ANNOINTED OUTREACH (NPI# 1023673639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023673639 |
| Entity Type | Organization |
| Organization Name | ANNOINTED OUTREACH |
| Practice Address |
25435 Southfield Rd Southfield MI 48075-1907 |
| Practice Telephone | 2482215549 |
| Mailing Telephone | 2482215549 |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2019-05-08 |
| Authorized Official Name | MRS. LAZON JOHNSON (ADMINISTRATOR) |
| Authorized Official Telephone | 2482215549 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
25435 SOUTHFIELD RD |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075-1907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496435 | Valerie M Pauli | Clinical Nurse Specialist | 8339 Jam Ct, Temperance, MI 48182-8300 | 2020-11-01 |
| 1639787864 | Marguerite C Debello | Clinical Nurse Specialist | 5335 Kingsfield Dr, West Bloomfield, MI 48322-2037 | 2020-07-14 |
| 1376192401 | Regina Kay Freeman | Clinical Nurse Specialist | 4726 Cardiovascular Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109 | 2019-09-11 |
| 1679107585 | Mitzi Saunders | Clinical Nurse Specialist | 4001 W Mcnichols Rd, Detroit, MI 48221-3038 | 2020-02-29 |
| 1518510114 | Katelyn Bredeweg | Clinical Nurse Specialist | 8333 Felch St, Zeeland, MI 49464-2608 | 2019-07-23 |
| 1548812423 | Alisyn Paige Vanderwal | Clinical Nurse Specialist | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2019-07-11 |
| 1144781675 | Cheryl Sue Houseman | Clinical Nurse Specialist | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2019-03-27 |
| 1841641248 | Sabina Khanuja Singh | Clinical Nurse Specialist | 22101 Moross Rd, Detroit, MI 48236-2148 | 2016-06-27 |
| 1346625738 | Michelle Lee Beigle | Clinical Nurse Specialist | 2325 Summit Park Dr, Suite 3, Petoskey, MI 49770-8774 | 2015-07-27 |
| 1831501808 | Shontaya Carrico | Clinical Nurse Specialist | 2333 Biddle Avenue, Wyandotte, MI 48192 | 2014-05-27 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHFIELD |
| Zip Code | 48075 |
Please comment or provide details below to improve the information on ANNOINTED OUTREACH.
| 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.