MRS. MARCELLI JADE G. CONTRERAS (NPI# 1033496955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033496955 |
| Entity Type | Individual |
| Full Name | MRS. MARCELLI JADE G. CONTRERAS |
| Credential | NP |
| Practice Address |
26901 Beaumont Blvd Southfield MI 48033-3849 |
| Practice Telephone | 9475220037 |
| Practice Fax Number | 9475220038 |
| Mailing Telephone | 9475220037 |
| Mailing Fax Number | 9475220038 |
| Enumeration Date | 2011-11-05 |
| Last Update Date | 2020-04-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 4704202054 | MI | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4704202054 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
26901 BEAUMONT BLVD |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48033-3849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790782621 | Ann Marie Bhat | Nurse Practitioner | 26901 Beaumont Blvd, Southfield, MI 48033-3849 | 2005-07-07 |
| 1780294850 | Oakwood Accountable Care Organization, LLC | Preferred Provider Organization | 26901 Beaumont Blvd, Southfield, MI 48033-3849 | 2020-08-04 |
| 1952968190 | Nicole Frantz Ellis | Health Educator | 26901 Beaumont Blvd, Southfield, MI 48033-3849 | 2019-05-23 |
| 1679138200 | Charlene Diehl | Health Educator | 26901 Beaumont Blvd, Southfield, MI 48033-3849 | 2019-05-09 |
| 1831754464 | Lisa Modzel | Health Educator | 26901 Beaumont Blvd, Southfield, MI 48033-3849 | 2019-05-09 |
| 1750946570 | Ebonite Guyton | Health Educator | 26901 Beaumont Blvd, Southfield, MI 48033-3849 | 2019-05-07 |
| 1205491156 | Lynell Edwards | Health Educator | 26901 Beaumont Blvd, Southfield, MI 48033-3849 | 2019-05-07 |
| 1306401252 | Karen Firosz | Health Educator | 26901 Beaumont Blvd, Southfield, MI 48033-3849 | 2019-05-07 |
| 1609431667 | Alicia Jackson | Health Educator | 26901 Beaumont Blvd, Southfield, MI 48033-3849 | 2019-05-06 |
| 1346805389 | Tori Sampson | Health Educator | 26901 Beaumont Blvd, Southfield, MI 48033-3849 | 2019-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531243 | Kenicka Harper | Case Manager/Care Coordinator | 2270 W Nine Mile Rd, Detroit, MI 48033 | 2020-06-03 |
| 1154955292 | Judy C Staples | Registered Nurse | 23800 West 10 Mile Road, Ste. 110, Southfield, MI 48033 | 2020-02-27 |
| 1578193827 | Axel Lee Gruenberg | Peer Specialist | 221790 West 9 Mile, Southfield, MI 48033 | 2020-01-24 |
| 1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
| 1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
| 1700442597 | Botsford General Hospital | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
| 1558862433 | Oakwood Accountable Care Organization, LLC | Preferred Provider Organization | 26901 Beaumont Blvd., Southfield, MI 48033 | 2018-02-26 |
| 1891228904 | Brandi Becker-wright | Social Worker | 25200 Telegraph Rd Ste 100, Southfield, MI 48033 | 2017-04-05 |
| 1003362252 | Mark Kline | Registered Nurse | 22170 W Nine Mile Rd, Southfield, MI 48033 | 2016-08-28 |
| 1033534797 | Jessica Savageau | Social Worker | 22170 W 9 Mile, Southfield, MI 48033 | 2014-03-04 |
| Find all providers in zip 48033 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043726144 | Np Provision, LLC | Nurse Practitioner | 23077 Greenfield Rd., Suite 479, Southfield, MI 48075-3769 | 2017-12-27 |
| 1144579798 | Nichol Lynn Tufts | Nurse Practitioner | 19933 West 13 Miles Rd, Southfield, MI 48076 | 2012-08-29 |
| 1962440693 | Janet Lynn Safawi | Nurse Practitioner | Southfield Clinic, 29355 Northwestern Hwy Ste 200, Southfield, MI 48034 | 2006-06-03 |
| 1841282753 | Laynette Goudy-egger | Nurse Practitioner | 29556 Southfield Rd, Suite 200, Southfield, MI 48076-2021 | 2005-08-17 |
| 1710547823 | Christina Akaraz | Nurse Practitioner | 29877 Telegraph Rd, Southfield, MI 48034-1332 | 2019-06-20 |
| 1619467677 | Timothy Gates LLC | Nurse Practitioner | 16250 Northland Dr Ste 369, Southfield, MI 48075-5208 | 2018-05-15 |
| 1245764737 | Sharon Blackshire-tubie | Nurse Practitioner | 20755 Greenfield Rd, #203, Southfield, MI 48075-5403 | 2017-04-12 |
| 1417361502 | Victoria Dene Clark | Nurse Practitioner | 24111 Southfield Rd, Southfield, MI 48075-2841 | 2014-06-17 |
| 1932525524 | Toyia Novak | Nurse Practitioner | 24111 Southfield Rd, Southfield, MI 48075-2841 | 2014-03-06 |
| 1235564402 | Katherine Rose Shaw | Nurse Practitioner | 19933 W 13 Mile Rd, Southfield, MI 48076-1024 | 2013-09-06 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48033 |
Please comment or provide details below to improve the information on MRS. MARCELLI JADE G. CONTRERAS.
| 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.