JENNIFER SHAWN EDGAR (NPI# 1013107366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013107366 |
| Entity Type | Individual |
| Full Name | JENNIFER SHAWN EDGAR |
| Credential | APRN, BC |
| Practice Address |
36123 Schoolcraft Rd Livonia MI 48150-1216 |
| Practice Telephone | 7344640887 |
| Practice Fax Number | 7344020254 |
| Mailing Telephone | 7344640887 |
| Mailing Fax Number | 7344020254 |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2017-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
4704197458 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649895103 | Jennifer Marie Edgar | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-06-10 |
| 1174975262 | Jennifer Edgar | Nurse Practitioner | 804 Service Rd Ste A217, East Lansing, MI 48824-7015 | 2016-07-13 |
| 1730248386 | Jennifer Edgar | Physical Therapy Assistant | 4697 Harrison St, Bellaire, OH 43906-1338 | 2006-12-08 |
| Street Address |
36123 SCHOOLCRAFT RD |
| City | LIVONIA |
| State | MI |
| Zip Code | 48150-1216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790789055 | Gina Marie D'ambrosio | Internal Medicine | 36123 Schoolcraft Rd, Livonia, MI 48150-1216 | 2005-06-02 |
| 1346805769 | Von Deneb Vitto | Nurse Practitioner | 36123 Schoolcraft Rd, Livonia, MI 48150-1216 | 2019-05-01 |
| 1013403302 | Dione Amber Wright | Nurse Practitioner | 36123 Schoolcraft Rd, Livonia, MI 48150-1216 | 2018-07-10 |
| 1285181065 | Katherine M. Crampton | Nurse Practitioner | 36123 Schoolcraft Rd, Livonia, MI 48150 | 2016-09-08 |
| 1376906305 | Roger Fox | Respiratory Therapist, Certified | 36123 Schoolcraft Rd, Livonia, MI 48150-1216 | 2016-03-29 |
| 1558723528 | Inpatient Consultants of Michigan, P.C. | Family Medicine | 36123 Schoolcraft Rd, Livonia, MI 48150-1216 | 2016-03-28 |
| 1619339686 | Inpatient Consultants of Ohio, PC | Family Medicine | 36123 Schoolcraft Rd, Livonia, MI 48150-1216 | 2016-03-28 |
| 1205297876 | Stacy Meitler | Nurse Practitioner | 36123 Schoolcraft Rd, Livonia, MI 48150 | 2016-03-10 |
| 1174999213 | Dawn Elizabeth Pangrazzi | Nurse Practitioner | 36123 Schoolcraft Rd, Livonia, MI 48150-1216 | 2015-08-12 |
| 1871978486 | Meredith Benesch | Massage Therapist | 36123 Schoolcraft Rd, Livonia, MI 48150-1216 | 2015-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821622416 | Alex Asa Willmarth | Behavior Technician | 31557 Schoolcraft Road Suite 200, 31557 Schoolcraft Road Suite 200, Livonia, MI 48150 | 2020-02-24 |
| 1679116396 | Carly Steen | Behavior Technician | 31557 Schoolcraft Road, Suite 200, Livonia, MI 48150 | 2019-10-25 |
| 1821652355 | Katelynn Lyon | Social Worker | 37450 Schoolcraft Road, Suite 110, Livonia, MI 48150 | 2019-04-30 |
| 1821573171 | Angela Fay | Specialist | Hegira Programs, Inc., 37450 Schoolcraft, Ste. 110, Livonia, MI 48150 | 2018-10-02 |
| 1043792989 | Bethany L Hill | Pharmacist | 32131 Industrial Road, Livonia, MI 48150 | 2018-09-06 |
| 1407337835 | Teena Hutson | Counselor | 37450 Schoolcratf, Westland, MI 48150 | 2018-08-23 |
| 1053804062 | Chandana Raveendran | Speech-Language Pathologist | 35100 Ann Arbor Trl, Livonia, MI 48150 | 2018-06-13 |
| 1518459239 | Motivated Parenting, LLC | Case Management | 9906 Shadyside St, Livonia, MI 48150 | 2018-05-30 |
| 1184138471 | Shannon Anderson | Counselor | 33231 Schoolcraft Road Suite 210, Livonia, MI 48150 | 2017-11-22 |
| 1801316724 | Stephanie Levis | Social Worker | 32945 Indiana St, Livonia, MI 48150 | 2017-06-21 |
| Find all providers in zip 48150 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558809954 | Imperative House Calls LLC | Nurse Practitioner | 9065 Newport Way, Livonia, MI 48150-4171 | 2017-02-06 |
| 1124508239 | Kimberly Marie Horka | Nurse Practitioner | 36475 Five Mile Rd, Livonia, MI 48154-1971 | 2018-08-17 |
| 1427445931 | Nina Nandish | Nurse Practitioner | 20206 Farmington Rd, Livonia, MI 48152-1412 | 2015-04-22 |
| 1497000269 | Sarah Ann Vance | Nurse Practitioner | 18302 Middlebelt Rd, Livonia, MI 48152-5007 | 2012-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800768 | Yuri L Guzman | Nurse Practitioner | 795 N Ford Blvd, Ypsilanti, MI 48198-4116 | 2020-10-30 |
| 1144830803 | Robert Eugene Scribner IIi | Nurse Practitioner | 13913 Toepfer Rd, Warren, MI 48089-5842 | 2020-08-06 |
| 1124644661 | Denika Leflora Dalton | Nurse Practitioner | 5260 Fairway Trl, Grand Blanc, MI 48439-9445 | 2020-06-21 |
| 1780206995 | Jennifer Kay Marino | Nurse Practitioner | 20407 Mauer St, Saint Clair Shores, MI 48080-3789 | 2020-05-11 |
| 1720621709 | Kelsey Nicole Kloosterman | Nurse Practitioner | Susan P. Wheatlake Regional Cancer Center, 4499 220th Ave, Reed City, MI 49677 | 2019-10-23 |
| 1558911842 | Jomy Jose | Nurse Practitioner | 25719 Salem St, Roseville, MI 48066 | 2019-09-18 |
| 1306318498 | Ashley Marie Jacobson | Nurse Practitioner | 4100 Lake Dr Se Ste D, Grand Rapids, MI 49546-8292 | 2018-12-30 |
| 1568931673 | Jennifer Lavigne | Nurse Practitioner | 145 Michigan St Ne Ste 3300, Grand Rapids, MI 49503-2562 | 2018-11-19 |
| 1134694292 | Sheryl Ann Newton | Nurse Practitioner | 810 W South St, Kalamazoo, MI 49007-4601 | 2018-10-04 |
| 1386123180 | Alison M Sesock | Nurse Practitioner | 5202 Miller Rd Ste B, Flint, MI 48507-1040 | 2018-08-13 |
| Find all providers with the same taxonomy | ||||
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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.