ANITA MCCANN (NPI# 1013431618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013431618 |
| Entity Type | Individual |
| Full Name | ANITA MCCANN |
| Credential | RN |
| Practice Address |
279 Summit Dr Waterford MI 48328-3364 |
| Practice Telephone | 2487454900 |
| Mailing Telephone | 2487454900 |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2017-07-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
4704274055 | MI | Nursing Service Providers |
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
4704274055 | MI | Ambulatory Health Care Facilities |
| Street Address |
279 SUMMIT DR |
| City | WATERFORD |
| State | MI |
| Zip Code | 48328-3364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053364307 | Mark Anthony Mitchell | Social Worker | 279 Summit Dr, Waterford, MI 48328-3364 | 2006-05-18 |
| 1699376533 | Kiersten Gutherman | Social Worker | 279 Summit Dr, Waterford, MI 48328-3364 | 2020-11-06 |
| 1316551427 | Doris Vernita Jenkins | Social Worker | 279 Summit Dr, Waterford, MI 48328-3364 | 2020-09-04 |
| 1528689205 | Kimberly Aundrea Moore | Peer Specialist | 279 Summit Dr, Waterford, MI 48328-3364 | 2020-05-04 |
| 1477182491 | Holly Richard | Registered Nurse | 279 Summit Dr, Waterford, MI 48328-3364 | 2020-04-02 |
| 1437784014 | Diana L Tige | Community Health Worker | 279 Summit Dr, Waterford, MI 48328-3364 | 2020-03-04 |
| 1063046928 | Amy Stern | Social Worker | 279 Summit Dr, Waterford, MI 48328-3364 | 2020-02-28 |
| 1225661382 | Keith Albert Robinson | Peer Specialist | 279 Summit Dr, Waterford, MI 48328-3364 | 2020-02-18 |
| 1326671660 | Kathy Sue Barber | Peer Specialist | 279 Summit Dr, Waterford, MI 48328-3364 | 2020-02-14 |
| 1023641388 | Deundra Denise Fuller | Peer Specialist | 279 Summit Dr, Waterford, MI 48328-3364 | 2020-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477184125 | Lillian Atty | Pharmacist | 1484 Rivona Dr, Waterford, MI 48328 | 2020-01-31 |
| 1437631850 | Rana Ismail | Pharmacist | 3273 West Huron St, Waterford, MI 48328 | 2018-09-01 |
| 1588181978 | India Dunlap | Social Worker | 279 Summit Dr., Waterford, MI 48328 | 2017-08-25 |
| 1689191280 | Sydney Strandberg | Social Worker | 1145 Parkway, Waterford, MI 48328 | 2017-08-24 |
| 1467982074 | Briana Greenlee | Dietitian, Registered | 3819 Faber Terrace, Waterford, MI 48328 | 2017-06-15 |
| 1922537364 | Lourdes Alzheimer's Special Care | Custodial Care Facility | 2400 Watkins Lake Rd, Waterford, MI 48328 | 2017-06-08 |
| 1013446459 | Lourdes Assisted Living | Assisted Living Facility | 2450 Watkins Lake Rd, Waterford, MI 48328 | 2017-06-08 |
| 1588019053 | Legacy Dermatology Group PC | Dermatology | 1392 S Cass Lake Rd, Waterford, MI 48328 | 2016-05-03 |
| 1932567989 | Devenia Denise Clayter | Counselor | 255 Summit Dr, Waterford, MI 48328 | 2016-02-05 |
| 1922409739 | Stacey Diggs | Counselor | 250 Elizabeth Lake Road, Biomed Behavorial Healthcare, Waterford, MI 48328 | 2014-09-11 |
| Find all providers in zip 48328 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194818500 | Stephanie Marie Buchholtz | Registered Nurse | 4923 Big Bend Rd, Waterford, WI 53185-3542 | 2006-09-30 |
| 1073134441 | Nicole M Ulrich | Registered Nurse | 4489 W Walton Blvd, Waterford, MI 48329-4076 | 2020-04-27 |
| 1346665783 | Debby Basilico | Registered Nurse | 279 Summit Dr, Waterford, MI 48328-3364 | 2014-02-21 |
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|---|---|---|---|---|
| 1427669969 | K & M Medical & Catastrophic Management, LLC | Registered Nurse | 3005 E 11 Mile Rd, Warren, MI 48092-3523 | 2020-08-10 |
| 1194347211 | Martin James Leonard | Registered Nurse | 3067 Beach Lake Dr E, Milford, MI 48380-2864 | 2020-05-12 |
| 1104460971 | Lovingprivatecare71 LLC | Registered Nurse | 24020 Sunnypoint Dr, Southfield, MI 48033-2907 | 2019-11-04 |
| 1497217822 | James Henry Wood | Registered Nurse | 50 W Big Beaver Rd Ste 90, Bloomfield Hills, MI 48304-3910 | 2019-04-04 |
| 1295207991 | Jacqueline Hodges | Registered Nurse | 15404 Ilene St, Detroit, MI 48238-1042 | 2018-12-19 |
| 1396211702 | Julius Militante | Registered Nurse | 3101 Vineyard Ln, Flushing, MI 48433-2435 | 2018-10-23 |
| 1992293567 | Kathleen Drew | Registered Nurse | 24801 5 Mile Rd Ste 7, Redford, MI 48239-3653 | 2018-04-28 |
| 1033622667 | Julie Ann Bise | Registered Nurse | 10555 Enterprise Dr Ste 314, Davisburg, MI 48350-1338 | 2017-11-06 |
| 1376054262 | Carrie Allan | Registered Nurse | 39067 Salem Dr, Clinton Township, MI 48038-2857 | 2017-10-18 |
| 1942733050 | Jennifer Bartkowiak-wise | Registered Nurse | 4320 N 11 Mile Rd, Pinconning, MI 48650-7976 | 2017-04-05 |
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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.