-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704217857 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11111 HALL ROAD SUITE 105 |
| City | UTICA |
| State | MI |
| Zip Code | 48317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649415969 | Karolina Kulinska | Counselor | 11111 Hall Road, Suite 303, Utica, MI 48317-5799 | 2008-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891329686 | Jasmine Withers | Driver | 45835 Brownell St, Apt 9, Utica, MI 48317 | 2020-03-02 |
| 1942851670 | Kn Mental Health Services LLC | Social Worker | 1111 Hall Road, Utica, MI 48317 | 2019-09-24 |
| 1710461421 | Pureland Physical Therapy | Physical Medicine & Rehabilitation | 45555 Mound Rd, Shelby Twp, MI 48317 | 2018-09-18 |
| 1417433566 | Stephanie Marie Renner | Occupational Therapist | Regency At Shelby, 7401 22 Mile Road, Shelby Charter Township, MI 48317 | 2018-07-12 |
| 1437645959 | Jonathan G Deck | Physician Assistant | 46961 Vandyke Ave, Sheby Township, MI 48317 | 2018-07-09 |
| 1013407261 | Meredith Ann Schramski | Physician Assistant | 46961 Van Dyke Ave, Shelby Township, MI 48317 | 2018-05-14 |
| 1114446184 | Patrick Michael Roberts | Physician Assistant | 50149 Hedgeway Dr, Shelby Twp, MI 48317 | 2017-09-11 |
| 1427571702 | Boby Philip Manalel | Physical Therapist | 11150 Nature Way, Shelby Twp, MI 48317 | 2017-07-19 |
| 1285155119 | Shelby Urgent Care Walk-in Clinic | Family Medicine | 46965 Van Dyke Ave, Shelby Twp, MI 48317 | 2017-06-30 |
| 1942650718 | Samantha Parison | Technician, Other | 47980 Shelby Road, Shelby Township, MI 48317 | 2016-06-13 |
| Find all providers in zip 48317 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124689963 | Samantha Jo Prendergast | Nurse Practitioner | 1656 Champlin Ave Ste 406, Utica, NY 13502-4830 | 2019-06-24 |
| 1245717818 | Jaime Michelle Blum | Nurse Practitioner | 2206 Genesee St Ste 101, Utica, NY 13502-5829 | 2018-07-25 |
| 1104311844 | Daniel Vincent Mcelroy | Nurse Practitioner | 1508 Genesee St Ste 1, Utica, NY 13502-5178 | 2018-06-26 |
| 1639695893 | Amanda Baker | Nurse Practitioner | 1676 Sunset Ave # 4, Utica, NY 13502-5416 | 2017-08-19 |
| 1952754699 | Korinne M Smith | Nurse Practitioner | 117 Ardmore Pl, Utica, NY 13501-6301 | 2016-07-18 |
| 1568876464 | Kristen M. Deep | Nurse Practitioner | 525 French Rd, Utica, NY 13502-5945 | 2014-06-18 |
| 1609031277 | Louise Ann Dean-kelly | Nurse Practitioner | 12 N Horatio Street, Sunyit Health and Wellness Center, Utica, NY 13504-3050 | 2008-07-23 |
| 1962617159 | Laura Diane Carnevale | Nurse Practitioner | 1450 Champlain Ave, Utica, NY 13502-1350 | 2007-05-11 |
| 1689767790 | Kathleen Ann Tanney | Nurse Practitioner | 230 N Genesee St, Utica, NY 13502-2529 | 2006-10-02 |
| 1538251145 | Dina V Kuliesius | Nurse Practitioner | 2211 Genesee Street, Suite 200, Utica, NY 13501 | 2006-09-29 |
| Find all providers in UTICA | ||||
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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.